Patient Name: James R.Age: 58Diagnosis: Oropharyngeal squamo…
Patient Name: James R.Age: 58Diagnosis: Oropharyngeal squamous cell carcinomaProcedure: Radical neck dissection (RND) performed 24 hours agoClinical Notes:Surgical site intact with moderate serosanguinous drainageJP drain in place with 60 mL output in last 8 hoursReports some difficulty swallowing and hoarsenessRates pain 8/10 on a scale of 0-10, with 0 being no pain and 10 being worst pain experienced.VitalsOxygen saturation: 94% on room airBP: 132/78 mmHgHR: 88 bpmRR: 18 bpmWhich nursing actions are appropriate in the care of this patient? (Select all that apply)