A) Measure the specific gravity of the drainage. B) Measure the spinal fluid pressure. C) Observe for a "halo" around a spot of drainage. D) Measure the quantity of the drainage. Nursing Plans and Interventions: The nurse applies a sterile nasal drip pad and initiates interventions to prevent increased intracranial pressure (ICP).
5. Discuss each treatment for asthma and note when each is indicated: . Aerosolized medications by nebulizer: ix. Children who has difficulties using MDIs or other inhalers x. Administers the meds via compressed air or oxygen xi. Children are instructed to breathe normally with mouth open to provide a direct route to the trachea.
2. Are there other signs and symptoms that you should observe for while A.G. is in your care? b. SBO: Diarrhea, constipation, and inability to pass gas or have a bowel movement. c. Complications: peritonitis (abdominal pain or tenderness; distention; fever; N/V; anorexia; diarrhea; decreased UOP; fatigue); signs of infection (temperature, inflammation, WBC count, etc.) 3.
What technique (s) should the nurse use to assess for respiratory distress? (Select all that apply.) A) Place a pulse oximeter on a big toe of the baby’s foot. CORRECT The nurse should use a pulse oximeter to measure the infant’s oxygen saturation level. A decreased
Identify priority nursing care to prevent potential complications following this type of surgery. * Maintain respiratory function * Maintain circulatory function * Promote elimination and adequate nutrition * Promote urinary elimination * Promote wound healing * Achieve rest and comfort 3. Discuss treatment modalities for potential complications as identified above * Push fluids to promote elimination * Hemorrhages may need surgical correction * Apply O₂ 4. Discuss the standard of nursing care when transfusing any blood product. * Verify that an order for the transfusion exists.
Ultrasound (of the abdomen) or a Diagnostic paracentesis: ultrasound to see what is causing the distention of the abdomen, Paracentesis: fluid removal, the wave test was positive Additional blood work- Liver function tests, coagulation tests, CBC w/diff.. 4. Identify 7 treatment options and or medications that should be considered with rationale. Each treatment option with rationale is worth 2 points. Paracentesis- drain fluid Intubation- ICP related complications may require mechanical ventilation and it may be necessary to initiate hyperventilation therapy. ICP catheter- to decrease ICP Vitamin therapy/ Nutritional referral- because of her BMI and nutritional status r/t her pathologies.
Nursing Care of Patient with Gastrointestinal Alterations (continued) Evolve Case Study DUE – IBD; Cirrhosis Lewis: Ch.39, 43 (975-982), 44 (1017-1029, 1030-1036) Silvestri: Chapter 56- Do related questions HESI Patient Review: Gastrointestinal Health Problems Module- Mrs. Barker HESI Patient Review: Hepatic-Billiary Health Problems – Mrs. Bella 5 M 7/20 III. Promoting Neuromuscular Health - Nursing Care of the Patient with Neurological Alterations Evolve Case Studies DUE – Myasthenia Gravis; Parkinsons’s Disease Lewis: Ch. 56, 59 (1428-1439) Silvestri Chapter 66- Do related questions 6 TH 7/23 IV. Promoting Renal Health – Nursing Care of the Patient with Renal Alterations Evolve Case Studies DUE – Chronic Kidney Disease Lewis: Ch.45, 47 Silvestri: Chapter 62- Do related questions 7 M 7/27 V. Nursing Care of the Patient with Oncologic
to a disease that exists simultaneously with and worsens or affects a primary disease) such as impaired eyesight, tremor, arthritis, and cognitive problems that can aggravate effective use of the inhaler device. Inhaler devices available to deliver inhaled medications are COPD 6 Pressurized metered-dose inhalers (pMDIs); Breath-activated pMDIs; Dry-powder inhalers (DPIs); and Soft mist inhaler (SMIs) (Kaufman, G., 2013, p. 37). The nurses in primary care have an important role in helping patients with this disease. That is where device selection and patient education comes in. Primary care nurses should know the following: * For the prescribed drug/s what devices are available and what number of device types can be used?
•If chest pain is present, have client lie down, monitor cardiac rhythm, give oxygen, run a strip, medicate for pain, and notify the physician. These actions can increase oxygen delivery to the coronary arteries and improve client prognosis. •Place on cardiac monitor; monitor for dysrhythmias, especially atrial fibrillation. Atrial fibrillation is common in heart failure. •Watch laboratory data closely, especially arterial blood gases and electrolytes, including potassium.
Wash Hands. Identify chief complaint using scale of 0 - 10 Type of pain: Intensity, frequency, location, and quality (sharp/dull) Also discuss what helps alleviate the pain. Inform the patient of everything you're going to do BEFORE you do it. A/A/ O x 3 (Awake, Alert and oriented to person, place and time) P.E.R.R.L.A. ( Pupils Round Reactive to Light and Accommodation) Check for Facial symmetry Bilateral hand and leg strength and Range of Motion (on a scale of 0-5) Vital signs: checklist - Normal range: 60-100 BPM __ Temporal __ Brachial __ Popliteal __ Facial __ Radial __ Posterior Tibialis __ Carotid __ Femoral __ Pedal The Apical pulse is a Central pulse: ____Apical (found at the 4th or 5th midclavicular intercostal space) Check respirations while checking pulse.