root cause analysis of  pressure ulcer. identify the factors involved that is; the system, equipment, material ,management, etc

60 years old ,male , DM Type 2 , HTN since 20 years ,smoker ,family history of IHD ,
Pt said i have shortness of breath increasing by supine position and decreased with sitting position ,like heaviness,intermittent ,started yesterday at 6pm,associated with dry cough ,sleep at night using 4 pillow to sleep
Pt said ihave swelling in my rt and lft foot,ankle worsen when stand or dangling the leg ,decrease with elevate the leg since one month and increase in wt over time
General appearance pale ,pt wt. 90 kg ,ht 180cm cooperative good hygiene ,sitting position,oriented to time place person
VS
Heart rate 110 b/m 2 in right radial pulse irregular
Bp 95/60 mmhg in sitting position
R.R 24 cycle /minute shallow ,with effort using accessory muscle
Temperature 36.5 c orally
Medication
O2 support
Lasix 60mg iv 1*1
Spironolactone 25 mg tab 1*1
Aspirin 100mg 1*1
Physical exam :
Pitting oedema 2 over both foot
Auscultation crepitation lateral right and left lung
Skin cool pale
Abnormal lab result
O2 sat 89%
Hb 9mg /dl
Na 131
ECG SINUS TACHYCARDIA
CX RAY congested both lungs

Read and answer the following questions about the case:

1. Mention two subjective data and two objective data.

2. Mention two nursing diagnoses with problem statement, etiology and manifestations

3. For the above nursing diagnosis continue the nursing care plan including planning, interventions with rationales and the expected evaluations

4. What’s classification of Lasix?

5. interpret 02 sat 89%

you are in the middle of discussing a patient chief complaint and reviewing the patient history with a new patient who seems to be a little uncomfortable talking with you, when another medical assistant knocks on the door and tells you that you have a call. what do you think that you should do? why

A phlebotomist goes to the ER to draw blood from an unconscious, badly injured accident victim. The anxious RN tells the phlebotomist to draw a "rainbow" and a blood alcohol level and adds that she will send the doctor's orders to the lab as soon as she gets them. The injured man does not yet have an ID band on his wrist because the phlebotomist was right there when he arrived. How should the phlebotomist identify the patient in order to meet NPSG's? Should the phlebotomist collect one of every color of the tubes on her tray (the "rainbow") or should the phlebotomist wait for the doctor's orders?

1. State and explain the 3 main components of the 5-Star Rating.

1.Explain employers’ and employees’ legal responsibilities for health and safety in the workplace

2.Explain the difference between ‘hazard’, ‘risk’ and ‘control’

3.Describe the types of information available from reports and records covering the workplace

4.Explain the importance of evaluating information from reports and records covering the workplace

1.Explain how to prepare, use and maintain tools and materials for the UV gel nail enhancements

2.Compare the different methods of disinfecting and sterilising tools and equipment

3.Explain the importance of, and reasons for, using the correct UV wattage and curing

4.Explain the questioning and listening skills required to find out information

1.Explain how to give effective advice and recommendations to clients

2.Explain how to use effective consultation techniques

3.Explain how to effectively and safely position tools and materials for the nail service

4.Explain how to conduct nail and skin analysis

In what way are the following topics significant and relevant to YOU as student and as human person. (200 words per number and firts person point of view)

1. on Health Education
2. on HIV/AIDS
3. on COVID19
4. on drug addiction
5. on smoking and alcohism

Collaborate effectively with inter—, intra— and multi-disciplinary and multi-cultural teams. Talk about issues in COVID 19 in this time of pandemic

You are providing care to a 88 year old male who is status post CVA. He is NPO secondary to dysphagia. List 3 different options for nutrition delivery and explain how each would be effective.

CASE STUDY 3

Febrile Seizure

Abby is a 1-year-old girl who presents after a reported seizure at daycare.

Subjective Data

Fever for 1 hour

Eating and drinking normally per mother

Objective Data

Vital signs: T 40, HR 160, R 44, BP 104/68

Awake and alert

Skin hot to touch, otherwise normal physical examination

A. How should the nurse respond to Abby’s mother when she asks if Abby has epilepsy?

B. How should the nurse respond to Abby’s mothers question about brain damage?

C. In this clinical situation what should the nurse do?

CASE 4.

Distal Radius and Ulnar Fracture (Buckle)

Billy is a 10-year-old boy who presents with an obvious deformity to his right forearm. Billy fell on his arm while playing soccer 15 minutes before admission.

Subjective Data

Complains of pain to right forearm

States he is able to feel sensation to right hand

Denies any numbness or tingling to upper right extremity

Objective Data

Vital signs: T 36.8, P 110, RR 28, BP 122/60

Right radial pulses is strong to palpation

Capillary refill to right hand brisk <2 sec

Last PO intake 8 hours ago

A. What complications is Billy at risk for from a fracture?

B. What measures might have helped prevent this injury?

C. What should the nurse do in this clinical situation? Prioritize actions.

CASE 5.

Type 1 Diabetes Mellitus

Susan is an 8-year-old girl who has been brought to her pediatrician by her mother for a weight loss of 5 pounds over the past 2 months despite an increased food intake.

Subjective Data

Complains of thirst

Complains of hunger

Complains of frequent voiding

Objective Data

Today’s Weight: 25 kg

Weight from physical examination 6 months ago: 27.3 kg

Finger stick glucose: 325

HbA1c: 9.1

UA: glycosuria

pH 7.34

Father diagnosed with type 1 diabetes at age 8

A. Will Susan require hospitalization?

B. Susan plays after-school sports; will she have to stop these activities?

C. What should the nurse do in this situation? Prioritize actions.

NO PHOTOS PLEASE