Wound CareSCENARIOPatient X is a 54-year-old client who was bitten on the right ankle by the neighbour’s dog 4 days ago. Client is currently on the surgical unit as the wound became infected and required debridement in the OR yesterday. You have just received report from the night nurse and it is 0800. Last vitals at 05:30 were: BP 120/84, HR 90, RR 18, T 37.5, O2 98% on room air, pain 3/10. Dressing has not been changed since OR, due to be changed this morning, there was some drainage noted at 05:30. Please complete nursing assessment and initiate appropriate nursing care.DOCTORS ORDERS: See BelowMAR: See belowOBJECTIVES:Priority and focused assessmentsAppropriate interventions based on orders and assessmentSafely prepare and administer medications based on orders and client needs, rights of medication administrationIV therapyWound careHEALTH CARE PROVIDER ORDERSAllergies: SulphaDiagnosis: Infected wound from a dog biteVS every 4 hours and PRNCefazolin 1 Gram IV every 8 hours X 5 days (give in 100 mls over 30 mins)Acetaminophen 650 mg by mouth, every 6 hours as needed, for pain or T> 38.5Morphine 2mg by mouth every 2 hours as needed for painChange wound dressing every day and as needed, cleanse with normal saline and apply wet to dry dressing, sterileDR. A Sampson
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