Sister Mary is a patient in Level 2 Emergency Department. She must have a neural examination, physical assessment, radiographs of her facial bones, and a computed tomography scan of the head. Taking into consideration that she is a Roman Catholic nun, what would be the ideal course of patient education as this woman progresses from department to department?
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- A nurse writing a post-surgical client's plan of care has included ambulation several times daily. What is the best rationale for this intervention?Under which condition would the nurse cut away all the client's clothing? Select all that apply. One, some, or all responses may be correct. When cervical spine protection is needed If client is suffering from a simple fracture If fabric may fuse to the client's skin because of burns If rapid access to the client's body is critical for resuscitation When needing access to a particular body part during an emergent situationYou are a nursing student who is assigned to a busy medical-surgical unit that specializes in the care of patients with diabetes related conditions. One of your patients for the day is Ms. Martinez, a 63 year old woman who is post-operative for an amputation of the right foot. You enter the room to conduct your morning assessment and you find that Ms. Ncube is crying uncontrollably. She confides to you that she feels helpless and that she does not know how she will continue to live her life autonomously without her foot. She states that she cannot bare for herself or anyone else to see her wound. Although you empathize with Ms. Ncube, you are very busy today and have a limited amount of time to conduct your assessment. a. How do you think you may navigate this situation given Ms. Ncube's emotional status and also your time limitation to complete your needed tasks? b. Part of your assessment includes observing Ms. Ncube's amputation site. How may you assess the site while still being…
- The RN has administered the following medications to the client with heart failure; metoprolol, lisinopril, spironolactone. What data collection and assessment parameters should the nurse perform prior to the administration of these medications? How will the RN evaluate the effectiveness of these medications? What would your teachings be for this patient?You are a nurse providing care for a young woman who was involved in a motor vehicle accident. She is brought to your emergency department via ambulance, where your trauma team is in the midst of examining and assessing her. From the initial assessment, her vital signs are measured; she is unconscious with shallow breathing, exhibits several abrasions, is bleeding from a wound in her left thigh, and moans frequently. An intravenous line has been started in her right antecubital vein and normal saline is infusing. (Learning Objective 5) a. Where would you expect to document this information? b. Which topics in the narrative would you expect to be included in proper documentation? c. Which type or model of documentation best suits this type of information? d. What important type of thorough information is missing in the case study? e. Itemize the additional information that should be included. f. What are the benefits of an electronic medical record (EMR) for a patient…As the RN caring for a client with heart failure, how would you evaluate the client’s physical assessment findings to determine if the client was experiencing left-sided heart failure, right-sided heart failure, or bi-ventricular failure? What key features of the assessment would be the nurse’s priority? How will the RN evaluate the effectiveness of these medications? Looking at the concept map, what would your teachings be for this patient?
- Marilyn Hughes is a 45-year-old female client admitted to the post-anesthesia care unit following a repair of a left mid-shaft tibia-fibula fracture. She returned from surgery with a below the knee ace bandage and splint dressing in place. Neurovascular checks are in a normal range. You are the post-anesthesia care unit (PACU) RN assigned to care for this client. The post-operative course proceeds smoothly until the client begins complaining of increasing pain in the left lower extremity. The RN assesses the client's left leg and notes that the client is complaining of sensations of “pins and needles” in the left lower extremity and complains of “tightness”. The RN assesses localized edema in the left foot and visible lower left extremity and notes capillary refill of greater than three seconds noted in the left foot and less than three seconds noted in the right foot. The RN communicates the findings to the surgeon, who assesses the client and determines the need to return to the OR…You are an administrator in the Intensive Care Unit (ICU). The Physician approaches you for assistance with her patient Mr. Jones and Mr. Jones’ family. The Physician explains that Mr. Jones no longer requires the level of care that is provided in the ICU and wants to transfer Mr. Jones to an acute medical unit. Jones is ‘incapable’ so his daughter is making treatment decisions on his behalf. Jones’ does not have a Power of Attorney for Personal Care, his spouse passed away many years ago, and is daughter ranks next on the substitute decision-maker hierarchy. The issue that the Physician is facing is that Mr. Jones’ daughter does not want her father transferred out of the ICU and is telling the Physician and the staff that she does not give her consent for him to be transferred. Question: Using your critical thinking skills and what you’ve learned about the Health Care Consent Act, what advice do you give the Physician in this case? Explain your…During the routine assessment of a 50-year-old client, the nurse observes that the client has high systolic blood pressure. a. What reasons would the nurse give for the rise in systolic blood pressure in this client? b. What client teaching should a nurse provide to prevent the development of cardiovascular disease in this client?
- Marilyn Hughes is a 45-year-old female client admitted to the post-anesthesia care unit following a repair of a left mid-shaft tibia-fibula fracture. She returned from surgery with a below the knee ace bandage and splint dressing in place. Neurovascular checks are in a normal range. You are the post-anesthesia care unit (PACU) RN assigned to care for this client. The post-operative course proceeds smoothly until the client begins complaining of increasing pain in the left lower extremity. The RN assesses the client's left leg and notes that the client is complaining of sensations of “pins and needles” in the left lower extremity and complains of “tightness”. The RN assesses localized edema in the left foot and visible lower left extremity and notes capillary refill of greater than three seconds noted in the left foot and less than three seconds noted in the right foot. The RN communicates the findings to the surgeon, who assesses the client and determines the need to return to the OR…You are on vacation for a week. When you return, the nurse tells you that she is assigning you to Mrs. Berk because Mrs. Berk has been asking for you. The nurse tells you that the client’s condition has deteriorated and she is very close to death. When you enter the room, Mrs. Berk seems to recognize you but cannot carry on a conversation. While giving care, you note physical signs that death is near. 1. How would you feel about caring for someone so close to death? What difference would it make whether you knew the person or not? 2. How would you change your care of a dying person from caring for a person who is expected to recover? Why do you think there might be a difference? 3. What kinds of signs and symptoms would you expect to observe?The nurse is assigned to care for a male patient with complete right-sided hemiparesis. The nurse plans care knowing that this condition: The patient has weakness on the right side of the body, including the face and tongue. The patient has lost the ability to move the right arm but is able to walk independently The patient has lost the ability to move the right arm but is able to walk independently. O The patient has complete bilateral paralysis of the arms and legs.