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AI rewrite As an LPN/LVN, the steps that I would take with this patient is first address the primary care issues such as vital signs, medication administration/treatments, and monitor his incision from his surgery. I can offer pain medication that is listed in his chart and educate him on the medication within my scope of practice. This all will be documented in the chart for the provider to see when making decisions on this patient. I will notify the RN of the concerns with constant asking to ambulate, to be discharged, and the issues observed with the spouse. As the RN, I would proceed in taking care of Chris and Pat by first speaking with Chris to set a baseline of his needs/wants. I can effectively communicate with Chris to ensure he is being safe. I can also obtain more information regarding the home life, if there are any obstacles or concerns at home with Pat. I can then assess Chris and the incision from the surgery to make sure it is healing properly. While Pat is there, I can assess Pat and take note of the cognitive status, which I can relay to social work when they are contacted.
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