Question

In: Nursing

Clara is a 78-year-old woman admitted two days ago for a resection of her intestines due...

Clara is a 78-year-old woman admitted two days ago for a resection of her intestines due to a

bezoar. Her postoperative course has been uncomplicated and her surgeon wants her to

ambulate three times per day the length of the hall. Selma, the RN on the post-surgery recovery

unit, has assessed Clara and determined that ambulating her is a task that appropriate for a

nursing assistant.

Selma approaches the nursing assistant, Sue, after report and says: “Sue, I need your

assistance to ambulate Clara. She needs to ambulate once per shift the length of the hall. I’d

like her to ambulate once before lunch and again around 3 pm. I’ve assessed her to be

relatively steady on her feet although she uses a walker at her nursing home. I believe that all

she needs is stand-by assistance when she walks. She should walk from her room to the

nurses’ station and back to her room. Clara has had her morning care and breakfast and is

ready to walk when you have time. When you walk with her, please stay with her the entire time

she is up. If you notice she is having trouble walking, becomes unsteady, light headed or dizzy,

assist her back to bed or into a chair and let me know. Do you have any questions or

concerns?”

Overall, how would you have managed the care for this patient from a leadership and management point of view?         

What should have, would have a nurse do when caring for patient nursing judgement/critical thinking.

What are the legal aspects of the job- nursing?  

How does nursing differ from other health care providers work from a legal standpoint?   Are they held accountable for the same   legal aspects of the job?

Why do nurses need malpractice insurance?  

What is the mission statement for the BRN and why is it so?

What would have been the nursing ratio for the patient   primary, modular, team approach?  

Solutions

Expert Solution

1 )Leadership is the process that invovles influencing others to focus on the problems how to solve it .When it comes to management mens achievement of goals by oneself or with the help of others.To be explain it further,they will guide and motivate patient to meet the outcomes.

2)Critical thinking plaays an important in nursing field and the nurse will plan how to provide care for patient effectively along with monitoring the progress of patient withina time frame.

3)The nurse has legal duty to provide a standard of care to patient and they are responsible for any harm or injury resulting from their acts.

4)Nursing mainly helps individuals  to get rid from illness and maintain agood quality of care.They are difer from other health care professionals because they get training aswellas education regarding taking care of both physically and mentally ill patient .Nurses are responsible for their decisions and activity they involve.


Related Solutions

Clara is a 78-year-old woman admitted two days ago for a resection of her intestines due...
Clara is a 78-year-old woman admitted two days ago for a resection of her intestines due to a bezoar. Her postoperative course has been uncomplicated and her surgeon wants her to ambulate three times per day the length of the hall. Selma, the RN on the post-surgery recovery unit, has assessed Clara and determined that ambulating her is a task that appropriate for a nursing assistant. Selma approaches the nursing assistant, Sue, after report and says: “Sue, I need your...
Clara is a 78-year-old woman admitted two days ago for a resection of her intestines due...
Clara is a 78-year-old woman admitted two days ago for a resection of her intestines due to a bezoar. Her postoperative course has been uncomplicated and her surgeon wants her to ambulate three times per day the length of the hall. Selma, the RN on the post-surgery recovery unit, has assessed Clara and determined that ambulating her is a task that appropriate for a nursing assistant. Selma approaches the nursing assistant, Sue, after report and says: “Sue, I need your...
A 36-year-old woman was admitted several days ago with a diagnosis of recurrent inflammatory bowel disease...
A 36-year-old woman was admitted several days ago with a diagnosis of recurrent inflammatory bowel disease (IBD) and possible small bowel obstruction (SBO). She is married, and her husband and son are supportive, but she has no other family in the area. She has had IBD for 15 years and has been taking mesalamine for 15 years and prednisone 40 mg/day for the past 5 years. She is very thin; at 5 feet 2 inches she weighs 86 pounds and...
C.W., a 36-year-old woman, was admitted several days ago with a diagnosis of recurrent inflammatory bowel...
C.W., a 36-year-old woman, was admitted several days ago with a diagnosis of recurrent inflammatory bowel disease (IBD) and possible small bowel obstruction (SBO). C.W. is married, and her husband and 11-year-old son are supportive, but she has no extended family in-state. She has had IBD for 15 years and has been taking mesalamine (Asacol) for 15 years and prednisone 40 mg/day for the past 5 years. She is very thin; at 5 feet 2 inches she weighs 86 pounds...
C.W., a 36-year-old woman, was admitted several days ago with a diagnosis of recurrent inflammatory bowel...
C.W., a 36-year-old woman, was admitted several days ago with a diagnosis of recurrent inflammatory bowel disease (IBD) and possible small bowel obstruction (SBO). C.W. is married, and her husband and 11-year-old son are supportive, but she has no extended family in-state. She has had IBD for 15 years and has been taking mesalamine (Asacol) for 15years and prednisone 40 mg/day for the past 5 years. She is very thin; at 5 feet 2 inches she weighs 86 pounds and...
B.Y. is a 78 year-old woman that was brought to the ER of her local hospital...
B.Y. is a 78 year-old woman that was brought to the ER of her local hospital when she developed symptoms of a stroke. Her neighbor had checked on her and found that she couldn’t speak or move her right arm. The neighbor knows B.Y. quite well and told the ambulance crew that B.Y. had stopped taking her Toprol XL a few weeks ago because it made her feel so tired. She’d stopped taking her daily aspirin because it upset her...
A 78-year-old woman has limited movement due to sustaining a hip fracture. In planning care for...
A 78-year-old woman has limited movement due to sustaining a hip fracture. In planning care for the patient, the nurse gives priority to the patient outcome of: a) an optimistic attitude about recovery b) minimal loss of muscle bulk c) no evidence of wound infection d) no evidence of skin breakdown
Mrs. Shimizu is an 80-year-old female admitted to the hospital 9 days ago for treatment of...
Mrs. Shimizu is an 80-year-old female admitted to the hospital 9 days ago for treatment of cirrhosis of the liver. On admission she was placed in a semiprivate room with a roommate with kidney failure. Because of her age, she has a compromised immune system and has begun to show signs, by auscultation and radiograph, of lung infiltrate. Physical therapy services, specifically respiratory care, and bed mobility have been ordered for Mrs. Shimizu. 2.What infection-control guidelines should be followed in...
The nurse approaches a 33 year old male client who was admitted several days ago to...
The nurse approaches a 33 year old male client who was admitted several days ago to the psychiatric inpatient unit with a diagnosis of severe depression. The nurse smiles and says, "Hi, Doug. My name is Becca. I'm the evening nurse." She sits down in a chair near him. The nurse compliments the client on how he's looking and asks, "How are you feeling today?” The client leans away, maintains a slumped posture, avoids eye contact and shakes his head....
Kate is a 30 year old woman who just delivered her second child two weeks ago....
Kate is a 30 year old woman who just delivered her second child two weeks ago. Two weeks after her delivery, Kate comes to your office to be evaluated. She states she has been tired, weak, and has widespread joint and muscle pain. Despite the mild weather, she notes that she is cold all the time, and that instead of losing her “baby weight” she has actually gained about 15 pounds. Kate has delivered two healthy children. She has no...
ADVERTISEMENT
ADVERTISEMENT
ADVERTISEMENT