Chapter 6: Knowledge Integration

Initial Assessment Data

  • Biographical data: Adolescent client (age 14)
  • Reason for seeking care: Post-op surgery
  • History of health/illness: Healthy
  • Past history: No medications, no illnesses
  • Client had abdominal surgery and was transferred from the recovery room to the surgical floor. Lethargic and oriented x 3. Awakens when name is called and responds to questions appropriately. Client rates pain 2/10. The healthcare provider assesses client’s vital signs every 30 minutes x 2 hours.

Vital Sign Record

 

 

 

 

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Vital Sign Measurement Across the Lifespan – 2nd Canadian edition Copyright © 2018 by Ryerson University is licensed under a Creative Commons Attribution 4.0 International License, except where otherwise noted.

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