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56 years old black female, 1 day post- op left radical mastectomy, increased discomfort through the night, frequent reposition, After about 3 hours of pain med ..slump over the table, back pain, don't feel right , sick in stomach T 37, R 18, B/P 132/54, can't get pulse What do you suspect of the symptoms? Describe the course of the action that you will take to confirm this suspicion and to prevent further decline? What further assessment, lab values, tests will order for her? How often? If the test is to be completed more than once, explain rational. While you are caring for her, how will you ensure that the needs if you other patients are being met?

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