Author Question: You are caring for a patient from China. He denies a complaint of pain. You notice he is splinting ... (Read 109 times)

burchfield96 · **on:** Jul 16, 2018

You are caring for a patient from China. He denies a complaint of pain. You notice he is splinting and guarding his right side when he moves. He is grimacing and his jaw is clenched. You note he is frequently repositioning himself in the chair and you occasionally hear him grunt with the effort. What could you derive from your observations and what should you do?

What will be an ideal response?

Question 2

The nurse asks you to obtain a complete set of vital signs for one of the persons to whom you are assigned. The measurements are as follows: temperature 101.5 F, heart rate 104 beats/min, respiratory rate 22 breaths/min, and blood pressure 90/60 mm Hg. Which of these vital signs are of concern? What subjective data could be stated? What is your first action after collecting these vital signs?

What will be an ideal response?

Yixagurpuldink · **Reply #1 on:** Jul 16, 2018

Answer to Question 1

You know that other cultures have different beliefs and responses to pain. In China, showing emotion is considered a weakness of character. Pain is often suppressed. Report your observations to the nurse.

Answer to Question 2

All of these vital sign measurements are abnormal. Ask the person about pain or any other unusual feelings. Report the vital signs and any other abnormal subjective data (e.g., feeling of dizziness or sweatiness) to the nurse immediately.