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- Case Scenario: John Doe, 53y.o., has a history of Type I diabetes mellitus, cigarette smoking 40 pack-years, CAD, and PVD. Six weeks ago, he developed a wound in his left heel which measured 4cm by 2cm when he discovered it. Despite IV antibiotics and chemical debridement, the wound developed a gangrene infection. He is scheduled for a BKA of the left lower extremity tomorrow at 10:00 am. His meds include daily insulin, aspirin 325mg/day, Pletaal 100mg BID. What preoperative testing is appropriate for Mr.Doe? (Give at least 4 priority examples) Note to Tutor: Thank you so much, Ma'am/SirCase Scenario: John Doe, 53y.o., has a history of Type I diabetes mellitus, cigarette smoking 40 pack-years, CAD, and PVD. Six weeks ago, he developed a wound in his left heel which measured 4cm by 2cm when he discovered it. Despite IV antibiotics and chemical debridement, the wound developed a gangrene infection. He is scheduled for a BKA of the left lower extremity tomorrow at 10:00 am. His meds include daily insulin, aspirin 325mg/day, Pletaal 100mg BID. Question: Mr. Doe was very restless the evening before. He verbalizes to his wife that he is “scared to death” and worried about losing his foot. She asks the nurse what can be done to help him. How will the nurse address the psychological comfort of Mr. Doe? (Discuss in 2-3 sentences only)Case Scenario John Doe, 53y.o., has a history of Type I diabetes mellitus, cigarette smoking 40 pack-years, CAD, and PVD. Six weeks ago, he developed a wound in his left heel which measured 4cm by 2cm when he discovered it. Despite IV antibiotics and chemical debridement, the wound developed a gangrene infection. He is scheduled for a BKA of the left lower extremity tomorrow at 10:00 am. His meds include daily insulin, aspirin 325mg/day, Pletaal 100mg BID. Question: Dr. Ramos is Mr. Doe’s surgeon and Dr. Reyes is Mr. Doe’s anesthesiologist. Both come to see him and discuss the surgery the evening before. How does the nurse ensure informed consent? What must the patient consent to for the procedure to be done? (Discuss in 5-6 sentences)
- Case Scenario John Doe, 53y.o., has a history of Type I diabetes mellitus, cigarette smoking 40 pack years, CAD, and PVD. Six weeks ago, he developed a wound in his left heel which measured 4cm by 2cm when he discovered it. Despite IV antibiotics and chemical debridement, the wound developed a gangrene infection. He is scheduled for a BKA of the left lower extremity tomorrow at 10:00am. His meds include daily insulin, aspirin 325mg/day, Pletaal 100mg BID. Summary: Given case: 53 years old, male History of Type-1 diabetes mellitus, CAD ( Coronary Artery Disease) PAD ( peripheral artery disease) Cigarette smoking 40 packs per year COMPLAINTS: 6 weeks ago, he developed a wound in his left heel. Despite antibiotics, patient developed a gangrene infection. ADVISE: To undergo BKA ( Below knee amputation) of left lower extremities MEDICATION: Daily insulin, aspirin 325 mg /day, pletaal 100 mg BD Post-operative Data: Post-operatively, Mr. Doe goes to the Post Anesthesia Care Unit…Case Scenario: John Doe, 53y.o., has a history of Type I diabetes mellitus, cigarette smoking 40 pack years, CAD, and PVD. Six weeks ago, he developed a wound in his left heel which measured 4cm by 2cm when he discovered it. Despite IV antibiotics and chemical debridement, the wound developed a gangrene infection. He is scheduled for a BKA of the left lower extremity tomorrow at 10:00am. His meds include daily insulin, aspirin 325mg/day, Pletaal 100mg BID. Please make 1 intraoperative NCP with 1 diagnosisCase Scenario: John Doe, 53y.o., has a history of Type I diabetes mellitus, cigarette smoking 40 pack years, CAD, and PVD. Six weeks ago, he developed a wound in his left heel which measured 4cm by 2cm when he discovered it. Despite IV antibiotics and chemical debridement, the wound developed a gangrene infection. He is scheduled for a BKA of the left lower extremity tomorrow at 10:00am. His meds include daily insulin, aspirin 325mg/day, Pletaal 100mg BID. Question: During the admission assessment, the nurse questions Mr. Doe to determine if there is a latex allergy or sensitivity. Why is this essential to the patient’s safety? What symptoms would the nurse question Mr. Doe about in order to determine this? (Discuss in 3-5 sentences only)
- The following prescription is presented to the pharmacy for filling. How many days will the prescription last? Prednisone 5mg #120 3 T PO BIO A) 30 days B) 60 days C) 40 days D) 20 daysScenario: You are taking care of a patient, Ysabelle Mae Bahay at room 224 with case number 983466 under the service of Dr. Walrus who is diagnosed with Osteoarthritis. During the 7am to 7pm shift she had three meals, consuming 1 cup of coffee with each meal. She also had 1 1/2 oz of water each time she took her medications at 7 am, at noon, and at 5pm. At Midafternoon, she drank 1/2 cup of soda. At pm, she vomited approximately 2.5 oz and 2 tablespoon of gastric content and voided approximately 2 1/2 cups of amber-colored urine. During the night shift at 8pm, she consumed 3 oz and 3 teaspoon of milk and 3 pint of water. At 12 am, she woke up at took her medication with 1/2 cup and 5 tablespoon of orange juice. At 6am, she voided approximately 150ml and had defecated. Using the 24hr intake and output monitoring sheet, record the following data provided. Also, determine if the patient has fluid excess or retention based on her 24hr intake and output. 24-HOUR INTAKE AND OUTPUT…A dental assistant is planning his/her continuing educsiton courses for the new tenewal cycle and is wondering what courses she/he must take to fulfill the Board's requirements. Which fo the courses below is mandated for license renewal? A. Current certification is Basic Life Support (with hands-on component) B. A course in the CDC Guidelines for Infection Control C. A and B
- Mrs, Vanessa Narciso , a 30 year old G2P2 3102 who delivered her baby hours ago temperature of 100.2 Which of the following is the appropriate nursing intervention at this time? Request an infectious disease consult from the doctor Provide the woman with cool compress Encourage intake of water and other fluids Notify the doctor to get an order for acetaminophenFirst part of the scenario Carol Brady is 65-year-old female who has been admitted to your ward overnight, following a fall from a ladder while she was cleaning windows at home yesterday. She has a fracture to her left tibia and a laceration above her left eyebrow, which received four sutures in ED. Her husband witnessed the fall and reports there was brief LOC. Phx: GORD, HT, Migraines. You receive the following information during handover: Carol slept well intermittently overnight, waking with complaints of a headache and pain at # site. Analgesia was given by RN at 0400hrs. Dressing insitu above left brow and POP insitu left leg. We have not been able to assess her mobility as she has been sleeping most of the night and didn't want to disturb her. Q1. Describe the nursing assessments you would perform on Carol The second part of the scenario During your nursing assessment you find the following: That Carol has complaints of a headache and 8/10 pain at # site. On…A client who is 35 years old male came to the emergency room complaining of right-sided abdominal pain and fever. The pain started last night and the pain is slowly increasing since then. He also had chills but no diarrhea, constipation, nausea or vomiting. The pain is dull. list the relevant physical examination maneuvers to perform in this case. describe the findings you anticipate during the physical examination maneuvers that you will perform.