According to NHS Direct around 30% of people in the UK have high blood pressure but don’t know it. The only way of knowing there is a problem is to have your blood pressure measured. It is recommended that all adults should have their blood pressure checked at least every five years and actively monitor it so that corrective action can be taken should it be necessary. Hypertension is a chronic condition and once it has been diagnosed and a treatment plan agreed the patient will be taking medication for the rest of his life. The conventional treatments for hypertension revolve around medication that will reduce the risk of stroke, kidney failure and heart failure.
In preparing to administer intravenous albumin to a client following surgery, what is the priority nursing intervention? (Select all that apply.) A) Set the infusion pump to infuse the albumin within four hours. Feedback: CORRECT B) Compare the client's blood type with the label on the albumin. Feedback: INCORRECT C) Assign a UAP to monitor blood pressure q15 minutes.
Bi) How would you explain the term ‘confidentiality’ to Hannah? It is Hannah’s right to make decisions for herself and choose whether to take her medication or not. In this case from the information given it could be detrimental to her health as through Hannah not taking her prescribed medication she may be at risk of harm and therefore I would need to pass the information on to my Manager to ensure Hannah's wellbeing. It is Hannah’s choice who she shares information with and I would give her my assurance that the information would not be shared with her daughter. Confidentiality in general means that information will not be discussed outside of the social care setting.
Skin breakdown can be prevented by turning Mr. J every 2 hours and by propping with pillows side to side. Skin assessments should be preformed frequently on this patient to assess for breakdown. Patients with dementia may not be able to verbalize pain. When the daughter observed the redness, it should have been reported to the nurse in charge. Most CNA’s do not have the knowledge to assess the skin breakdown to know the proper treatment plan.
Propranolol reduces tremor, sweating, and palpitations in the hyperthyroid patient. 5. Thiourea medications (propylthiouracin (PTU) and methimazole) may be given for 12 to 24 months in young adults. Propylthiouracil (PTU) is preferred in patients or those who are breastfeeding. Thiourea agents are used to prepare patients for thyroid surgery and for selected patients, usually elderly or cardiac patients, who are to receive radioactive iodine (RAI) treatment.
Morally the social worker may feel inclined to inform the patients doctor that the patient is at risk of a possible overdose, However bound by patient confidentiality the social worker is not allowed to inform the patients doctor. A Licensed Clinical Social Worker is held to the same ethical standards and legal guidelines as that of a physician. Their number one rule is to do no harm. The National association of social workers requires social workers to allow the patient the right to self determination. When a patient informs the social worker that they are involved in unlawful activity, again, the social worker is not permitted to disclose this information to the proper authorities.
The infant is receiving intravenous fluids and weighs 30 pounds. Determine the infant’s normal expected fluid intake needs and expected normal urine output for a 24 hour period. Because babies are at risk to electrolytes deficiency and to prevent hypovolemia, it is recommended to act fast. (According to ATI) fluid resuscitation is based on individual child needs it is very important for nurses to valued the urine output, cardiac output, blood pressure, and status of electrolytes. Nurse can use isotonic crystalloid solution such as 0.9% sodium chloride or lactated ringers solution, are used during the early stage of burn recovery.
Right before the procedure antibiotics are used to prevent infection. The machines vacuum in most cases will only take anywhere from 10 to 15 minutes. During the procedure most women feel cramping. The cramping will decrease when the vacuum has been removed. After the doctor has completed the aspiration abortion he/she will then give the woman an ultrasound or the vacuum to be sure the procedure has been completed in the proper manner.
While communicating with the elderly woman they need not to panic her as this can make her condition worse as they do not know what may be causing her pain and the less stress that the elderly woman is open to the better for her the accident will be. Unnecessary stress could be caused by the carers panicking or remarks from the other members of the day centre that are not positive. Instead the area should be cleared. The reason for this response is as the woman is elderly the first concern for her physical health and making sure that if she is in pain that she should receive medical care. This is done through phoning her doctor and also paramedic attention that can then control this situation.
The nurse was violating the patient’s autonomy when she did not do CPR on the woman. In this situation, the patient was not capable to say if she wanted the treatment or not. All of the medical facilities that the patient belongs to are required to have a DNR form for situations like this. The patient’s emergency person should have been contacted as soon as possible. If this action was done right away, the patient might have had a chance to live.