2. Which assessment takes priority while the nurse provides oral care?A) Assess the sides of the oral cavity for any open sores. Feedback: INCORRECT Considering the client’s recent history of nausea and vomiting, another assessment takes priority at this time. B) Observe for excessive dryness of the mucus membranes. Feedback: CORRECT Because the client has a recent
Heather had a stiff neck, felt tired, had a fever and was disoriented prior to going to the clinic. On the way to the clinic, she vomits. At the clinic, she becomes further disoriented and appears to fall into a sort of paralysis with her eyes open while ‘sleeping’. During the physician examination, Heather vomits again and has a seizure. 2.
Case Study 1: Patient Admission Concepts related to HLTEN512B Topic 1 Mrs. Gwen Jones is a 70 year old woman who has been admitted to your ward after arriving from her doctor’s surgery. Her GP has included a letter stating that he has assessed Mrs. Jones and requests she is admitted. She is feeling very unwell, with a high temperature, frequency of urination and burning when urinating. She appears slightly confused. She complains of back pain.
He was severely dehydrated, anemic, and malnourished on admission. Jackie is receiving parenteral nutrition through a tunneled central venous catheter. His diarrhea is persistent, and plans for an ileostomy are being discussed. Jackie experiences only short periods of remission between flare-ups of his disease. Among the many problems that Jackie has, you are very aware of his potential for acid-base imbalance.
Mrs. Anderson is asymptomatic when she is allowed to drink massive volumes of water. She has been recently moved to a supervised care facility where her water intake has been drastically limited. Upon physical exam Mrs. Anderson’s skin is wrinkled, shows dry mucous membranes, disorientation, lethargy and confusion. Mrs. Anderson’s vital signs included a blood pressure of 70/55, heart rate of 124 beats per minute. Her blood plasma osmolality is 380mOsm/kg, sodium of 152 mEq/L, BUN of 36mg/dL, creatinine of 2.1mg/dL and a lithium level of 1.9mEq/L.
Describe the appropriate nursing actions that need to be taken. Common problems of post dialysis include hypotension, headache, nausea, malaise, vomiting, dizziness and muscle cramps. Also, many fluid-related and infectious complications can occur from hemodialysis (HD). The most common complications include disequilibrium syndrome and viral infections. The cause appears to be the rapid decrease in fluid volume and BUN levels during HD.
GI Overview Assignment Christy Cox HCA/240 April 10, 2013 Instructor- Lori Ensign GI Overview Assignment Cases for Critical Thinking 1. A 45-year-old woman experiences frequent heartburn, difficulty swallowing, and sharp pains below her sternum. At night, she experiences gastric reflux, or a regurgitation of stomach acid into the esophagus, a condition that is extremely painful. What could produce these symptoms? What diagnostic procedures could be used?
Nurses must use sterile dressings on open skin surfaces to prevent infection. We must also keep patient equipment and supplies clean in order to prevent the spread of germs. Nurses must also use personal protective equipment like a mask, eye protection and a face shields if you are near a patient care activity that may involve a splash or spray of body fluids, they should then dispose of all single use personal protective equipment immediately after use. Cleaners should clean toilets with disinfectant to kills any germs. They should also clean any surfaces e.g.
May be caused by Long periods of poor PO intake CC: Lethargic/Listless, Sunken Eyes, Poor UOP (urine output) PE: DMM (dry mucous membranes), cries w/o tears, sunken fontanel or eyes, tachycardic, poor skin tugor Dx by: Clinically, Na+ from basic metabolic panel ScribeAlert: UOP best indicator, always document how frequent patient makes wet diapers. Document cries with tears on exam to indicated well hydrated. (Example: UOP x
Newborn screening is done by most states using a genetic test or blood test. The genetic test shows if the newborn has a faulty CFTR gene and the blood test shows whether a newborn’s pancreas is working. If the genetic test or blood test suggests cystic fibrosis, then the doctor will do another test to confirm if it really is cystic fibrosis, the test that will confirm this is called a sweat test. The sweat test is the most useful test for diagnosing the disease and it measures the amount of salt that is in the babies sweat. To accomplish this test, the doctor trigger sweating on a small patch of skin and rub the skin with sweat producing chemical and then use an electrode to provide a mild electrical current.