Question

In: Nursing

You are assigned to care for David Ramsey, a 22-year old male patient with back injury...

You are assigned to care for David Ramsey, a 22-year old male patient with back injury secondary to being thrown from a motorcycle. Did nt damage the spinal, but the computed tomography revealed a compression fracture at L-2. David complains of severe back pain with numbness and tingling in the lower extremities.

Qn. What assessments are indicated based on this nursing diagnosis?

Qn.2. List other major nursing diagnoses based on David’s clinical presentation?

Expert Solution

Qn. Assessment are indicated q

Pain

Injury

Numbness

Tingling sensation in the lower extremities

Fracture

Qn. 2.Acute pain related to fracture ,soft tissue damage as evidenced by pain scale score

Intervention

Assess type and location of patents pain whenever vitals signs are obtained and aa needed.

Position for comfort and function.

Reduce or eliminate factors that precipitate or increase the pain experience.

Modify the environment.

Provide diversion treagent.

Promote circulation.

Provide patient optimal pain relief with prescribed analgesic.

2.impaired physical mobility related to fracture ,back injury as evidenced by range of motion limitation.

Individual treatment regimen and safety measures.

Use ofor adaptive device.

Maintain therapeutic position.

Encourage patients active participation .

Iencourage mentioned and support exercise regimen.

3.peripheral neuro vascular dysfunction ,pulmonary embolism ,pressure ulcer related to immobility

Monitor vital signs.

Observe shock.

Assessment respiratory status.

Assessment affected extremits for color and temperature.

Assessment for sensation and Numbness.

4.Risk for injury relate to tissue damage.

Monitor vital signs.

Perform aspecti dressing changes.

Assessment wound appearance.

Assessment report of pain.

Administered antibiotic.

5.impaired skin integrity related to tissue damage as evidenced by physical examination.

6.knowledge deficit related to treatment regimen as evidenced by frequent asking questions.

7.fear and anxiety related to fracture as evidenced by patients verbalization.

8.sleeping pattern disturbance related to pain as evidenced by redress of face.

9.risk for infection related to prolonged hospitalzation.

Nightingale answered 2 years ago

2. You are assigned to care for David Ramsey, a 22-year-old male patient who sustained a...

2. You are assigned to care for David Ramsey, a 22-year-old male patient who sustained a back injury secondary to being thrown from a motorcycle. He did not damage the spinal cord, but the computed tomography revealed a compression fracture at L-2 (lumbar area). David complains of severe lower back pain with numbness and tingling in the lower extremities. You identify the following nursing diagnosis: Impaired Physical Mobility. (Learning Objective 4) What assessments are indicated based on this nursing diagnosis?...

you are the home care nurse assigned to visit an 85 years old male patient who...

you are the home care nurse assigned to visit an 85 years old male patient who was discharged from the with new-onset left-sided heart failure.You arrive at Mr.Smith's house to find that he is having difficulty breathing and appears anxious.You quickly assess Mr.Smith's lungs and find that he has bilateral rhonchi in the upper lobes. Mr.Smith shares that he has not taken his medications this morning. You ask to see the discharge instructions and note that Mr.Smith has seen several...

You are a student nurse assigned to a 57 year old male patient has come to...

You are a student nurse assigned to a 57 year old male patient has come to medical ward to have treatment due to mild to severe cramping in his abdomen and bloody stool. Your initial findings include a mildly obese man who demonstrate guarding of his abdomen especially the left lower quadrant. His vital signs are 168/98, 119,24, 38 degree Celsius and is slightly diaphoretic. He reported periodic constipation. He has had previous episodes of abdominal cramping, but this time...

A 92-year-old woman in a long-term care facility is a patient assigned to your care. With...

A 92-year-old woman in a long-term care facility is a patient assigned to your care. With visible discomfort, she tells you that she has noticed blood in the toilet bowl with her last several bowel movements and she has had blood on her underwear. What other questions should you ask this woman to clarify potential causes of this problem? Ex-plain how the patient’s age might affect your focused assessment. 2. Over 50 studies have been conducted on the connection betweenexerciseand...

You are a female student nurse assigned to care for Mr. Habib, a male patient who...

You are a female student nurse assigned to care for Mr. Habib, a male patient who is Muslim. He is recovering from surgery for prostate cancer and has a suprapubic incision. He is from Iran and has some difficulty speaking English. You know very little about the Muslim faith. You have been told that his wife is always at the bedside, and she seems very nice. One nurse tells you that she cared for the patient yesterday and that he...

You have been assigned to care for Jack, a 15-year-old patient who sustained multiple fractures of...

You have been assigned to care for Jack, a 15-year-old patient who sustained multiple fractures of the lower extremities in a skiing accident. Morphine sulfate is one of the drugs used in his care. Jack’s parents are aware of the need for various treatments, including the use of morphine sulfate to treat his pain, but they worry he may become addicted to the medication. Question 1; How would you proceed in addressing their concerns of addiction and opioids? question 2:...

A 42 year old male patient in ICU, 3 days s/p MVI with head injury, currently...

A 42 year old male patient in ICU, 3 days s/p MVI with head injury, currently with respiratory failure, on vent support and induced coma. Patient has active bowel sounds, and the following order is in the patient's chart: Initiate Tube feeding: Jevity, start at 20 cc/hr, advance by 20 cc Q4h, as tolerated, until goal rate of 80cc/hr. It's your shift. It's currently 9 AM. Describe step by step, how you would initiate the tube feeding, what you will...

A 42 year old male patient in ICU, 3 days s/p MVI with head injury, currently...

A 42 year old male patient in ICU, 3 days s/p MVI with head injury, currently with respiratory failure, on vent support and induced coma. Patient has active bowel sounds, and the following order is in the patient's chart: Initiate Tube feeding: Jevity, start at 20 cc/hr, advance by 20 cc Q4h, as tolerated, until goal rate of 80cc/hr. It's your shift. It's currently 9 AM. Describe step by step, how you would initiate the tube feeding, what you will...

M.K. is a 22-year-old male who comes to the health care provider for complaints of frequent...

M.K. is a 22-year-old male who comes to the health care provider for complaints of frequent diarrhea and abdominal pain. He had appendicitis with appendectomy at age 9. He currently takes no medications. Subjective Data Frequently has abdominal pain and diarrhea Objective Data Physical Examination Temperature 99.9° F, pulse 78, respirations 16, blood pressure 114/62 Height 5’3”, weight 100 lb, BMI 17.7 kg/m2 Diagnostic Studies Lab values WBC 11,600/µL RBC 3.4 million/µL Hematocrit 33% Hemoglobin 10 g/dL Platelets ...

Patient A is a 57-year-old male who presents to the primary care provider's office today with...

Patient A is a 57-year-old male who presents to the primary care provider's office today with complaints of an exacerbation of his COPD. Past medical history includes hypertension, Type 2 diabetes. Even at rest, he appears he is unable to catch his breath and seems irritable and anxious. He complains of sleeping poorly and states that lately he feels tired most of the time. He reports a productive cough of thick yellow-green sputum. You auscultate decreased breath sounds, expiratory wheezes,...

Question

You are assigned to care for David Ramsey, a 22-year old male patient with back injury...

Solutions

Expert Solution

Related Solutions

2. You are assigned to care for David Ramsey, a 22-year-old male patient who sustained a...

you are the home care nurse assigned to visit an 85 years old male patient who...

You are a student nurse assigned to a 57 year old male patient has come to...

A 92-year-old woman in a long-term care facility is a patient assigned to your care. With...

You are a female student nurse assigned to care for Mr. Habib, a male patient who...

You have been assigned to care for Jack, a 15-year-old patient who sustained multiple fractures of...

A 42 year old male patient in ICU, 3 days s/p MVI with head injury, currently...

A 42 year old male patient in ICU, 3 days s/p MVI with head injury, currently...

M.K. is a 22-year-old male who comes to the health care provider for complaints of frequent...

Patient A is a 57-year-old male who presents to the primary care provider's office today with...