NSG 330 Bowie State University Nursing Reassessment for Mrs Robinson Case Study

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nwnnzf

Health Medical

NSG 330

Bowie State University

NSG

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I need help with my assignment and I want someone that’s in the nursing field and know what’s he/she is doing. I have a case study which i will be uploading and you have to do a bedside assessment for it.

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NSG 330 Case Study 1#9 FOCUSED ASSESSMENT Mrs. Robinson 46 year old female admitted two days ago for DKA. She was admitted to the ICU then transferred to your unit yesterday. History includes DM2 which was diagnosed 12 years ago and obesity. NKDA. She is noncompliant with her diet. She is alert and oriented to person place and time. You need to do a reassessment on her.
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Nursing Reassessment for Mrs. Robinson

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Introduction
Mrs. Robinson is a 46-year-old female with pmhx of DM2 and obesity, admitted for DKA 2 days
ago. She was admitted to the ICU and stepped down. At this time, she is requiring a
reassessment. First, equipment such as a stethoscope is gathered. Hands are washed with soap
and water ensuring scrubbing under nails, inter digits, and other hand surfaces. I knock on the
door and introduce myself. I ask Mrs. Robinson her name. This is verified using two patient
identifiers and checking the armband. Once Mrs. Robinson's identity is confirmed I explain the
procedure of reassessing her. That I will ask questions, assess her response, assess the
environment, and perform a physical exam. That the physical exam will cover her neurological,
general, respiratory, and skin exam. I state it will take about ten to fifteen minutes. I also tell her
that she should ask questions at any tie and if she has any other concerns. I ask Mrs. Robinson if
she needs to use the bathroom, needs water or food. Most importantly, I asked Mrs. Robinson,
"Do I have your permission to start the reassessment?" and "Do you have any questions?". Mrs.
Robinson states, that "She has no questions, and I have her permission to start the exam”.
Environment
I assess the environment for safety. The floor is not wet, there are no towels on the floor. The
guard rail is up. There are no IV lines to trip over. The room is assessed to be safe. The bed is
locked. I confirm this by stepping on levers. I check IV pumps they are appropriate for her care. I
provide the patient privacy by moving the blanket up some and pulling the curtain around us.
Next, I tell her I will start the reassessment.
General
I verbalize that I am assessing her general appearance. First, I assess her general appearance. She
is alert, oriented, is speaking well, holding proper eye contact. She is sitting up in her bed with a
relaxed appearance. She is not drowsy, her facial expression is devoid of pain, grimace, or anger.
She has a small smile and is comfortable. Her skin color is white, she is not pale, th...


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