B was admitted for community acquired pneumonia and is a heavy smoker. B requires oxygen to maintain a normal oxygen saturation. However, B likes to take off the oxygen, complain they can't breathe properly, and LIGHT A CIGARETTE IN THE BATHROOM! When B was asked by the ANUM, B flat out denied smoking. Never mind that the other 3 patients in the room were not able to ambulate to the bathroom on their own, and the room now smells of fresh cigarette smoke...
B also like to refuse any IV or oral fluids, then complains of a massive headache.
I love my patients, but people like that tend to elicit this internal response...
I swear, my poker face is getting so much better!
Nurse KC
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