Question

In: Nursing

In a response to a call light, you enter a room to find a 68 year-old...

In a response to a call light, you enter a room to find a 68 year-old patient on the floor next to the bed. The patient is in his first day post-operative for surgical resection of the colon, he had slept all light without compliant, and the report states that he had not been agitated or confused but doing well. a. What assumptions, if any, can you make about this situation/ b. What are the questions that you need to ask?

Solutions

Expert Solution


Related Solutions

A 68-year-old right-handed woman was brought to the emergency room with sudden onset face, arm, and...
A 68-year-old right-handed woman was brought to the emergency room with sudden onset face, arm, and leg paralysis on the left side. She was speaking in a dysarthric situation. Past medical history was notable for hypertension. On neurologic examination; the patient had right gaze preference. No movement on the left arm and left leg with hyperreflexia and Babinski’s sign on the same side. When the doctor asks the patient to hold up her left arm, she was holding the arm...
A 68 year old women was admitted to a hospital because of headaches that began a...
A 68 year old women was admitted to a hospital because of headaches that began a month earlier. She was in good health, prior to developing severe headaches, vertigo, photophobia, lethargy, and forgetfulness. Her temperature was 98.9 degrees F, and she knew her name but not the date. She had some resistance to bending her neck, consistent with mild inflammation of the meninges. She also had past-pointing when reaching for objects. A lumbar puncture revealed a total white blood cell...
You are caring for Mr. Johnson, a 68 year old 2 pack per day smoker. He...
You are caring for Mr. Johnson, a 68 year old 2 pack per day smoker. He has been admitted for an acute exacerbation of COPD. He states, “The doctor says I have COPD because I smoke. I’ve smoked this much since I was 14 years old, it’s what we did then. We didn’t know it was this bad for us. I don’t know what those letters, COPD, stand for or what that means. Do I have lung cancer?” What would...
A 67-year-old female patient presents to the emergency room you work at complaining of shortness of...
A 67-year-old female patient presents to the emergency room you work at complaining of shortness of breath and pain on the right side of her chest. Upon auscultation of the lung field during the physical exam, you note flatness and diminished breath sounds over the right lung. Her temperature is 101.3°F. What are the possible causes of her symptoms? (What is your differential diagnosis?) What tests might order to determine the specific cause of this patient’s symptoms? Why? This patient’s...
You are caring for a 25-year-old male admitted to the emergency room after passing out at...
You are caring for a 25-year-old male admitted to the emergency room after passing out at the gym. During your admission assessment, he admits to having a history of “an eating disorder since high school.” Based on your knowledge of the pathophysiology of anorexia orbulimia nervosa address the following: Thoroughly explain the epidemiology of the disease process. Examine each of the following three elements:) The cultural; 2.) The financial; and 3.) The environmental implications related to this disease process. Support...
You are caring for a 52-year-old female Muslim patient in the emergency room with a rule-out...
You are caring for a 52-year-old female Muslim patient in the emergency room with a rule-out Cerebrovascular Accident (CVA). Based on your knowledge of the pathophysiology of a CVA address the following: Thoroughly explain the epidemiology of the disease process. Examine each of the following three elements:) The cultural; 2.) The financial; and 3.) The environmental implications related to this disease process. Support all three with a scholarly source! What would 3-5 priority nursing interventions be for the client with...
Piya Jordan is a 68 year old patient who was admitted to the hospital to have...
Piya Jordan is a 68 year old patient who was admitted to the hospital to have surgery to remove an abdominal mass. She underwent a colectomy yesterday removing a mass from her right ascending colon. She has a large abdominal incision with a clean, dry and intact dressing, but fortunately did not require a colostomy. She is on the post operation surgical unit and is requiring post-operative nursing care. She is alert and fully oriented to her surroundings. She has...
The nurse is admitting a 68-year-old patient with a history of ovarian cancer to the medical...
The nurse is admitting a 68-year-old patient with a history of ovarian cancer to the medical unit. She had surgery 3 months ago and has had pain ever since the surgery. She reports that she has been taking oxycodone at home, but that the pain is “never gone.” 1. The patient describes her pain as a “10” on a scale of 0 to 10, deep, occasionally cramping, and sharp or stabbing. She waves her hand over her chest and abdomen...
The nurse is admitting a 68-year-old patient with a history of ovarian cancer to the medical...
The nurse is admitting a 68-year-old patient with a history of ovarian cancer to the medical unit. She had surgery 2 months ago and has had pain ever since the surgery. She reports that she has been taking oxycodone at home, but that the pain is “never gone” 4-During the evening rounds, the patient is founded to be unresponsive with respiratory rate of 7 breath/min. Her son, who was staying with her, said that he “pushed the button a few...
The nurse is admitting a 68-year-old patient with a history of ovarian cancer to the medical...
The nurse is admitting a 68-year-old patient with a history of ovarian cancer to the medical unit. She had surgery 2 months ago and has had pain ever since the surgery. She reports that she has been taking oxycodone at home, but that the pain is “never gone” After consideration of her history and her pain management specialist recommends patient-controlled analgesia (PCA); the PCA therapy is explained and an infusion is started with morphine as a basal infusion as well...
ADVERTISEMENT
ADVERTISEMENT
ADVERTISEMENT