She complains of back pain. She has a history of Type II Diabetes, and hypertension. Her admitting doctor has asked that she has mid-stream urine test, a full blood count, electrolyte blood test, and blood cultures. You are on a morning shift. The consultant has been informed of Mrs. Jones’ admission.
-Wear proper fitting glasses or googles before working with chemicals. -Ensure there isn’t beverages, or their containers, and any food, or their containers, in the lab space. -Keep necessary materials on the table top, work surface area. -Ensure not to put any materials or tools in one’s mouth, and pull back hair that’s shorter than the shoulder length. -Be acquainted with the location(s) and function(s) of all safety equipment such as fire extinguishers, first aid kits, and/or safety showers.
Points Awarded 24.00 Points Missed 2.00 Percentage 92.3% Diagnosis Shiri's husband, Alum, notices that her left eyelid is drooping and she tells him she is experiencing double vision. After another choking episode, Alum brings his wife back to the healthcare provider who now thinks she may have myasthenia gravis. Her healthcare provider administers a Tensilon (edrophonium chloride) test to help confirm the diagnosis of myasthenia gravis (MG). 1. Which response to the test indicates that Shiri has myasthenia gravis?
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
Nursing Sensitive Indicators Nurse sensitive indicators included in this case are Mr. J’s use of restraints, complications of pressure ulcers, and patient satisfaction. Had the nurse who was caring for Mr. J been aware about the risks of pressure ulcer development with the use of restraints, the beginning stage of a pressure ulcer could have been prevented. Better RN assessment of Mr. J’s restraints, repositioning Mr. J every two hours and a thorough skin assessment should be done at every shift. The NA should be instructed to notify RN if they see anything out of the ordinary with patients, such as the redness to the lower spine of Mr. J. The nursing staff assigned to Mr. J will need additional training about restraints as far as appropriate use of restraints and how to care for a patient who is restrained.
D) Global aphasia. Diagnostic Tests The neurologist writes a diagnosis of, "Suspected brain attack" and prescribes a noncontrast computed tomography (CT) scan STAT. 4. Which nursing intervention should the nurse implement when preparing Nancy and her daughter for this
How should the nurse describe the pre-stroke urinary pattern?A) Dysuria. B) Frequency. C) Nocturia. D) Diuresis.2. Since
Baba, F. Takeuchi, M. Kuroda, H. Yuzawa, K. Aoki, A. Oguchi, Y. Nagai, N. Iwama, K. Asano, T. Naimi, 2002 p. 1819-1827.). The laboratory technician entered grandmother’s hospital room with swab to obtain a nares (nasal) culture. This method is one way to diagnose MRSA. The technician also swabbed the open wound in grandmother’s right foot.
A patient is in the oliguric phase of acute kidney failure. During this phase the nurse expects | | | Your Answer: | urine output of more than 800 mL/24 hr. | | Rationale: Incorrect: Please review Module 7, Lesson 4, Topic 2 | | elevated serum potassium level. | | Rationale:Correct | | | Question 2 - INCORRECT | The type of renal replacement therapy that uses a filter and dialysate is called | | | Your Answer: | Peritoneal Dialysis | | Rationale: Incorrect: Review Module 7, Lesson 5, Topic 2 | | Hemodialysis | | Rationale:Correct | | | Question 3 - INCORRECT | The degree of removal of waste products from peritoneal dialysis is dependent upon | | | Your Answer: | Gastrointenstinal motility | | Rationale: Incorrect: Review Module 7, Lesson 5, Topic 3 | | Length of dwell time | | Rationale:Correct | | | Question 4 - Correct | _________________________ plays a role in regulating renal blood flow by responding to a drop in systemic blood pressure by releasing epinephrine. | | | Your Answer: | Sympathetic nervous system stimulation | | Rationale: Correct | | | Question 5 - INCORRECT | Tubular secretion of excess substances from the blood into the tubules is: | | | Your Answer: | Is accomplished only by diffusion | | Rationale: Incorrect.
In preparation for Nightingale Hospital’s impending Joint Commission review, a mock simulation tracer review was conducted to assess Nightingale Hospital’s level of compliance for providing safe quality care and services to its patients. The purpose of the tracer methodology is to ensure consistent and uniform care is provided throughout the continuum of care from admission to discharge. A1. Evaluation The case reviewed was a 67 year old female, status post-surgical laparoscopic hysterectomy that resulted in an open procedure five weeks prior to her re-admittance to Nightingale Hospital seven days ago. She presented with fever and post-surgical site drainage.