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You have assumed care for Ms. James who is admitted to the medical-surgical unit for rehydration and management of respiratory distress.
Orient yourself to the patient and health record by locating the following pieces of information within the System Assessment Report and Patient Teaching, and type your answers in a Miscellaneous Nursing Note:
Question 1) Run a report on all the System Assessments documented for the patient in the last 24 hours. You will need to go to Patient Charting > System Assessments > Show Saved Charting. What was documented for the respiratory effort? What was auscultated in the Lower Right Posterior lobe of the lungs? What was documented related to tissue perfusion?
Question 2) What was the last documented temperature for Karen?
Question 3) Does Ms. James use any sensory aides?
Question 4) What does she rate her pain?
Question 5) What is her MORSE Fall Risk Score?
Attachment:- James.zip
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