Transcription of NURSING CARE PLAN Acute Pain - Pearson Education
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NURSING CARE PLAN Acute Pain - Pearson Education
CHAPTER 46 / Pain Management 1223 CRITICAL THINKING CHECKPOINTMrs. Lundahl underwent abdominal surgery approximately 6 hours has a 15-cm midline incision that is covered with a dry and intactsurgical dressing. Upon assessing Mrs. Lundahl you note that she is per-spiring, lying in a rigid position, holding her abdomen, and blood pressure is 150/90, heart rate 100, and respiratory rate asked to rate her pain on a scale of 0 to 10, Mrs. Lundahl ratesher pain as 5 as long as she remains perfectly still. There is a sharp areaof pain at her incision; however, the most bothersome pain is crampyand dull, like she was kicked in the stomach with severe exacerbationsthat come in unpredictable What conclusions, if any, can be drawn about Mrs. Lundahl s painstatus?2. Does Mrs. Lundahl s rating her pain as 5 mean that she is not ex-periencing pain severe enough to warrant intervention?
CHAPTER 46 / Pain Management 1225 *The NOC # for desired outcomes and the NIC # for nursing interventions are listed in brackets following the appropriate outcom e or intervention.
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