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
Upon arriving at the doctor’s office, the nurse performs a brief assessment. His VS are: 138/86, 100, 30, 100.8 F. M.G. states that he has been feeling fatigued for several months and is experiencing occasional night sweats but he has also been working long hours, has skipped meals, and has been stressed over a project at work. M.G.’s physical is WNL except for his low grade fever and purple skin lesions. The physician orders a PPD, CBC and lymphocyte studies.
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.
(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?
This class of drugs, which includes Prozac, Zoloft and Paxil — the selective serotonin reuptake inhibitors — increases levels of the neurotransmitter serotonin in the brain. The authors report that some exposed infants experience frequent crying, irritability, sleep disturbances and seizures, but the problem usually resolves itself within two weeks. The authors also note that the evidence does not suggest long-term harm from maternal use of antidepressants during pregnancy. They write: Several recent reviews have not identified adverse neurodevelopmental outcomes among infants born to women treated with SSRI’s during pregnancy. SSRI treatment should be continued at the lowest effective dose because withdrawal of medication may have harmful effects on the mother infant [bond].
N Engl J Med. 2011; 365(3): 239–50. 10. GK Rai, HC Upreti, SK Rai, KP Shah and RM Shrestha. Causative agents of urinary tract infections in children and their antibiotic sensitivity pattern: a hospital based study.
LAPAROSCOPIC SURGERY This paper will define laparoscopy in general, how the surgery used to be performed before laparoscopy was introduced, its impact on the patients and finally our roles and responsibilities as an enrolled nurses in regards to caring for the patients undergoing laparoscopic surgery. Laparoscopy or keyhole surgery is a medical procedure used to examine the interior of the abdominal or pelvic cavities to diagnose or treat (or both) a number of different diseases and conditions, including female infertility, diseases of the urinary system including the kidneys and appendicitis (Laparoscopy: Better Health Channel, website 2010). Before laparoscopy was available, doctors always had to make large openings and cut through layers of tissue in order to examine internal organs (laparotomy).The main drawbacks of laparotomy are the extended hospital stay (up to one week or so) and the long recovery time. A person who undergoes open surgery can expect at least six weeks of convalescence. Compared to laparoscopy, laparotomy has increased risks of infection and adhesions.
Perspective Theory Janice perceives her urinary problems to dying young from bladder cancer like her mother. Using Ernestine Wiedenbach’s theory the nurse needs to address Janice’s anxiety and develop a plan of care that meets her need. The nurse can educate Janice on urinary tract infections and bladder cancer to reduce her anxiety. From Virginia Henderson’s perspective and fourteen components of basic nursing
Sarah arrived at the hospital with a teacher from the ECC. Therefore it is assumed that the ECC would have a signed consent form allowing them to seek medical care for Sarah (Department of Education, Science and Training 1993). The ECC will also be able to provide documentation of any pertinent information regarding Sarah’s health requirements. This gives the medical team initial basic information such as allergies or current medications and allows them to conduct an initial baseline assessment (Staunton & Chiarella 2003). The nurse admitting Sarah will require consent from Sarah’s parent or legal guardian who in this case is her aunt.
Mr X needs investigations in hospital to find the cause of his increasing seizures. His past medical history includes admissions into hospital with epilepsy and urinary tract infections. As Mr X has been bedbound for the past four weeks he is starting to develop pressure sores on his sacrum due to his reduced mobility (Baillie 2005). Mr X has a temperature of 37.9 which is above average and is showing signs of infection. Since being admitted Mr X has lost 10lbs in weight.