You are the LPN assigned to 20 patients on a long-term care unit. You are working this team of patients with another LPN and six CNAs. Your shift runs 2pm-10pm. When starting your shift you are given the following report. Five of the patients have the following issues. The rest of the clients are fine.1. A 48 yea-old man who is three days post op status post knee replacement. He is complaining of knee. pain and rating it.at a 7/10. He is requesting PRN pain medication. He has scheduled medications at 6pm and 9pm. His knee incision dressing is to remain in place for 10 days post-op.2. An 88 year-old female patient who has COPD. The CNA reports to you that her 02 saturation is 89% on room air. As you walk by the room you notice her 02 is fluctuating between 89-92% and she has audible wheezing. You know she has a prn nebulizer treatment available. Her medications are to be given at 6pm and 9pm.3. A 79 year-old male patient whom you cared for yesterday. He has a history of atrial fibrillation and TIA with slight right-sided weakness. Now he is slurring his words and complaining of a severe headache. The RN assessed him and is phoning the MD to report a change of condition and get new orders. Someone must stay with him related to his weakness and confusion. The MD has ordered the client to be NPO for tests.4. A 68 year-old patient with diabetes who is having a late lunch. Blood sugar was just obtained and reported to you as 340. This patient is on a sliding insulin scale and requires 10 units of insulin at this time. Her medications are due at 9pm and a sleeping pill is also do at 11pm. Her blood sugar and sliding scale insulin are to be taken/given at supper time and bed time.5. There is a new admission coming to the floor in 15 minutes. The RN will be performing the initial assessment and admitting the patient upon arrival to the floor.Other tasks you have for the evening are as follows:Each client needs an assessment completed.Room #2 needs an oral antibiotic at 8pm.Each client needs a bed bath prior to bed with the exception of #1 who can assist himself with cares.Pain assessments are to be completed every 2 hours per hospital policy.A fall risk scale is to be completed every shift.Room 1, 2, and 4 need to ambulate in the halls 2 times during your shift.1. Which of these patients will you see first and what is your rationale for your decision?
[Solved]: You are the LPN assigned to 20 patients on a…
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