Fundamentals of Nursing, 9e
Fundamentals of Nursing, 9e
9th Edition
ISBN: 9780323327404
Author: Patricia A. Potter RN MSN PhD FAAN, Anne Griffin Perry RN EdD FAAN, Patricia Stockert RN BSN MS PhD, Amy Hall RN BSN MS PhD CNE
Publisher: Elsevier Science
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Chapter 26, Problem 3CAQ
Summary Introduction

To discuss:

The benefits and negatives associated with the assessment of information that is documented electronically in narrative format.

Case summary:

Mr. D is an 80-year-old man who is admitted to the hospital for suspected pneumonia. The patient says that he is not feeling well and has cough, sputum which is thick and lightly tanned. The nurse checks the patients vital that shows 150/90 mm Hg with a pulse rate of 92 beats/min, and breathing  22 breaths/min. The patient coughs for about 45 sec, the nurse finds out wheezes in his lungs, the patient also states that his chest pain while coughing and it radiates to his shoulders. 

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