* Teach the patient about the procedures associated risks and benefits, what to expect during the transfusion, signs and symptoms of a reaction, and when and how to call for assistance. * Check for an appropriate and patent vascular access. * Make sure necessary equipment is at hand for administering the blood product and managing a reaction, such as an additional free I.V. line for normal
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.
1 Meet the Patient: Nancy Jackson, a 72-year-old Caucasian female, is brought to the Emergency Department at St. John's Medical Center, a Catholic facility, by her daughter, Gail. Mrs. Jackson, who asks the staff to call her Nancy, is complaining of right-sided weakness, a severe headache, and just not feeling well for the last 24 Hours. Clinical Manifestations: The Emergency Department (ED) nurse is completing the admission assessment. Nancy is alert but struggles to answer questions. When she attempts to talk, she slurs her speech and appears very frightened.
Group 3: Skin Assessment Case Scenario Facilitator: Monica Hill Note taker: Jocelyn Huber Participant: Christine Hunt Maryville University Group 3: Skin Assessment Case Scenario R. H. is a 26 year old female that presents to the local health clinic with complaints of two red, scaly patches on her left hand. She states that the spots started about 2 weeks ago and that the first one appeared to be poison ivy. After the vesicles cleared R.H still complained of itching. Since initially seeing the two spots on her hand she has also noticed two new lesions, one above her left eyebrow and a small one above her right upper lip. She has used over-the-counter medications, believed to be steroid cream, antibacterial cream, and anti-itch cream, but they have not helped.
The nurse from the dialysis unit informs the unit nurse assigned to the patient that 1 L of fluid was removed. She reports that prior to dialysis the patient’s weight was 80kg, and after dialysis it is 79 kg. At the end of the dialysis treatment the patient’s vital signs are: temp 36.7 (98.0) degrees; heart rate 87 bpm; respirations 20/min. ; blood pressure 90/61 mmHg. A 2x2 gauze dressing covers the accessed site of the AV fistula and it is clean, dry, and intact.
Appendix D Read each scenario and write a 25- to 50-word answer for each question following the scenarios. Use at least one reference per scenario and format your sources consistent with APA guidelines. Scenario A Acute renal failure: Ms. Jones, a 68-year-old female, underwent open-heart surgery to replace several blocked vessels in her heart. On her first day postoperatively, it was noted that she had very little urine output. 1.
Scope The proposed plan includes a detailed assessment of methods, personnel requirements, training (including costs), feasibility, and expected results. Proposed Plan This plan takes into account the needs and complaints of our patients, as well as the suggestions made by our phlebotomy and nursing staff members. Phases Excessive needlesticks can be reduced in three phases: (1) Training phlebotomy staff to draw from heparin locks safely and efficiently (2) Changing any protocol that might inadvertently cause more needlesticks to be preformed than intended (3) Shifting responsibility for blood draws out of heparin locks to phlebotomists from the nursing
The purpose of this essay is to describe the holistic assessment of a 78 years old patient who has been admitted to an acute cardiac (mixed) Ward, after experiencing severe chest pain at home. All of his personal data and information has been changed to comply with the NMC Code (2008) Confidentiality section and Data Protection Act (1998). John Doe pseudonym will be used on the SAP (Single Assessment Process) form. In this essay I will use the Single Assessment Form for holistic assessment and I will explain why communication and record keeping are so important. The definition of the word “holistic” will be described.
Nassau Community College Nursing Department Nursing 105 OPERATING ROOM AND POST ANESTHESIA CARE UNIT WORKSHEET Name: Eileen Zakrzewski Date: 11/5/12 Section: NUR105 A5 Instructor: Prof. Kennedy 1. Identify five types of stressors/contributing factors and three examples of each type that patients experience during the PERIOPERATIVE period: A. Physiological - Obesity (takes longer to heal), Diabetes (delayed wound healing), Liver disease (decreased medication metabolism) B. Microbiological – Surgical wound (open portal of entry), Infection
Rationale: When caring for a patient with severe dyspnea, the nurse should use the ABCs to guide initial care. This patient's severe dyspnea and cough indicate that acute decompensated heart failure (ADHF) is occurring. ADHF usually manifests as pulmonary edema, which should be detected and treated immediately to prevent ongoing hypoxemia and cardiac/respiratory arrest. The other assessments will provide useful data about the patient's volume status and should also be accomplished rapidly, but detection (and treatment) of fluid-filled alveoli is the priority. Cognitive Level: Application Text Reference: pp.