Bow-tie Q: The nurse is assigned to 43-year-old mastectomy surgery patient for post-operative care. Complete the diagram by selecting the condition, two actions and two parameters the nurse would assess her progress.
Patient Health History - 10:30 am = She is at higher risk for swelling and numbness can occur along the inside of the affected left arm. She has over 155 mL bright red blood drainage. Pain level is 3/10.
Nursing Action
1-Elevate left arm above the heart
2-Take vitals by left arm
3-Report HCP
4-Perform left arm exercises
Condition
5- Bleeding
6- Shock
7- Chest pain
Parameter Monitor
8- Pain level
9- Blood pressure
10- SpO₂
11- Blood drainage
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