Reviewing their electronic health record

Reference no: EM133687163

Question

A nurse has assisted with collecting data from a child and is reviewing their electronic health record ( EHR ) . Exhibit 1 Exhibit 2 Nurses' Notes Day 1 , 1 0 0 0 : 1 0 - year - old child presents to orthopedic office for 2 week follow up appointment following open reduction surgery of left tibia fracture. Child is accompanied by their parents. Child is alert and responsive to stimuli. Child reports pain in their left leg and rates it as 7 on a scale from 0 to 1 0 . Capillary refill less than 2 seconds. S 1 and S 2 regular. Respirations even and non - labored. Lungs clear anterior and posterior. Radial and pedal pulse 2 bilateral. Abdomen soft, flat, and non - distended. Bowel sounds active in all 4 quadrants. Surgical wound edges well - approximated. Localized edema and warmth present over surgical incision. Tenderness noted to light palpation of left lower leg with limited range of motion. Weight 3 6 . 3 kg ( 8 0 lb ).

Reference no: EM133687163

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