Assignent Solutionnurs

Mr. Green is a 45 y/o male client who was involved in a MVA (motor vehicle accident), sustaining bilateral compound fractures. The patient was transferred via fire rescue to the trauma hospital. The client was evaluated and taken to surgery for an open reduction and internal fixation (ORIF). During surgery the patient had an estimated blood loss of 850 mL. Postoperatively the client was transferred to the surgical intensive care unit (SICU). Mr. Green is now 2 days post-op. At 0800 the UAP takes the client’s vital signs T: 98.5 F, P: 97 bpm, RR: 22 bpm, BP:132/77 mmHg, O2: 97% on room air. The nurse’s assessment findings note: client is alert and oriented, the client reports pain 7/10.
At 1325 Mr. Green rings the call bell to report chest pain. The nurse delegates to the UAP to check the vitals while the nurse assess the client. The nurse notes the client is experiencing labored breathing, dyspnea, cyanosis, and is diaphoretic. Upon lung auscultation the nurse notes decreased breath sounds and coarse crackles in the right lung. The vital signs are: T: 97.8 F, P: 125 bpm, RR: 28 bpm, BP: 90/70 mmHg, 02: 82% on room air. The client report worsening chest pain when breathing, dizziness, and back pain.
Mr. Green experienced an acute pulmonary embolism. It has been 3 weeks since Mr. Green’s pulmonary embolism diagnosis. He is now on a respiratory medical -surgical unit, preparing to be discharged in a few days.