Questions
a client with a stab wound has cellulitis. to assess the cellulitis, what action should pn...

a client with a stab wound has cellulitis. to assess the cellulitis, what action should pn take?

A. Note the color of the wound drainage

B. Observe the skin around the wound

C. Blanch the tissue distal to the wound

D. Measure the amount of granulation

In: Nursing

Case Study - outcome identification and planning You are a nurse admitting a patient to the...

Case Study - outcome identification and planning

You are a nurse admitting a patient to the hospital from the emergency department (ED) with shortness of breath and recent weight loss. After receiving a report from the ED nurse, you ready the patient’s room according to unit specifications and collect the necessary equipment and forms. When the patient arrives, she is using oxygen via a nasal cannula and seems to be comfortable. As you begin your admission activities and paperwork, you note that her shortness of breath slightly increases as she answers your questions. Accompanying the patient is her daughter, who comments, “This is the fourth time she’s been admitted to this hospital in the past year.” The patient and her daughter demonstrate a close, loving relationship. The daughter not only encourages her mother but also sets boundaries regarding her mother’s anxiety.

    1. What general priorities would you expect to establish from this information?
    1. How would you determine their priority?
    1. How would you identify expected patient outcomes in this case?
    2. What might they be?
    1. How would you select evidence-based nursing interventions?
    1. Why is it important to develop well-written care plans?

In: Nursing

. Keeping the Discussion Post Directions and our Academic Integrity Policy in mind, (200 to 400...

. Keeping the Discussion Post Directions and our Academic Integrity Policy in mind, (200 to 400 words) please choose one type of drug used to lower lipid levels. Explain to us what exactly the drug is used for, and explain the drug's mechanism of action.

In: Nursing

Your elderly family member is hospitalized with pneumonia and upon entering the floor to visit ,you...

Your elderly family member is hospitalized with pneumonia and upon entering the floor to visit ,you see the nurse standing outside with a medicine cart, texting on their phone. The nurse enters the room leaving the phone on the cart which proceeds to silently vibrate every few minutes. Every so often you can see the RN read the screen while retrieving medications from the cart. The nurse is very polite and discusses how busy it is with an increased patient workload due to the flu being so bad. He proceeds to explain that his son is home with the flu and keeps checking in to discuss his fever and how he feels. Your relative questions the medications she is receiving and the nurse replies "these are what the doctor ordered" while again looking at his phone screen before leaving. Your relative states she doesn't think she should be getting one of the pills she was given. 1) How has communication between patient and health care provider been negatively impacted? 2) What would have been a more appropriate way in which the nurse communicated that the patient did indeed receive the proper medication?

In: Nursing

Case: Forcible Administration of Medications.

Case: Forcible Administration of Medications.

In: Nursing

For nursing student how might best maximize time in head to toe assessment. Can you explain...

For nursing student how might best maximize time in head to toe assessment. Can you explain the strategy to maximize time in head to toe assessment.

In: Nursing

Elaborate on the relationship-building skills and inter-professional communication skills that apply and working towards meeting the...

Elaborate on the relationship-building skills and inter-professional communication skills that apply and working towards meeting the Electronic Health Record Implementation plan to the hospital.

In: Nursing

Discuss the roles of federal, state, and local public health agencies in the development of standards...

Discuss the roles of federal, state, and local public health agencies in the development of standards for informatics in healthcare.

In: Nursing

the newly admitted patient has moderate AD. What does the nurse know this patient will need...

the newly admitted patient has moderate AD. What does the nurse know this patient will need help with?
a. eating
b. walking
c. dressing
d. self care activities

In: Nursing

J.P.45-year-old man who presents to the outpatient clinic with two swollen toes on his right foot....

J.P.45-year-old man who presents to the outpatient clinic with two swollen toes on his right foot. He does not recall injuring his foot.

Subjective Data

Pain level is a 6/10 location = right foot, throbbing
Works as a truck driver

Objective Data

Vital signs: T 37 P 80 R 14 BP 120/68
+2 edema great toe and second toe, right foot, warm to touch
+ pulses
+2 capillary refill

Questions


What other assessments should be included for this patient?


From the readings, what is the most probable cause of the edema?


What are two (2) nursing diagnoses related to the patient's situation?


What would be included in the nursing care plan? Explain your answer.


Discuss three (3) interventions that might be included in the plan of care for this patient. Explain your answer


In: Nursing

TEST I. Part I. 1. A client was admitted due to blunt trauma to the chest....

TEST I. Part I.

1. A client was admitted due to blunt trauma to the chest. On x-ray, multiple rib fractures were seen and the client complains of pain on breathing. Which of the following acid-base imbalances should the nurse anticipate the client may experience?
A. Metabolic alkalosis
B. Respiratory alkalosis
C. Respiratory acidosis
D. Metabolic acidosis

2. Which of the following statements by the client indicates that the discharge teaching for respiratory alkalosis is understood?
A. "I will not take so many antacids anymore."
B. "I will take a stress management class."
C. "I will not take my Lasix without taking my potassium supplement."
D. "I will tell the doctor the next time i have diarrhea for so long."

3. Your unit is admitting a client with metabolic alkalosis due to overdosing of bicarbonate-containing antacid. Which of the following should the nurse implement? Select all that apply.
A. Restrict the use of potassium-containing IV fluids
B. Administer the diuretic acetazolamide
C. Pad the side rails and put the bed at the lowest level
D. Administer sodium-potassium exchange resin enema

4. A non-compliant client with diabetes type I was rushed in the hospital for sudden loss of consciousness. Upon assessment the capillary blood sugar of the client was high at 560mg/dL, noted with ketone bodies in both her blood and urine. Which of the following assessment parameters would indicate to the nurse that client is having diabetic ketoacidosis?
A. Elevated blood pressure
B. Warm, dry skin
C. Deep, rapid respirations
D. Fever

5. A client's blood gas results are pH 7.36, PaCO2 50, HCO3 28. What do these results indicate to the nurse?
A. Respiratory acidosis, compensated
B. Metabolic acidosis, compensated
C. Metabolic acidosis, uncompensated
D. Respiratory acidosis, uncompensated

6. You are caring an unconscious patient who has been bed-bound for a long time. An ABG was done the result are as follow: pH 7.34 PaCO2 52 HCO3 23. Which of the following should the nurse implement to help correct the acid-base imbalance? Select all that apply.
A. Administer oxygen at 3-5 liters via non-rebreather face mask
B. Administer acetylcysteine
C. Humidify the client's room using a hospital-approved room humidifier
D. Restrict the client's intake of water to 1.5 liters a day
E. Turn the client every 2 hours and tap his back every 4 hours

7. You are caring for a client who is on enteral feeding via NGT. You are about to administer his 10am scheduled feeding. Having in mind that the client is prone to metabolic alkalosis due to enteral feeding, which of the following should the nurse do prior to the administration of the feed?
A. Administer 30ml of NSS prior to feeding
B. Reintroduce to the aspirated residual
C. Administer acidifying agents such as citric acid or tartaric acid supplement
D. Administer H2- receptor antagonist as prescribed

In: Nursing

You have been providing care for Mrs. Stern, who is terminally ill at home. You prepare...

  1. You have been providing care for Mrs. Stern, who is terminally ill at home. You prepare her meals and she enjoys custard and scrambled egg. During the past two days, while feeding her, you notice that she often coughs after having sips of water or juice. What would be the action required in this case and why?
  2. Mrs. Stern has dementia. She refuses to eat her lunch and when you try to encourage her, she shouts and pushes the plate away. What could you do to get her to eat her lunch?
  3. Mrs. Stern is now receiving nourishment via a G-tube. How should you position Mrs. Stern and why?
  4. Mrs. Stern today, yells “I am wet again” and starts crying you are about to leave. She tells you that she is always wet. You notice for the second time today that the site where the gastrostomy tube has fluid that again has soaked through her clothes. She tells you her skin is burning. You ask Mrs. Stern if you can look and you immediately notice a very red area surrounding the tube insertion point.  
  5. What do you do?
  6. What do you think is happening?
  7. Can this be harmful to Mrs. Stern’s skin if left like this?
  8. At a retirement home in the community, you are assigned to aid a client at feeding time. In the dining room, while assisting the person with his meal, you observe that the person beside him is not eating his breakfast, lunch and supper. What is your responsibility, and what steps would you take?
  9. You have a client who is receiving nutrition through their intravenous therapy. While assisting the client to put on a new hospital gown after his partial bath, you notice the site where the intravenous is inserted in the client’s arm is swollen, red and is leaking fluid. What do you do in this situation? Is this normal?

In: Nursing

Now that you have spent the last 7 weeks looking at community health from a fairly...

Now that you have spent the last 7 weeks looking at community health from a fairly wide lens, think about your own community. Considering what you learned about the multidimensional nature of health and the major determinants of health, and in a in a post of a minimum 125 words, identify the greatest threat to the health of your community(St.Petersburg, Fl). Include in your answer how the issues impact you personally or may play a role in your future career. In other words, what is the biggest takeaway from this course?

In: Nursing

DIRECTIONS: Calculate the following using the subject below (Show the computation). Dbw (Tannhauser's Method) Basal Metabolic...

DIRECTIONS: Calculate the following using the subject below (Show the computation).

  1. Dbw (Tannhauser's Method)
  2. Basal Metabolic Rate
  3. Physical Activity
  4. Specific Dynamic Action (Sda) Of Food
  5. Total Energy Requirement
  6. Nutrient Allocation in Calories and Grams
  7. Diet Prescription
  1. 32 year old male, 5'8" tall, medium built performing moderate activity.
  2. 28 year old female, 5'2" tall, medium built performing light activity.

In: Nursing

As people grow older, bones and joints get weaker, with arthritis being one of the common...

As people grow older, bones and joints get weaker, with arthritis being one of the common diseases of the elderly. List three types of arthritis, describe them and provide at least THREE differences between them (Hint: cause, clinical features, diagnosis, and treatment). Choose one of them and discuss its prevention and management strategy. Reminder: Show critical thinking. Support your opinions with scientific evidence (in initial response and response to your classmates). Provide citations for the information you discuss.

In: Nursing