Marg a 73-year-old lady was admitted to hospital overnight and placed into your care. She had a fall at home and was transferred by ambulance to hospital. You have just come on to the morning shift and received handover. Marg’s observatories have been within normal limits since being transferred to the unit- BP110/60, HR 78, O2 Sats: 98% and Resp: 18. Marg settled quickly and fell asleep at about 2400hrs. You would like to assist Marg to the shower but you are unsure about how safe she is on her feet and you realise that she has not had a falls risk screening/assessment completed. Other Documentation: Other medical history is: Hypertension Arthritis Osteoporosis Medications: Atenolol 100 mg daily Paracetamol 1gm QID Question 1 List normal and abnormal subjective and objective cues that you have collected for Marg.

Marg a 73-year-old lady was admitted to hospital overnight and placed into your care. She had a fall at home and was transferred by ambulance to hospital. You have just come on to the morning shift and received handover. Marg’s observatories have been within normal limits since being transferred to the unit- BP110/60, HR 78, O2 Sats: 98% and Resp: 18. Marg settled quickly and fell asleep at about 2400hrs. You would like to assist Marg to the shower but you are unsure about how safe she is on her feet and you realise that she has not had a falls risk screening/assessment completed. Other Documentation: Other medical history is: Hypertension Arthritis Osteoporosis Medications: Atenolol 100 mg daily Paracetamol 1gm QID Question 1 List normal and abnormal subjective and objective cues that you have collected for Marg.

Comprehensive Medical Terminology

4th Edition

ISBN:9781133478850

Author:Jones

Publisher:Jones

Chapter19: Child Health

Section: Chapter Questions

Problem K3CRE

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Marg a 73-year-old lady was admitted to hospital overnight and placed into your care. She had a fall at home and was transferred by ambulance to hospital. You have just come on to the morning shift and received handover. Marg’s observatories have been within normal limits since being transferred to the unit- BP110/60, HR 78, O2 Sats: 98% and Resp: 18. Marg settled quickly and fell asleep at about 2400hrs. You would like to assist Marg to the shower but you are unsure about how safe she is on her feet and you realise that she has not had a falls risk screening/assessment completed. Other Documentation: Other medical history is: Hypertension Arthritis Osteoporosis Medications: Atenolol 100 mg daily Paracetamol 1gm QID Question what are the three intervention and rationales to Marg situation?
Marg a 73-year-old lady was admitted to hospital overnight and placed into your care. She had a fall at home and was transferred by ambulance to hospital. You have just come on to the morning shift and received handover. Marg’s observatories have been within normal limits since being transferred to the unit- BP110/60, HR 78, O2 Sats: 98% and Resp: 18. Marg settled quickly and fell asleep at about 2400hrs. You would like to assist Marg to the shower but you are unsure about how safe she is on her feet and you realise that she has not had a falls risk screening/assessment completed. Other Documentation: Other medical history is: Hypertension Arthritis Osteoporosis Medications: Atenolol 100 mg daily Paracetamol 1gm QID What is Marg Nursing problemto be consider with Goals and Actions?
Do in a while 77. Discuss vital signs: temperature, pulse, respiration, and blood pressure. Discuss its definition, route/method, significance, normal values, and implication of abnormal values
Clinical Reasoning Scenerio: A 76-year-old man is admitted to the post anaesthesia care unit (PACU) following an arthroplasty of his right hip. He is complaining of pain and difficulty taking a deep breath. What resources would you use to identify the current safe practice guidelines for this older patient?
A 75-year-old woman is admitted to your unit for evaluation after being found in herapartment unconscious on the floor. She is now awake but moving slowly. Her vital signs arewithin normal limits. 1. In the hospital, it is unrealistic to expect to be able to spend an uninterrupted 30 to 60 minuteswith a single client performing an admission assessment. Which three system would have toppriority for her initial assessment? Discuss why. 2. While gathering relevant history data, what should you do if the client answers with simpleone-word answer or gestures? 3. Because the client may be in significant discomfort from her fall, it is not easy for her to moveabout for the examination. How might you organize your assessment to minimize here need tochange positions frequently? 4. If the client is unable to provide a detailed recent history, what other sources of these datacould you consider?
Which of these findings would cause the nurse to hold an oral metoprolol 25mg. A) Heart rate of 12 beats per mins B)Respiratory rate of 26 breaths per minutes C)Blood pressure of 92/44 mg (D) Oxygen saturation level of 95% on room air
S.P. is a 75-year-old woman who presents to the provider's office with fatigue. Subjective Data PMH: HTN, hyperlipidemia, MI 3 years ago Fatigue started about a month ago, getting worse Relieved with rest, exacerbated with activity Denies chest pain Ankles swollen Objective Data Vital signs: T 37 P 112 R 18 BP 110/54 Lungs: bilateral lower lobe crackles O2 Sat = 94% Skin = cool to touch CV = heart rate regular, positive peripheral pulses, ECG = no changes +2 edema bilateral ankles Medications: Metoprolol 20 mg per day, 325 mg of aspirin per day Questions What other questions should the nurse ask about the fatigue? What other assessments are necessary for this patient? What are some causes of fatigue? Develop a problems list from the objective and subjective data. What should be included in the plan of care? Based on the readings, what is the most likely cause of fatigue for this patient?
S.P. is a 75-year-old woman who presents to the provider's office with fatigue. Subjective Data PMH: HTN, hyperlipidemia, MI 3 years ago Fatigue started about a month ago, getting worse Relieved with rest, exacerbated with activity Denies chest pain Ankles swollen Objective Data Vital signs: T 37 P 112 R 18 BP 110/54 Lungs: bilateral lower lobe crackles O2 Sat = 94% Skin = cool to touch CV = heart rate regular, positive peripheral pulses, ECG = no changes +2 edema bilateral ankles Medications: Metoprolol 20 mg per day, 325 mg of aspirin per day 1. Develop a problems list from the objective and subjective data. What should be included in the plan of care? Based on the readings, what is the most likely cause of fatigue for this patient?
Physiological Systems and Regulation Assessment 2: scenario based assessment Instructions This is a ‘scenario problem’. Read the information and answer the questions. Your answers must be concise, focus on the question (an introduction isn’t needed), and include a short explanation. ANSWERS OF ESSAY LENGTH ARE NOT REQUIRED. You will need to include some explanation as part of your answers. References should be included both in text (Harvard referencing system) and as a reference list at the end. An exemplar based on last year’s scenario is available on Moodle to guide you on the level of detail expected for this assessment. Please note that these questions are not equally weighted, and it is likely that answers to some will be a bit longer than others. Because of this, your mark will be based on your overall response to all of the questions. This doesn’t mean you can ignore a question – you must attempt all questions. Consider the following scenario: A group of five treasure…
1. A previously healthy 25-year-old-woman comes to the emergency department because of a 3-day history of fever, chest pain, and rapidly progressive shortness of breath. Use of an over-the-counter cold medication has not relieved her symptoms. She has no history of serious illness and takes no other medications. Her temperature is 40oC (104o F), pulse is 128/min and regular, respirations are 28/min and blood pressure is 80/54 mm Hg. Physical examination shows jugular venous distention and weak pulses in all extremities. Auscultation of the chest shows diffuse crackles bilaterally, muffled heart sounds, and a soft S2 gallop. After 30 minutes she goes into ventricular fibrillation and cannot be resuscitated. At autopsy, the heart is diffusely pale and floppy with focal petechiae, all chambers are markedly dilated.Histologic examination of cardiac tissue shows a lymphocytic infiltrate and myocardial necrosis. Which of the following infectious agents is the most likely cause these…
Question 6 Which of the following is NOT warranted in planning care for a client admitted with hypernatremia? Question 6 options: observing for dry mucous membranes restricting fluids to 1,200 ml per day observing and preparing for possible seizures monitoring intake and output
A 45-year-old woman is brought to the emergency department 45 minutes after her husband found her unconscious on the floor. She is unresponsive to painful stimuli. Her temperature is 37°C (98.6'F), pulse is 115/min, respirations are 6/min and shallow, and blood pressure is 110/60 mm Hg. Physical examination shows no other abnormalities. Arterial blood gas analysis on room air shows: pH : 7.08 Pco2: 80mmHg Po2: 45 mm Hg Which of the following is the most likely cause of this patient's hypoxemia? A) Decreased alveolar ventilation B) Decreased dead space ventilation C) Increased diffusion defect D) Increased shunt E) Increased ventilation-perfusion mismatch