Q1  Vital SignsA middle- aged man has been brought to the emergency department after his car collided with a large

  

Q1  Vital SignsA middle- aged man has been brought to the emergency department after his car collided with a large truck. He was not wearing seat belt and was ejected.  and is enable to clear his oral secretion. He has an open femur fracture with haemorrhage as well as bleeding from a scalp laceration. Contusions are present over the left chest wall and upper quadrant of the abdomen . vital signs include a blood pressure of 90/60 mm hg, pulse rate of 125/ min, and respiratory rate of 35/ min, the patient is confused  not moving the lower extremities and localizing to pain  in the upper extremity, opening his eyes to pain his skin is cool and clammy.       Systolic blood pressure (mm Hg) 90 Diastolic blood pressure (mm Hg) 52  Oral temperature 37.5 Co Heart rate (beats per minute) 120, irregular Respiratory rate (breaths per minute) 33, labored Oxygen saturation 89%  What does the primary survey indicate? What is the most urgent initial intervention   Q2 The patient is a 41 year-old male who has a longstanding history of hypertension and diabetes and presents with a complaint of pruritis, lethargy, lower extremity edema, nausea and emesis. He denies any other medical illnesses.On physical exam the patient is a well-developed, well-nourished male in moderate distress. Blood pressure 180/110, pulse 80, respirations 24 and he was afebrile. Body weight 76.5 kg. was remarkable for fundoscopic findings of A-V nicking and copper wire changes consistent with hypertensive injury. Cardiac exam had an S1, S2 and S4. The remainder of the exam was remarkable for 2+ lower extremity edema and superficial excoriations of his skin from scratching24-hour urine protein and creatinine – volume 850 ml, protein 600 mg/dl and creatinine 180 mg/dl ,Renal ultrasound- Right kidney 9 x 6.0 cm, Left kidney 9.2 x 5.8 cm ,Both kidneys illustrate hyperechogenicity and no hydronephrosis.   Problem Identification and prioritizationList down 5 nursing problems that you have identified based on the assessment findings. Classify the statement of all health problems into current Health problems and potential Health Problems Health Science Science Nursing NURSING 317 Share (0)