Patient information continued…The patient is stabilized an…

Patient information continued…The patient is stabilized and admitted to the neurological intensive care unit for further observation. Two hours after admission to the unit, the nurse caring for Mr. Smith notices his appearance seems rigid and he begins to experience rhythmic, jerking movements.    The description of Mr. Smith’s seizure activity is best described as:

Patient information continued….Mr. Smith has been progress…

Patient information continued….Mr. Smith has been progressing with his recovery. Today, he will be participating in his first physical therapy session. As they begin, the physical therapist assesses Mr. Smith’s strength and sensation. The physical therapist notes the strength in Mr. Smith’s right lower leg to be a 2/5 with flexion.    When scoring muscle strength, a score of 2/5 indicates:

Patient information continued… The next morning, Mr. Jones…

Patient information continued… The next morning, Mr. Jones reports feeling short of breath while getting out of bed to his chair. His vital signs are shown below. After five minutes sitting in the chair, he reported improvement in symptoms. On exam the nurse notes bilateral 2+ pitting edema in the lower extremities, crackles at lung bases bilaterally, jugular vein distention, and a third heart sound which was not noted by the previous shift. The patient is alert and oriented to person, place, and time with no evidence of dysrhythmia on telemetry monitors. The nurse evaluates the surgical incision, which appears unremarkable.    Temp 97.8 F oral   HR 108 bpm (reg)   BP 146/92   RR 28   O2 92%   Pain 3/10   Based on the above information what signs and symptoms are concerning?