Question
In: Nursing
A 75-year-old female client on home health care for post op hip replacement. You are the...
A 75-year-old female client on home health care for post op hip replacement. You are the visiting nurse and you find the patient somulent and only responding to stimulus with nodding. Patient was given prescription for 10 mg oxycodone q4-6 hours. Patient has been out of the hospital for three days. Upon examining the bottle, it is found that 20 tablets were prescribed and only two tablets remain.
a. What measures should the nurse take to ensure an accurate assessment of pain in the client?
b. What patient and family or caregiver education is appropriate in this case? (Be prepared to act as the nurse in a nurse-patient real life scenario.)
Solutions
Nightingale answered 2 years agoRelated Solutions
A 75 year-old man with a history of rheumatoid arthritis underwent a left hip replacement two...
A
75 year-old
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replacement two weeks ago. Initially, the wound was healing, but
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L.C. is a 76 year old female. She had a right total hip replacement 3 days...
L.C. is a 76 year old female. She had a right total hip
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PMH- HTN and Type 2 DM. Diet- 2 Gm Na 1800 Cal ADA diet
Activity- OOB with assistance;
PT 2 x/day PRN- Oxycontin 5 mg po q 4 hrs prn
pain.
11 am-Your patient c/o 8/10 right hip pain. You give her
oxycontin 5 mg po for pain.
1120 am- The CNA enters the room to assist with her am...
You are a home health care nurse visiting the home of an 86-year-old retired waitress to...
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Scenario 2: A 65-year-old patient is 8 days post op after a total knee replacement. Patient...
Scenario 2: A 65-year-old patient is 8 days post op after a
total knee replacement. Patient suddenly complains of shortness of
breath, pleuritic chest pain, and palpitations. On arrival to the
emergency department, an EKG revealed new onset atrial fibrillation
and right ventricular strain pattern – T wave inversions in the
right precordial leads (V1-4) ± the inferior leads (II, III, aVF)
In your Case Study Analysis related to the scenario provided,
explain the following • The cardiovascular and
cardiopulmonary...
A 65-year-old patient is 8 days post op after a total knee replacement. Patient suddenly complains...
A 65-year-old patient is 8 days post op after a total knee
replacement. Patient suddenly complains of shortness of breath,
pleuritic chest pain, and palpitations. On arrival to the emergency
department, an EKG revealed new onset atrial fibrillation and right
ventricular strain pattern – T wave inversions in the right
precordial leads (V1-4) ± the inferior leads (II, III, aVF)
In your Case Study Analysis related to the scenario provided,
explain the following:
1. The cardiovascular and cardiopulmonary pathophysiologic
processes...
Joni Winters, a 64-year-old female client, is admitted with a fractured hip. She has chronic renal...
Joni Winters, a 64-year-old female client, is admitted with a
fractured hip. She has chronic renal failure and has continuous
peritoneal dialysis (CAPD) exchanges every 6 hours. The Tenckhoft
peritoneal catheter site has redness, which goes across the
abdomen. The client states that her abdomen is tender to touch all
over, and the nurse notes the abdomen is rigid. The bowel sounds
are decreased, and the peritoneal dialysate is in the dwelling
phase of the cycle. The vital signs are...
Joni Winters, a 64-year-old female client, is admitted with a fractured hip. She has chronic renal...
Joni Winters, a 64-year-old female client, is admitted
with a fractured hip. She has chronic renal failure and has
continuous peritoneal dialysis (CAPD) exchanges every 6 hours. The
Tenckhoft peritoneal catheter site has redness, which goes across
the abdomen. The client states that her abdomen is tender to touch
all over, and the nurse notes the abdomen is rigid. The bowel
sounds are decreased, and the peritoneal dialysate is in the
dwelling phase of the cycle. The vital signs are...
Joni Winters, a 64-year-old female client, is admitted with a fractured hip. She has chronic renal...
Joni Winters, a 64-year-old female client, is
admitted with a fractured hip. She has chronic renal failure and
has continuous peritoneal dialysis (CAPD) exchanges every 6 hours.
The Tenckhoft peritoneal catheter site has redness and swelling
which goes across the abdomen. The client states that her abdomen
is tender to touch all over, and the nurse notes the abdomen is
rigid. The bowel sounds are decreased, and the peritoneal dialysate
is in the dwelling phase of the cycle. The vital...
Joni Winters, a 64-year-old female client, is admitted with a fractured hip. She has chronic renal...
Joni Winters, a 64-year-old female client, is
admitted with a fractured hip. She has chronic renal failure and
has continuous peritoneal dialysis (CAPD) exchanges every 6 hours.
The Tenckhoft peritoneal catheter site has redness and swelling
which goes across the abdomen. The client states that her abdomen
is tender to touch all over, and the nurse notes the abdomen is
rigid. The bowel sounds are decreased, and the peritoneal dialysate
is in the dwelling phase of the cycle. The vital...
Joni Winters, a 64-year-old female client, is admitted with a fractured hip. She has chronic renal...
Joni Winters, a 64-year-old female client, is
admitted with a fractured hip. She has chronic renal failure and
has continuous peritoneal dialysis (CAPD) exchanges every 6 hours.
The Tenckhoft peritoneal catheter site has redness and swelling
which goes across the abdomen. The client states that her abdomen
is tender to touch all over, and the nurse notes the abdomen is
rigid. The bowel sounds are decreased, and the peritoneal dialysate
is in the dwelling phase of the cycle. The vital...
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