Question

In: Nursing

A nurse on a Medical-Surgical floor is receiving the orders for the new admission. What order would need to be clarified by the physician for this patient?

6. A nurse on a Medical-Surgical floor is receiving the orders for the new admission. What order would need to be clarified by the physician for this patient?

A. Aspirin 325 mg PO daily

B. Lopressor 2.5 mg IVP q. 6 hrs. as need for >125 bpm

C. Digoxin 0.125 mg PO daily

D. Morphine 1 mg IVP q. 4 hrs. as needed for pain > 5 (1-10)

Please explain your rationale for the answer

7. The nurse is caring for an 84-year-old male with a history of hypertension (HTN), diabetes (DM) and possible myocardial infraction (MI). The patient has returned from ultrasound and the physician is discussing the results of the ultrasound with the patient? Which statement by the physician is accurate?

A. “It appears that your ultrasound is showing signs of cardiac remodeling which decreases the size of your heart”

B. “Cardiac remodeling can cause hypotension”

C. “Due to cardiac remodeling, you may show signs of decreased cardiac output”

D. “There is no real treatment for this disease process”

Please explain your rational for the answer

8. A 76-year-old male is being discharged from the hospital after an acute onset of right sided heart failure due to current chemotherapy treatment. The discharge nurse is discussing symptoms and signs of right sided heart failure which would include? SELECT ALL THAT APPLY

A. Dry, hacking cough

B. Dependent edema

C. Abdominal distention

D. Dyspnea

Expert Solution

6 Ans: Option D = Morphine 1mg IVP q. 4hrs as needed for pain >5 (1-20)

Rationale:- It's not a proper order given by physician. What will be the per kg body weight for administrating 1mg Morphine is not clearly told in the order & an adult needs more than 1mg .So it needs to do cross question to the physician regarding this for clarification.

7. Ans:-

Option C - Due to cardiac remodeling, you may show signs of decreased cardiac output.

Rational:- Due to the occurrence of histopathological & structural changes of left ventricle, it leads to decline the left ventricular performance. Ultimately ventricular remodeling may result in diminished contractile means systolic function and reduce stroke volume , that's the cause of decreased cardiac output.

8. Ans:-

Option B Dependent Edema

Option C Abdominal Distension

Option D Dyspnea

A will not be the correct answer because due to right sided cardiac heart failure the caugh which is produced is white or pink blood-tinged.

Nightingale answered 2 years ago

6. A nurse on a Medical-Surgical floor is receiving the orders for the new admission. What...

6. A nurse on a Medical-Surgical floor is receiving the orders for the new admission. What order would need to be clarified by the physician for this patient? A. Aspirin 325 mg PO daily B. Lopressor 2.5 mg IVP q. 6 hrs. as need for >125 bpm C. Digoxin 0.125 mg PO daily D. Morphine 1 mg IVP q. 4 hrs. as needed for pain > 5 (1-10) (Explain why the chosen answer is correct)

You work on a medical/surgical floor at a county medical center. There is a patient on...

You work on a medical/surgical floor at a county medical center. There is a patient on your floor who had a stroke, and his wife is his power of attorney. The patient’s stroke was mild and his cognitive functions were not affected by the stroke (he is oriented times 3). He has been on the unit for 3 weeks. Early in his hospitalization his hemoglobin was found to be 6.0g. The patient’s wife is a Jehovah’s Witness; however, the patient...

A 88 –year-old pt presents to the medical surgical floor as a direct admission from the...

A 88 –year-old pt presents to the medical surgical floor as a direct admission from the nursing home. Pt is lethargic. Has received the first cycle of antibiotic in the ED. Vital Signs: RR: 26; BP: 90/62; HR: 118; Sat 90% RA; Temp 102.4 Medication: NSS 500 ml/hr; Zyvox (linezolid) 600 mg q 12 hours; Azithromycin (Zithromax) 750 mg IV; Vancomycin 1g IV; Tylenol 650mg via peg tube Lab values: WBC 30 what are the nursing assessment priorties for this...

Question 1 The physician orders a medication that the patient is allergic to. The nurse fails...

Question 1 The physician orders a medication that the patient is allergic to. The nurse fails to check the patient's allergies and administers the medication causing an anaphylactic reaction. The physician alone is at fault.. False or True Question 2 When participating in a nurse licensure compact, the nurse: A) may practice using one license in any state or territory in the United States that recognizes the NCLEX as the source of licensure. B) determines residency based on the state...

Case Study #4 Sarah Yandell, RN, a staff nurse on the medical-surgical floor of a large...

Case Study #4 Sarah Yandell, RN, a staff nurse on the medical-surgical floor of a large hospital, has just finished receiving report from the RN on the previous shift. As Sarah looks over her assignments for the day, she sees that the nurse manager has scheduled an LPN to float over from the postpartum unit. Sarah is assigned to supervise the LPN and orient her to the unit. Sarah also has a nursing assistant, with whom she has worked closely...

As a nurse what is the process and documentation required for admission for patient?

As a nurse you will need to prepare a teaching plan for a patient receiving Antihistamine....

As a nurse you will need to prepare a teaching plan for a patient receiving Antihistamine. What instructions should the nurse include in the teaching plan for educating such patient?

As an LPN working on a medical floor, I read the order for my patient that...

As an LPN working on a medical floor, I read the order for my patient that the physician had just written: “Obtain throat culture for C&S.” I knew that this meant the physician wanted a throat swab collected for culture and sensitivity testing. Culturing refers to identification of the bacteria causing the patient’s symptoms, while sensitivity will determine what antibiotic the bacteria identified will be sensitive to—in other words, which antibiotic has the ability to kill the bacteria. I gathered...

Mr. Henderson is a 49-year-old patient who is admitted to the medical-surgical floor in a hypertensive...

Mr. Henderson is a 49-year-old patient who is admitted to the medical-surgical floor in a hypertensive crisis. The patient's vital signs are B/P: 200/98, HR: 62; RR: 12; T: 98.4 F, and oxygen saturation: 96% on room air. The patient is complaining of a headache and blurred vision. The patient's past medical history: hyperlipidemia, borderline diabetes, and gout. The patient takes atorvastatin and allopurinol. The patient states, "l control my diabetes with my diet." He is ordered Cardene, 5 mg/hr.,...

The nurse is caring for a patient who is receiving a new antidysrhythmic medication intravenously. Explain...

The nurse is caring for a patient who is receiving a new antidysrhythmic medication intravenously. Explain the immediate nursing interventions and considerations (explain the rationale).