Furthermore, a nurse should perform an assessment to identify if there are any potential risks on Mrs. Flynn, the assessment will include the ABGs, to assess the acid-base balance and oxygenation status of the blood, x-rays because if Mrs. Flynn suffers from persistent pain the nurse should check for any possible fracture. Moreover, Mrs. Flynn suffers from a bruise on the forehead so she needs to do CT scan, MRI to assess for internal bleeding and also, they must perform confusion assessment method, to identify and recognize delirium quickly. (Nurses Learning) (Best practice, 2016) Discuss in detail a legal liability that the nurse might face referring to the ethical
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.
To improve knowledge about how to do the ideal nursing intervention for clients with Strangulated Hernia. To do the necessary nursing intervention in hospital for client with Strangulated Hernia. To observe and understand the behavior of client having Strangulated Hernia. To develop our nursing responsibilities. To give the proper care and build a genuine nurse-patient relationship conducive to good health Etiology * congenital weakening of the abdominal wall, * traumatic injury, * aging, * weakened abdominal muscles because of pregnancy, or * increased intra-abdominal pressure (due to heavy lifting, exertion, obesity, excessive coughing, or straining with defecation).
(a) Perform calculation and adjust flow rate; (b) Observe and report subjective and objective signs of adverse reactions to IV administration; (c) Inspect insertion site, change dressing, and remove intravenous needle or catheter from peripheral veins. (d) Hanging bags or bottles of hydrating fluid. 2. According to Alfaro-LeFevre (2013) what are the two questions the nurse should ask to make decisions about his/her scope of practice and clinical decision-making? What action should the nurse take if he/she is being asked to act outside his/her scope of practice?
Question 4 options: |Monitor urine output.| |Ensure an adequate protein intake.| |Monitor blood pressure.| |Encourage ambulation.| Save Question 5 (5 points) A client is admitted with possible renal calculi. The nurse realizes that the diagnostic test this client might need to help with this health problem is: Question 5 options: |Intravenous pyelogram.| |Kidney biopsy.| |24-hour urine.| |Routine urinalysis.| Save Question 6 (5 points) In teaching a client how
In addition to palpation of the uterus, the midwife will assess and monitor other physiological changes such as vaginal blood loss and signs and symptoms of infection in the woman as these form an important part of the postnatal check in regards to assessing uterine involution. However, there is debate surrounding the effectiveness of palpating the uterus during the postnatal period in relation to preventing or predicting deviations from the norm, with the palpation element considered an invasive and inaccurate method of assessment. This report will discuss the issues surrounding the debate of abdominal palpation in assessing uterine involution in relation to midwifery practice; it will also discuss the physiology of uterine involution and blood loss during the peurperium. The literature search began with devising a plan of what direction the report would follow. This started with a review of midwifery theory, clinical skills, and research.
Urinary incontinence is a condition that presents in many forms and is a consequence of many etiologic events. In general, medical conditions such as urinary infections and diabetes should be properly treated and controlled to help with incontinence. Other measures are: • Losing weight if you are obese or overweight • Cutting down on the use of alcohol and caffeine • Taking in adequate fluids but preventing over-hydration Stress incontinence This is a common condition, especially in women after childbirth, in which urine escapes in situations such as coughing, sneezing or laughing. The best ways of treating it are summarized below: • Kegel’s exercises or pelvic floor muscle training, with or without biofeedback: this consists of learning
We are able to determine form the report that her general complaints are an episode of confusion prior to collapsing in the back yard, respiratory distress and tachycardia. Our systematic, hands on assessment begins with the ABC’s. The airway is visually assessed to make sure that it is open without any types of obstruction; this includes any increased mucus, vomitus, of foreign bodies. We must also consider that she recently started on lisinopril and need to check for any angioedema which could be a life threatening side effect. Breathing is assessed by watching the rise and fall of the chest,
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.
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.