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Medicine LibreTexts

6.10: Case Study 5- Adolescent Client

  • Page ID
  • Initial Assessment Data

    • Biographical data: Adolescent client (age 17)
    • 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. Awakes 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


    Think about the client data documented on the vital sign record and try to answer the following questions. Write your answers on a piece of paper.

    1. Review the vital sign record and identify the trends that you see.
    2. What should the healthcare provider’s next action be?
    Go to the next page to check your answers.