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Assignment:
Respond to the questions below in detail. Make sure to Reference two nursing sources of choice (eg. Nursing central, Lewis Medical Surgical Nursing book or related, ATI Nursing, peer reviewed nursing article, etc.)
1) Your patient has a continuous PCA infusion. Use the Richmond Agitation and Sedation Scale (RASS) to assess your patient's level of sedation. As you enter the patient's room, the patient appears to be sleeping. The patient wakes up and answers all your questions appropriately and falls back asleep.
2) EMS just brought in a 36yo with a fractured femur. The patient is whaling in pain, screaming "it's a 15 out of 10". BP 162/78, HR 115, RR 32, o2 95%, temp 99.6F. What type of acid/base imbalance is this patient at risk for?
3) Your patient is a 12-year-old presenting with nausea and vomiting. You depress the right lower quadrant during palpation. When you remove your hand, the patient screams in pain. How would you document this type of pain?
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