Check airway maintenance with C spine protection, a nurse must note the skin color, assess conscious level, and chest movement of the patient if the patient unconscious, the medical team should open the airway by using the jaw-thrust maneuver. 2. Check breathing and ventilation, a nurse I should note if the patient is not breathing, call a hospital emergency code and start CPR. (Trauma) 3. Circulation with hemorrhage, a nurse must assess the level of consciousness, such as the Glasgow coma score and AVPU which are “alert, voice, pain and unresponsive” to control hemorrhage, check the radial and carotid pulses, check for another external bleeding.
The nurse recognizes which of the following medications are most commonly prescribed for acute pyelonephritis Select all that apply. Question 19 options: |Phenazopyridine (Pyridium)| |Ceftriaxone (Rocephin)| |Ciproflaxin (Cipro)| |Nitrofurantoin (Macrodantin)| |Tobracycin (Nebcin)| Question 1 (5 points) The client recently presented to the Emergency Room exhibits bluish discoloration in the left flank area upon physical examination. The competent nurse documents this as Question 1 options: |Negative Grey-Turner's sign | |Positive Grey-Turner's sign| |Negative Cullen's sign| |Positive Cullen's sign| Save Question 2 (5 points) A married female client has a history of repeated urinary tract infections (UTIs). Which of the following should the nurse include while assessing this client? Question 2 options: |Preferred method of birth control| |Height and weight| |Employment status| |Activity status| Save Question 3 (5 points) A client asks the nurse for ways to prevent recurrent urinary tract infections.
What should the nurse do next? Explain your rationale. o Administer oxygen through a non rebreather mask to ensure patient is getting enough oxygen to his brain. Then I’d establish two large bore catheter IV sites and prepare for surgical intervention as I’d suspect an epidural hematoma, which needs surgery to be removed. Managing the increased intracranial pressure would also be a necessity (Lewis, Dirksen, Heitkemper, Bucher, & Camera, 2011, p. 1441).
Acute Renal Failure NU270 Assignment 6.1 7/26/2012 Patients that are in acute renal failure have many obstacles that they are faced with. The nurse should follow evidence based interventions when caring for them. Electrolyte imbalance, blood loss, infection, and nutrition are just a few of the issues the nurse must be educated about. It is important for the nurse to impose every intervention available to reduce the risk of infection in the patient experiencing acute renal failure. “Make sure appropriate hand hygiene is used.
Instead, nurses use hanging sponge holders, similar to that of over the door shoe holders, as well as a white board to count what kind and how many surgical sponges are removed as the surgery comes to an end. Lastly, surgeons can carefully conduct a wound exam in each procedure
Am implied consent is when the nurse needs to check the patients’ blood pressure, so when the nurse brings the cuff, the patients puts his arm out in an implied consent (Contracts,2012,para.2-3)! 3. Using the internet, research the Patient Care Partnership. Identify and explain three rights that the patient has according to the Patient Care Partnership. The Patient has the right to know what is wrong with him or her and to know what the treatment is in a language he or she can understand.
During the assessment phase the nurse will continuously gather data about her patient. For example taking vital signs, observing breathing patterns and monitoring blood glucose will give us internal details about how the patient is doing. During this time the nurse will predict, detect or eliminate health problems. If a problem is identified she will develop a comprehensive plan and clarify expected out comes. For example the nurse notices the patient has an increased respiratory rate, she is unaware of patient’s recent activity but she sees the head of the bed flat and immediately elevates the head of the bed.
Neonatal nurses monitor vital signs such as respiration and tempter, and perform any specialized feeding such as intravenous or tube feeding. They also draw blood for tests and administer medication, and keep detailed notes on charts. The nurses work closely with the parents, showing them how to do tasks, such as changing diapers or feeding bottled formula, for a premature or ill baby. This nursing job requires a high level of team work. A nurse will likely have great interaction with infant’s parents.
According to Meleis (2007) knowing includes knowledge based on observation, research findings (evidenced based), clinical manifestations and scientific approach. As a stroke nurse empirical knowing it’s very important in taking care of stroke patients. I determine patient’s neurological status by performing neuro checks frequently every 1-2 hrs as the patient’s condition might deteriorate the first 24hrs and perform swallow test to determine if the patient can swallow medications. Patient’s plan of care is based on assessment findings(vital signs, Glasgow coma score).If a patient is confused and very weak fall precaution is observed by activating the bed alarms, request for a PT/OT consult, if the patient does not pass the swallow test, a speech therapist is consulted. Sometimes patient’s neurological deficits get resolved after a few hours or days and that calls for change of treatment plan.
Assessment The assessment portion of the nursing process is a way to gather as much information about the patient as possible. The assessment includes a physical examination and collecting the patient’s vital signs such as temperature, pulse, respiration, oxygen saturation levels, blood pressure, and pain level. The purpose of the assessment is to establish the patient’s baseline health levels so there will be a database to refer to. A patient interview is also included in the assessment portion of the nursing process. The interview will help the nurse gather information about the patient that may be helpful in a diagnosis.