please write 3 nursing diagnosis with interventions
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kley, L. S. 3 (11th ed n e Le е Willis Duds ar re as cor Ort he Her ten tial psy CISES 1 ebp You are caring for a 73-year-old woman who was transferred 4 hours ago to your unit from the postanesthe- sia care unit (PACU), status post-open reduction internal fixation (ORIF) of the right hip after sustaining a hip frac- ture from a fall. On arrival, the patient’s vital signs are as follows: BP 130/88, HR 74 bpm, RR 20/min, temperature 37°C (98.6°F), and SaO2 96% on 4 L/min via nasal can- nula. On reassessment, you note an increased RR of 26/min and decreased SaO2 of 90% on current oxygen therapy. To better assess the changes in your patient’s condition, what additional questions will you ask her? In performing a focused respiratory assessment, what components of a comprehensive respiratory assessment will you include and why? You notify your charge nurse of your findings, but he does not seem con- cerned. What evidenced-based tools are available to help you assess the significance of these changes in vital signs and to more effectively communicate your concerns to the charge nurse? Evaluate the strength of the evidence supporting avail- able tools to determine which would be the most helpful. dical surgical unit for increas-
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