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In: Nursing

25-year-old Pima Indian female has come to the ED c/o nausea, vomiting, dehydration, tachycardia, tachypnea, and...

25-year-old Pima Indian female has come to the ED c/o nausea, vomiting, dehydration, tachycardia, tachypnea, and jaundice.

1. As an ED nurse what will be your first interventions in care?

2. What questions would you ask about personal and medical history? Would questions be appropriate to ask about culture, if so what kind of questions? Show in detail.

3. What diagnostic tests and lab tests would be expected to be completed? Give the ranges of the test and what to expect.

4.Would there be surgery expected? If so, what surgery?

5.What education would you be providing to this woman?

6. Do a Head-to-Toe Assessment and describe in detail using medical appropriate terms.

7. Describe the outcome of this scenario.

Solutions

Expert Solution

Going in a gist manner,justbmentioning the key points.

Answers :- 1)Intervation :- to correct dehydration and control nausea,vomiting.So at first saline line has to be provided contain 0.9% NS.

2)What to ask in Personal history :- -Lifestyle -Alcohol consumption -Nutrition

Medical history :- -Drugs for tachycardia or tachypnea if any taken earlier,Any treatment going on for jaundice,any other disease associated with proper prescription details if any.

To ask about culture is necessary to know the type of diseases prevalent in that culture.For the same reason Religion is asked while taking history.

3)Diagnostic tests and Lab tests :- -CBC,-Liver Function Test,ECG,Kidney Function Test,Stool and Urine Examination.Depending on the stage of jaundice,various results may come.

4)If Liver is damaged then a liver transplant surgery may occur.

5)To have a good lifestyle.Avoid consumption of alcohol and have nutritious diet.

6)Head to Toe assesment :-Eyes yellowish sclera due to jaundice,skin yellowish,body shrinken due to dehydration,trebling of hands may be present.

7)The patient has to be admitted in the ward.

Nightingale answered 2 years ago
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