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 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.
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. 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.
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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?
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Case: Forcible Administration of Medications.
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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.
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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.
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Discuss the roles of federal, state, and local public health agencies in the development of standards for informatics in healthcare.
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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
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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. 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
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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?
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DIRECTIONS: Calculate the following using the subject below (Show the computation).
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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.
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