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.
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.
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. Which of the following is an appropriate nursing response? Question 3 options: |"Clean the perineal area from back to front. "| |"Wear clean nylon underpants. "| |"Avoid douching.
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.
-The patient will wear a fall risk bracelet and non-skid socks so other nursing staff will know the patient is a fall risk. -The nurse will keep the patient’s bed in the lowest position at all times. -The nurse will use the bed and chair alarm as needed. -The nurse will assess the patient need to use the bathroom every two hours. -The nurse will move the patient close to the nurses’ station for closer observation.
Nursing skills carried out whilst working in maternity: • Ward admission for elective LSCS list eg, correct paperwork, consent, next of kin, care preferences where indicated, etc.. • Cannulation for access plus associated work up • Liasing with medical staff, anaesthetics/ O and G • Womans advocate • Staying in PACU with new family, providing direct nursing care for immediate post operative half hour. • Problem solving: initiating care interventions, with timely review and analysis, eg, Problem: low post op BP in PACU with spinal anaesthetic in place Care intervention: take manual BP, and reduce angle of head elevation Review: BP same on manual, => 20% drop systolic. Anaesthetist informed. Pt symptomatic now vomiting: maxalon IV as per PACU standing order Review: BP same, IV fluids increased: pt healthy with no heart/cvs problems. Anaesthetist orders 4mg odansetron IV antinauseant ( 5ht inhib action) To reduce post op nausea and vomiting/due to hypotension?
In this essay I will walk through a clinical assessment of a geriatric patient that has presented to the ED with MODS. I will make special consideration to address pain, electrolyte imbalance, homeostasis and oxygenation. Assessment of a Geriatric Patient with MODS Upon transfer of Mrs. Baker to the emergency room the initial report from the transport personnel will be received and the initial ED assessment starts. This is concurrent, while receiving the report we are able to look at the patient’s general appearance. 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.
The device should be left in place after intercourse for at least 8 hours and should be cleaned with mild soap and water, air dried, and stored at room temperature in the case. (Contraception Online, pg.1). With proper use the shield can last around six months until having to be replaced but should be checked for holes, tears, or leaks routinely. (Birth Control Guide, pg.1). Women who have frequent urinary tract infections, have poor vaginal muscle tone, and/or infection may not be suited for the shield.
Eye contact, a pat on the shoulder, and a smile are all non-verbal ways of acknowledging a patient or family member. 2. Introduction: Introduce yourself by name, state the department you work in and what you are going to do, for example, “Good morning Mr. Jones, My name is Mary and I am here to start your IV. I am a nurse at Seton Hays Hospital and we will do everything to make this as comfortable as possible for you.” 3. Duration/Time Frame: Give an estimate of the time it will take to complete the procedure.
model of structured reflection will be used (Driscoll, 1994). To keep in compliance with the Nursing and Midwifery Council Code of Professional Conduct (NMC, 2008 patient confidentiality, all names used within this essay have been changed. Driscoll (1994) suggests reflection begins with a factual description of an event that has happened. The district nurse and I saw a patient, Sarah, an eighty-five year old lady when we went to her home to change a venous leg ulcer dressing. The care plan was read and then the necessary equipment to continue with treating the wound was brought to where Sarah was sat.