D) Daily enemas will be needed to help achieve a bowel movement. The nurse is discussing autonomic dysreflexia with Jonathan, his girlfriend, and his mother. To evaluate the teaching, the nurse asks Jonathan to explain what it means. 22. Which statement by Jonathan indicates an understanding of autonomic dysreflexia?
Nursing Plans and Interventions: The nurse applies a sterile nasal drip pad and initiates interventions to prevent increased intracranial pressure (ICP). 3. Which nursing intervention should be initiated to prevent increased ICP? A) Apply a hyperthermia blanket. B) Administer a prescribed stool softener as needed (PRN).
Question 1: (see full question)[->0]|A client with fever, weight loss, and watery diarrhea is being admitted to the facility. While assessing the client, a nurse inspects the client's abdomen and notices that it's slightly concave. Additional assessment should proceed in which order?|You selected:|Palpation, auscultation, and percussion|Incorrect||Correct response:|Auscultation, percussion, and palpation|Explanation:|The correct order of assessment for examining the abdomen is inspection, auscultation, percussion, and palpation. The reason for this approach is that the nurse should perform the ... (more[->1]) |||Question 2: (see full question)[->2]|Which of the following indicates that a 5-month-old weighing 15 pounds (6.8 kg) and being treated
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
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.
A patient would need to go through steps to prepare for the procedure. The first step would be to discuss with your doctor if you are taking daily medications and if so should you take the medication on the day of surgery, if you are allergic to any food or medications, if you are having bleeding problems or on blood thinner, such as aspirin or Coumadin, and if you are/might be pregnant or nursing. On the day of surgery you will need to have an empty bladder. Your doctor will have you sign a consent form and discuss the risks and how the procedure will be done and the results.
Correct Answer(s): DEthical-Legal ConsiderationsSince Kat's respiratory status has stabilized, she undergoes an open reduction and internal fixation of the pelvis. Following surgery, Kat receives patient-controlled analgesia for 24 hours. When this prescription is discontinued, a new prescription is written for Morphine 2 mg every 4 hours PRN.The nurse caring for Kat is concerned about the amount of opioid analgesics that Kat has received since her fracture occurred. The nurse administers a dose of normal saline IV the next time Kat requests pain medication and reports to the charge nurse that the client indicates that she is pain free.22. What action should the charge nurse implement?
The ethical issue of the wrong food tray will be addressed by using the appropriate referrals and resources. Nursing-Sensitive Indicators A CNA is called into the patients’ room to assist the patient to the bathroom, when the patient’s daughter notices and points out a red, depressed area over the patient’s lower spine and the CNA tells the daughter that the red area should go away on its own. The nursing sensitive indicator of pressure ulcer should be used in this case. The CNA needs to be educated in identifying what the preventative steps for avoiding pressure ulcers are by using the Braden Scale which should of been implemented upon this patient being admitted (Fosco, 2012). When the scale is used it can trigger the appropriate interventions before a pressure ulcer forms or gets worse, for example the CNA can pass on to other care team members if this pressure ulcer was prior to admission or formed during the patients hospital stay (Fosco, 2012).
First aid reflective account ac[1.1] identify the role and responsibilities of an emergency first aider- On 17th January 2013 I attended a study lesson on emergency first aid where we learnt the roles and responsibility’s of a first aider and how to carry out those responsibilities. Performing a primary survey, recognising the injury/problem, treat within my competency, seek help when needed and report incidents appropriately. ac[1.2] describe how to minimise the risk of infection to self and others – You can reduce the risk of infection to yourself on others by washing your hands with soap and water using the 10 guide. Wearing gloves when treating casualty’s so that you don’t come into contact with bodily fluids. Clearing up bodily fluids after an accident from floor with achti chlor so that any harmful bacteria is killed.
Grades 1 to 5 determine how the infection reacts to treatment such as oral or intravenous antibiotics, removal of pins and surgical curettage. The Checketts-Otterburns Grading System (Ghecketts 2000) grades infections from 1 to 6, where 1 represents slight redness/little discharge and 6 represents the presence of infection after removal of the fixator. Ward (1998) provided a simple classification NURSING