A nurse on the medical-surgical unit is caring for a 32-year-old female client following a procedure (dilation and curettage) who is receiving
intravenous fluids and is requesting pain medication.
Nurse's Notes
Orders
0915
Vital signs: temperature, 98.2°F (36.8°C); heart rate, 82 beats/min; respiratory rate, 20 breaths/min; blood pressure, 140/78 mm Hg.
Client reports abdominal cramping and rates discomfort as an 8/10 on the pain scale. Abdomen is soft and nontender on palpation.
Bowel sounds hypoactive in all 4 quadrants. Skin warm, dry, and intact. Capillary refill brisk. Lungs clear to auscultation bilaterally in all
lobes. No edema noted. Scant, dark red vaginal bleeding noted on peri pad. Intravenous fluid (IVF) Ringer's lactate 1000 mL infusing at 75
mL/hr. IV site dry and intact on right forearm. Client medicated for severe pain with meperidine 25 mg intravenous push (IVP) as
prescribed. Call light in place. Client alert and oriented to person, place, and time. Will continue to monitor.
0930
Client now reports pain as 0/10 on the pain scale. Resting comfortably in bed. IV site dry and intact. Continue to monitor. Call light in
place.
1000
Client rings call bell light, reports that arm with IV site is uncomfortable. Inspection of site reveals slight swelling, erythema, and a red
streak going up the arm.
The nurse is reviewing the client's assessment data to determine the condition the client is
most likely experiencing and next steps for the client's care.
> Complete the diagram by dragging from the choices below to specify what condition the