Age: 69 Gender: male – Height: 6 feet – Woight: 225 lb Cultural…

Question Age: 69 Gender: male – Height: 6 feet – Woight: 225 lb Cultural… Age: 69Gender: male- Height: 6 feet- Woight: 225 lbCultural Considerations:- Language: Spanish, little English- Ethnicity: Hispanic- Nationality: MexicanCulture: language barrierReligion: CatholicOccupation: retired construction workerCurrent Health Status- Patient admitted for right inguinal hernia repairHistory- Psychosocial history- Social support: family, lives with wife- Past health history- Medical: type 2 diabetes, IITN, BPII- Surgical: none- Family History: + for CV disease, DMDemographicMarital status: married- Educational level: high schoolPatient’s Name: Sam RiveraAllergies: NKDADiagnosis: Right inguinal hernia repairDate:3/10/18 6 PM Admit to Medical-Surgical UnitDx postop right inguinal herniorraphyVital signs: q 4 hr Diet: NPO until awake clear, liquid to 2,000 cal ADA as tolerated Activity: OOB with assistanceIV therapy: 1,000 mL NSS over 8 hr Medications: Percocet 1 tab po q 4 hr prn pain, Diovan 160 mg po daily, Lisinopril 5 mg po daily, Metformin 500 mg po bidOrders: Diagnostic studies: Blood glucose checks qid and AC/HS qid Treatments: O, L/nasal cannulaIncentive spirometry q 1 hr while awakeNursing ReportMr. Rivers, aged 69 years, patient of Dr. Dombrowski, hadlaporoscopic right inguinal heriniorrhaphy under generalanesthesia. Patient has history of HIN, type 2 DM, BPH.Patient vital signs stable: BP 140/85, pulse 97 and regular, respirations 24 and shallow, pulse ox 95% on 2 L via nasal cannula, temperature 97.8°E. Pain 2/10. AccuCheck 115. Patient awake, alert, and oriented X 3, dressings dry and intact. Foley catheter drained 400 miL clear yellow urine and discontinued at 4 PM. 1.000 mL NSS over 8 hr. Patient for tentative discharge in AM. Health Science Science Nursing NUR MISC Share QuestionEmailCopy link Comments (0)

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