Meet the Patient: Jeff Dickson Traumatic Brain Injury Jeff Dickson is a 17-year-old admitted to the Emergency Department via ambulance following a motor vehicle accident (MVA). He is accompanied by his parents and two of the three friends who were in the vehicle with him. Another friend, who was driving the vehicle, was transported to a different hospital by LifeCare Helicopter. A basilar skull fracture is a linear skull fracture that extends over the base of the frontal and temporal lobes. The nurse knows that this particular type of fracture can cause damage to the nerve pathways, cranial nerves, or vital centers.
Identify priority nursing care to prevent potential complications following this type of surgery. * Maintain respiratory function * Maintain circulatory function * Promote elimination and adequate nutrition * Promote urinary elimination * Promote wound healing * Achieve rest and comfort 3. Discuss treatment modalities for potential complications as identified above * Push fluids to promote elimination * Hemorrhages may need surgical correction * Apply O₂ 4. Discuss the standard of nursing care when transfusing any blood product. * Verify that an order for the transfusion exists.
There are a number of ways that personnel’s can prevent and control infection in a health and social care setting. Personnel’s in a health and social care setting include , nurses , Doctors, cleaners, nursery assistants and nursery teachers. Nurses should thoroughly wash and dry their hands before and after caring for a patient, before and after touching any potentially contaminated equipment or dressings, after bed making and before handling food. Their hands can be washed with soap and water or, a fast-acting antiseptic solution like a hand wipe or hand gel. They should also wear Disposable gloves when physical contact with open wounds, for example when changing dressings, handling needles or inserting an intravenous drip.
2. Which assessment takes priority while the nurse provides oral care?A) Assess the sides of the oral cavity for any open sores. Feedback: INCORRECT Considering the client’s recent history of nausea and vomiting, another assessment takes priority at this time. B) Observe for excessive dryness of the mucus membranes. Feedback: CORRECT Because the client has a recent
ICP catheter- to decrease ICP Vitamin therapy/ Nutritional referral- because of her BMI and nutritional status r/t her pathologies. PPI- Esophageal varices are likely with cirrhosis and it is necessary to decrease stomach acid to prevent rupture of varices. IV fluids- Because of the ascites it is necessary to replace the fluid into the vascular space. Inotropics such as Dopamine- They will improve the BP and Cardiac
to a disease that exists simultaneously with and worsens or affects a primary disease) such as impaired eyesight, tremor, arthritis, and cognitive problems that can aggravate effective use of the inhaler device. Inhaler devices available to deliver inhaled medications are COPD 6 Pressurized metered-dose inhalers (pMDIs); Breath-activated pMDIs; Dry-powder inhalers (DPIs); and Soft mist inhaler (SMIs) (Kaufman, G., 2013, p. 37). The nurses in primary care have an important role in helping patients with this disease. That is where device selection and patient education comes in. Primary care nurses should know the following: * For the prescribed drug/s what devices are available and what number of device types can be used?
Unit 4222-616 Administer medication to individuals and monitor the effects Outcome 1 1) Identify current legislation, guidelines policies and protocols relevant to the administration of medication. Legislations, policies and protocols that are relevant to the administration of medication include the Health and Safety at Work Act 1974, COSHH, the Medicines Act, the Misuse of Drugs Act, the Health and Social Care Act. Outcome 2 1) Describe common types of medication including their effects and potential side effects. Aspirin - relieves minor aches and pains. Reduces fever and is an anti inflammatory.
What should the nurse do next? Explain your rationale. o Administer oxygen through a non rebreather mask to ensure patient is getting enough oxygen to his brain. Then I’d establish two large bore catheter IV sites and prepare for surgical intervention as I’d suspect an epidural hematoma, which needs surgery to be removed. Managing the increased intracranial pressure would also be a necessity (Lewis, Dirksen, Heitkemper, Bucher, & Camera, 2011, p. 1441).
Nurses play an important role in the prevention of pressure ulcers. By recognizing the incidence of pressure ulcers as a nursing sensitive indicator, nurses can develop and follow skin care plans to aid in prevention. In this situation, if
*Cor pulmonale is an enlargement of the right ventricle Check what ya know (Answers at end) 6.) ER nurse is caring for pts exposed to a chlorine leak. The nurse would closely monitor these pts for A.) Pul edema B.) Anaphylactic Shock C.) Resp Alkalosis D.) Acute tubular necrosis Answer: 6.