June 2009, Volume 39 Number 6 , p 42 - 45
Hernandez, Susan RN, CNN, BSN; Patterson, G. Elaine RN,C, EdD, MA, MEd, FPN-C
WHEN YOU ARRIVE at Nia Robinson's room in response to the call bell, you find her in visible distress and complaining of chest pain and shortness of breath. Her vital signs are BP, 146/88 mm Hg; pulse, 104; temperature, 100° F (37.8° C); respirations, 30; and SpO 2 , 91% on room air.
Ms. Robinson, a 25-year-old African-American woman with a history of sickle-cell disease, was admitted to your unit earlier today with a diagnosis ...