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Advanced Medical-Surgical/Critical Care Case 4: Charles JonesDocumentation Assignments
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Advanced Medical-Surgical/Critical Care Case 4: Charles Jones 
Documentation Assignments 
1. Document your initial focused assessment and vital signs for Charles Jones. 
ECG: Atrial Fibrillation, HR 107, pulse present, B/P 152/92, RR20, SpO2 95%, temp 
98.6. Occultation of heart the post was irregular but there was no abnormal 
heart sounds the lungs had crackles at both bases there was a lot of audible 
wheezing. 
2. Document the changes in assessment findings that occurred after the 
nitroglyc...