Focused Reassessment
Chen, Alex
After the Oxygen
What Do You Check Next?
Alex's SpO2 dropped while she was on her morphine PCA, and you applied oxygen yourself. Before you decide what to do next, you need more information. Select the assessments that matter most right now.
Select all that apply.
General appearance / arousability
Respiratory rate, rhythm, and lung sounds
Skin color and temperature
Sedation scale (RASS)
Pain score and PCA usage history
Bowel sounds
Blood glucose
Wound / incision appearance
Urinary output
Great Assessment Skills!
You gathered quite a bit of additional information there. What should the nurse pair this information with?
Take Card #59
Card 59 back
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