During clinical this week, my assigned patient was an 85-year-old male who presented

During clinical this week, my assigned patient was an 85-year-old male who presented with aortic valve stenosis, and the etiology of cardiac valve disease was unspecified. A transcatheter aortic valve replacement (TAVR) was performed at two groin sites to replace a narrowed aortic valve that failed to open correctly. The patient has a vast medical history of atrial fibrillation, hyperlipidemia, hypertension, and hypothyroidism. The patient is full code status on a regular adult diet; his allergies include nitrofurantoin and Macrobid. His 8:00 am vitals are as follows: blood pressure 126/63, heart rate 82, respirations 16, 02 saturation level at 95% on room air, temporal temperature 97.3, and the patient denied pain. Understanding the patient’s condition, the diagnosis, the procedures being performed, and the interventions being implemented is essential. Without understanding these things, medical errors are likely to occur. The head-to-toe assessment allows us to individualize the patient’s care based on their needs. Before the head-to-toe assessment, I reported to a night shift nurse that the patient was disoriented. However, I feel that I was able to apply my nursing knowledge and make my clinical judgment throughout the day in determining my patient’s neurological status. Upon the head-to-toe assessment, I found my patient’s mental status to be X3, and he successfully followed commands. Upon skin integrity assessment, his skin turgor and capillary refill were less than 3 s