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7/18 J.C. (Assessment (Legs (Edema, numbness and tingling on foot,…
7/18 J.C.
Assessment
Same skin condition
A & 0 x4
Abdomen
Distended. LUQ and RUQ firm
Head
ears serumen noted L and R, PERLA,
Arms
pain, numbness, tingling at fingertips
Legs
Edema
numbness and tingling on foot
diminished sensation on right foot
Chest
Barrel chest noted
respirations: shallow noted use of accessory muscle
Shadowing Mr.J
uworld to study for HESI and NCLEX
Showed me examples of documentations of assessments
pt wandering
2 different alarm were triggered
we looked for 2 patients
Pt was confused but amicable
Shadowing Ms. B
feeding pt
pt on full liquid diet
he had a big appetite but he would cough every so often when he would eat too fast.