We are treating her with several medications to treat her condition. She is taking, Alteplase 0.9mg to first break up the blood clot. Then we lowered the dose to 0.81mg to continue administration for the next hour. She was then transferred to the ICU. I ordered her to be checked every two hours for any change.
Correct answer(s): D Therapeutic Communication David and Paula have been at Debbie's bedside since she was admitted to the hospital. David asks to speak to the nurse outside in the hall. He tells the nurse that Paula is telling everyone that Debbie
Monitor daily weight, intake and output ratios, amount and location of edema, lung sounds, skin turgor, and mucous membranes. | Percocet, Roxicet, Oxycetoxycodone/acetaminophen | 10/325mg PO BID @ 1000 and 2200, PRN Q 6 hrs | Pain | 1. Monitor pulse for possible bradycardia, respirations for hypoventilation, and blood pressure for hypotension. 2. Caution patient to change positions slowly to minimize orthostatic hypotension.3.
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.
Review the labs, and ensure any lab values that need follow up are faced or phoned to the surgeon. • Ensure any day of antibiotic orders have been faxed to pharmacy, take any actions you can for pre operative orders now. • Phone the patient, fill out any other information you can on the pre-op check list. Make sure you cover all the points on the telephone check list sheet, this way our patients will arrive with a ride home, and someone to stay with them post OR. • Once the Telephone screen is complete – on the upper left hand part of the chart write
The first stage of Gibbs (1988) model of reflection requires the description of events. I was asked to administer a drug to a patient via subcut injection. I observed this clinical skill on a variety of occasions, by qualified nursing staff. This was my first time administrating a subcut injection; I was under supervision from a qualified nurse. The drug itself was in a pre-filled syringe needle.
She complains of back pain. She has a history of Type II Diabetes, and hypertension. Her admitting doctor has asked that she has mid-stream urine test, a full blood count, electrolyte blood test, and blood cultures. You are on a morning shift. The consultant has been informed of Mrs. Jones’ admission.
The Joint Commission requirement for reassessing pain once medication is administered is within the first hour. The tracer form indicated that there were four documented occasions where pain was assessed after the first hour. On another occasion the PACU nurse was asked to give an example on when they would use override (pyxis) and the nurse answered incorrectly by getting using anti-nausea drugs for the patient after they return from surgery. The SDS nurse gave the correct answer, which is to use override only in urgent situations. A few other issues that the tracer pointed out is listed
The pressure is measured by using a sphygmomanometer. This is an inflatable cuff that is placed around the arm, with the use of a stethoscope, and a pressure- measuring gauge that is attached to the sphygmomanometer. In order to make an accurate diagnosis of hypertension several visits to a physician to have it checked are required to make a determination of hypertension. The reason for this is because a patient’s blood pressure can vary depending on a number of factors including the time of days it’s taken, smoking and drinking coffee prior to measuring pressure can increase blood pressure, or just the simple stress of being at the doctors can make your blood pressure be elevated ("High blood pressure (hypertension) Tests and diagnosis - Mayo Clinic," 2015). The blood pressure should
He also informed her that he would follow the same orders given in previous cases of tonsillectomy performed in the hospital. The Head Nurse in the operating room in the morning of May 26th was one Lorenza Somera. Valentina Andaya and Consolacion Montinola were student nurses working in the operating room under Somera. Montinola was the sterilizing nurse and Dr. Armando Bartolome was the assistant surgeon. On the Day set for the operation, Dr. Favis arrived at the St. Pauls Hospital a little before 7:00 oclock in the morning.