Questions
An 8 year-old child is brought to the emergency room (ER) with a fractured right femur....

An 8 year-old child is brought to the emergency room (ER) with a fractured right femur. The parents report that the child was playing baseball and while sliding into home plate, he collided with another player on the opposing team. The child requires surgery to repair the fracture. After surgery, the child will be in skeletal traction for two weeks and must remain on bedrest. Following skeletal traction, the child will be placed in a long leg cast.

Upon assessment, the vital signs are: Temp-37 C (98.6 F), pulse- 98 beats/minute, respirations-21 breaths/minute, and blood pressure-124/86 mm Hg. The child’s pain level is an “8” on a scale of 0-10. Swelling and bruising of the thigh is noted. An X-ray confirms the diagnosis. The child is frightened about going to the operating room.

The child has no known allergies and takes a multivitamin every morning. His passion is sports, especially baseball, and when he grows up in wants to be a professional baseball player and play for the New York Yankees.

Questions:

  1. What can the nurse do to reduce the child’s fear of hospitalization?

  1. According to Erikson, what psychosocial developmental stage is this child in?

  1. What diversional activities can the nurse provide while the child is in skeletal traction to promote growth and development?

  1. Following surgery, what assessment findings would cause the nurse to notify the health care provider (HCP)?

  1. What is compartment syndrome? What are the findings of compartment syndrome?

  1. What nursing actions should be taken when caring for a child in skeletal traction?

  1. What is a primary nursing diagnosis related to the above case study?

  1. After two weeks of skeletal traction, the child is placed in a long leg cast and is discharged. What discharge teaching should the nurse provide to the child and his parents regarding cast care?

In: Nursing

what awaits us in the health sector of the future?

what awaits us in the health sector of the future?

In: Nursing

Public health relevance of Prostate cancer please describe as detailed as possible

Public health relevance of Prostate cancer

please describe as detailed as possible

In: Nursing

Can you clarify the classification of ADHD? What are the characteristics of a personality disorder?

Can you clarify the classification of ADHD? What are the characteristics of a personality disorder?

In: Nursing

Explain how different levels of healthcare data analysis potentially improve healthcare delivery and/or outcomes from previous...

Explain how different levels of healthcare data analysis potentially improve healthcare delivery and/or outcomes from previous layers.

pls, provide details accordingly. thx.

In: Nursing

HHS awarded $15 million dollars to support telehealth activities in the wake of the Coronavirus. (HHS...

HHS awarded $15 million dollars to support telehealth activities in the wake of the Coronavirus. (HHS Announcement). In addition, the FCC and others have provided grants and other sources of funding to support the shift to telehealth. There are conflicting reports from Medicare regarding how much they will reimburse for telehealth visits during the pandemic, and what providers say they are actually receiving. In light of the explosion of telehealth right now, discuss the following:

What are some of the issues that providers are experiencing with regard to getting paid for telehealth services vs face-to-face services?

What are some unforeseen obstacles that can occur when we switch to telehealth services from the provider, payer and patient perspective?

How has this aspect of the pandemic changed the delivery of healthcare for the future?

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1. define the term oxygen saturation.(1mark) 2.list 2 causes that can contribute to a low 02sat...

1. define the term oxygen saturation.(1mark)

2.list 2 causes that can contribute to a low 02sat reading.(2marks)

3.define the term"continuous oxygen therapy" and explain why it is beneficial for people with chronic breathing difficulties.(2marks)

4.why is humidity added to the oxygen source before it is breathed by the client?(1mark)

5.you are assigned to Mr.Cy Hendriks to provide assistance with ADLs. This client has emphysema and there is oxygen equipment in the home.while preparing to assist him with his morning bath,you notice that he smells of cigarette smoke,although you don't notice any cigarettes or ashtrays nearby.How would you proceed with this situation?(3marks)

6.List two(2) possible hazards that occur when clients/family members smoke near oxygen.Describe two(2) actions the PSW could take to avoid these hazards in the workplace and ensure their safety as well as the client's.(4marks)

7.What is the PSW's role regarding the client's use of oxygen therapy?(1mark)

8.During your home visit with Mrs.Emma Rock,she complains that the nasal cannula she has been wearing is irritating her cheeks and behind her ears.What are two(2) ways the PSW could assist her?(2marks)

9.Name two(2) products that should be avoided when a client is using oxygen.For each product name a safer alternative.(4marks)

10.List three(3) ways that oxygen may be supplied to the client.(3marks)

11.When clients have dyspnea(difficult or painful breathing),they are often anxious and upset.What are two(2) interventions the PSW could do to help reduce their anxiety?(2marks)

12.Name three(3) breathing illnesses that may require the client to use oxygen on either a temporary or continuous basis.(3marks)

13.Your client complains he is SOB and asks you,his PSW, to turn their oxygen up"just a bit."The oxygen is currently running at the prescribed amount of 3L per minute.How do you respond to your client?(2marks)

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NUR219 MRSA A nursing home resident K.W., had a hip replacement 6 months ago and consequently...

NUR219 MRSA

A nursing home resident K.W., had a hip replacement 6 months ago and consequently developed an infection with methicillin resistant Staphylococcus aureus and then osteomyelitis. He has a history of diabetes.

Medication Questions

K.W. receives vancomycin IVPB ordered at 15 mg/kg/day. K.W. weighs 220 lb. What daily dose would the patient receive?

What nursing considerations are essential when giving this medication?

What are the signs and symptoms and treatment the nurse would be alert for if K.W. developed the red man syndrome?

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What healthcare data sets available from the US Government? What data do they contain? How could...

What healthcare data sets available from the US Government? What data do they contain? How could these data sets be useful during a hospital system? Pls, mention  details accordingly and include the reference page.

In: Nursing

Daniel (“Dan”) Fusilier, a 71-year-old male, comes to the Emergency Department (ED) with a 7-day history...

Daniel (“Dan”) Fusilier, a 71-year-old male, comes to the Emergency Department (ED) with a 7-day history of increased sputum production, a change in the character of sputum, increased shortness of breath, and a fever of 101° F. He has a smoking history and history of asthma. Dan has been hospitalized twice with pneumonia, most recently two years ago.
Dan is admitted to a medical unit with pneumonia and COPD. The LPN completes a focused assessment, including lung auscultation. The LPN notes ABG (blood gases) results and recognizes an acid-base imbalance. Nursing actions are implemented based on the priority nursing diagnosis of “Ineffective Airway Clearance”. Medications are prescribed. Nursing actions, related to the prescribed antibiotic and bronchodilator, are identified and the LPN reinforces teaching about use of a metered dose inhaler.
The PN monitors oxygen saturation and maintains the continuous pulse oximeter. In supervising the UAP assisting with care, the LPN intervenes when the UAP forgets to reapply Dan’s oxygen after he ambulates. The PN also responds therapeutically when the client appears to be in pain. He states 6 of 10 sharp pains in his back when he walks. The nurse will call the doctor using “SBAR” method and request pain meds.

What data from the PRESENT PROBLEM are RELEVANT and must be interpreted as clinically significant by the nurse?
RELEVANT Data from Present Problem: Clinical Significance: From the info above

Clustering Related information
Recognizing Inconsistencies
Checking Accuracy and Reliability





Use the skills on the left to describe information in the case study that applies

Patient Care Begins: We discussed pain in the week 6 material

Current VS: P-Q-R-S-T Pain Assessment:
T: (oral) Provoking/Palliative:
P: (regular) Quality:
R: (regular) Region/Radiation:
BP: Severity:
O2 sat: Timing:
What VS data are RELEVANT and must be interpreted as clinically significant by the nurse?
RELEVANT VS Data: Clinical Significance:








Current Assessment: Do you see any issues that apply from the case study?
GENERAL APPEARANCE:
RESP:
CARDIAC:
NEURO:
GI:
GU:
SKIN:

What assessment data is RELEVANT and must be interpreted as clinically significant by the nurse?
RELEVANT Assessment Data: Clinical Significance:











Put it All Together to THINK Like a Nurse!

1. What would you cluster related?





2. How will you check for accuracy?







3. What inconsistencies do you see?





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How do you think your aerobic exercise efficiency would be affected if heavy leg resistance exercises...

How do you think your aerobic exercise efficiency would be affected if heavy leg resistance exercises were added to your routine? Is there a relationship between aerobic fitness and leg strength?

In: Nursing

The Institute of Healthcare Improvement has developed evidence-based bundles for healthcare providers to implement in effort...

The Institute of Healthcare Improvement has developed evidence-based bundles for healthcare providers to implement in effort to prevent catheter acquired urinary tract infections (CAUTI’s). discuss consequences of urinary tract infections and recommendations for prevention and management of CAUTI’s.

In: Nursing

Should the government have the ability to kill in order to prevent potential future crimes?

Should the government have the ability to kill in order to prevent potential future crimes?

In: Nursing

Evidence-based Practice and Informatics Integration in Nursing Practice The patient has been in the U.S. for...

Evidence-based Practice and Informatics Integration in Nursing Practice

The patient has been in the U.S. for 7 months now for Africa and knows some of the English languages. The patient is postpartum and her husband just sat there on his phone while his wife is bleeding! Her vital signs are 90/50 temp. 99 F, O2 94%. resp. 24. Her risk factors in Fatime Sanogo’s case that could have led to postpartum hemorrhage are A large baby, large 2nd-degree laceration, use of Oxytocin, prolonged labor Think through the scenario with Fatime Sanogo and consider the communication gaps in relation to technology, evidence-based practices that were implemented, and the application of technology and information. There is no specific quantity of words or pages for the assignment; be sure to comprehensively address each component. Steps to decrease bleeding, and preventing shock. Bolusing of fluids as well as contacting the physician for additional medications. If there is large blood loss and the patient is showing signs of shock a rapid response should be called and the patient transferred.

Describe various communication techniques that involve technology, that could be initiated in the scenario, to provide culturally sensitive care, and Identify the importance of protecting the confidentiality of electronic health record data in the case of Fatime Sanogo.

In: Nursing

Evidence-based Practice and Informatics Integration in Nursing Practice The patient has been in the U.S. for...

Evidence-based Practice and Informatics Integration in Nursing Practice

The patient has been in the U.S. for 7 months now for Africa and knows some of the English languages. The patient is postpartum and her husband just sat there on his phone while his wife is bleeding! Her vital signs are 90/50 temp. 99 F, O2 94%. resp. 24. Her risk factors in Fatime Sanogo's case that could have led to postpartum hemorrhage are A large baby, large 2nd-degree laceration, use of Oxytocin, prolonged labor Think through the scenario with Fatime Sanogo and consider the communication gaps in relation to technology, evidence-based practices that were implemented, and the application of technology and information. There is no specific quantity of words or pages for the assignment; be sure to comprehensively address each component. Steps to decrease bleeding, and preventing shock. Bolusing of fluids as well as contacting the physician for additional medications. If there is large blood loss and the patient is showing signs of shock a rapid response should be called and the patient transferred. The physician's order is to check for bleeding every 4 hours and lochia, Give Butorphanol tartrate 2mg IV PRN for pain. Put her in a Trendelenburg position when checking Assess perineum. Administer bolus of 500ml LR over 30min for low blood pressure. Perform a straight cath if the patient having trouble urinating. Palpate the fundus. Assess bladder status. Give oxytocin 60 units in 500 mL. If pain is over 5 give 5 mg of Morphine IV. Give patient non-rebreather mask 10L.

Temp. greater 99, Heart rate below 50 and over 100, Resp. lower then 12 and higher 24, 02 is below 94%. and heavy bleeding in lochia. Call a physician if condition worsens

List the assessment findings and actions that should or should not have been initiated in the care of Fatime, and using evidence-based practice guidelines and describe reliable sources for locating evidence reports and clinical practice guidelines?

In: Nursing