Nursing diagnosis Diagnosis' to be ranked: 1. Ineffective airway clearance r/t failure in coughing out phlegm aeb difficulty in breathing and respiratory rate of 9 breaths/min 2. Impaired physical mobility r/t pain on the affected leg aeb slow pacing, facial grimace, and guarding behavior. 3. Risk for infection aeb failure to receive the recommended vaccination
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- Case study 1. Present a treatment or solution to address such case through the guiding questions after the case.Case 1 Hello, I am doing a concept map about sepsis but I would like to understand a littler better this topic. I have a case and I would like to identify the cues. Can you help me please? Assessment (Recognizing Cues): Which client information is relevant? What client data is most important? Which client information is of immediate concern? Consider signs and symptoms, lab work, client statements, H & P, and others. Consider subjective and objective data. Case: A 77-year-old man is admitted to the intensive care unit (ICU) of a university hospital from the operating room. Earlier the same day, he had presented to the emergency department with abdominal pain. His medical history included treated hypertension and hypercholesterolemia, previous heavy alcohol intake, and mild cognitive impairment. In the emergency department, he was drowsy and confused when roused and was peripherally cold with cyanosis. The systemic arterial blood pressure was 75/50 mm Hg, and the heart rate was 125…FORM ADPIE FROM THE FF SITUATION; (ASSESSMENT, DIAGNOSIS, PLANNING, INTERVENTION, EVALUATION) based on the ff situation: MAIN DRUG: Erythromycin Age: 7 Sex: F Educational status: N/A Occupation: Pupil Weight and BMI: 23 KGS/NORMAL Blood pressure: 80/40 Heart rate: 90 Respiratory rate: 20 Temperature: 36.2 Diagnosis: Conjunctivitis, Left eye Chief complaint: Red eyes, discharges in eyes Prescription: Erythromycin 2% ointment in lower conjunctiva
- Among the 12 Patients' Bill of Rights, give 2 and explain briefly, give examplesNursing Care Plan Diagnosis Goal Intervention Rationale Evaluation Activity intolerance isassociated withreduced hemoglobin,as seen by weaknessand exhaustion as aresult of fatigue. Subjective:She would complain offatigability, giddiness,blurring of visionwhich is relieved uponrest.Objective:Hemoglobin: 100 g/LA female or male client has been receiving the antibiotics gentamicin sulfate, IV piggy back q 12hrs for several days. Which observation by the nurse indicates that the client may be experiencing an adverse effect of gentamicin A. White blood cell count of 6,000 B. Decreased blood urea nitrogen C. Reports of photophobia D. Hearing has decreased
- 4:24 al a @ ord-4.pearsonvue.com d © Time Remaining 00:14:25 113 of 125 B Calculator The nurse has taught a client with active pulmonary tuberculosis (TB). Which of the following statements by the client would indicate a correct understanding of the teaching? Select all that apply. 図1 回2 3. 4. 05. 6. "I should expectorate secretions into a disposable tissue and dispose of the tissue in a plastic bag. "will keep my dishes and eating utensils separate from those of other family members. "I should have a TB skin test again in 6 months." "I will receive prescribed medication for at least 6 months." "I should take the TB medication as long as the symptoms occur." "I will limit my daily activities until I am no longer feeling so tired.3. A client is undergoing treatment for chronic obstructive pulmonary disease (COPD) at a healthcare facility. He has acquired pneumonia and has increased cough and sputum production and intense dyspnea. Pleural effusion is detected in the lungs. The healthcare provider orders a thoracentesis be performed on the client. What points should a nurse keep in mind before and after a thoracentesis is performed on a client?Category: Reduction of Risk Potential A 42-year-old patient with no significant medical history presents to the clinic with a recent positive Mantoux tuberculin skin test. The patient reports a productive cough and night sweats that have persisted for the past three weeks. The nurse understands that a chest X-ray has been ordered. The nurse considers that this diagnostic test is most crucial for which of the following reasons? A. To confirm the presence of active pulmonary tuberculosis. B. To determine if there is a need for a repeat Mantoux test due to potential false-positive results. C. To assess the size and spread of any lesions within the lung tissue. D. To differentiate between a primary TB infection or a reactivation of a latent TB infection.
- 6_.Suppose You are caring for a client who has been diagonsed with appendicitis . The nurse in charge asked you to assist in the preparaton of this client for surgery in the next four (4) hours. 1. Outline ten (10) of your nursing care management with rationale for this client. 2. The client returns from theater after having appendectomy done. Outline seven (7) immediate post-operative intervention for this client.?What are the SIDE EFFECT/ADVERSE EFFECT of the erythromycin drug? please take note of the low blood pressure of the patient. based on the ff situation: DRUG: Erythromycin Age: 7 Sex: F Educational status: N/A Occupation: Pupil Weight and BMI: 23 KGS/NORMAL Blood pressure: 80/40 Heart rate: 90 Respiratory rate: 20 Temperature: 36.2 Diagnosis: Conjunctivitis, Left eye Chief complaint: Red eyes, discharges in eyes Prescription: Erythromycin 2% ointment in lower conjunctivaPlease answer 1. Scene Size-up consists of all EXCEPT a. ) determining MOI b. ) considering additional resources c. ) determining level of responsiveness d. ) Using PPE / standard precautions 2. Normal Respiratory Rate in Adult Patient: a. ) 5-10 b. ) 12-20 c. ) 15-30 d. ) 20-30 3. The best indicator of a patient's brain function is: a. ) mental status b. ) papillary response c. ) pulse d. ) respiratory rate and depth 4. A patient does not respond to your questioning, but flinches and cries out when you pinch her trapezius muscle. This patient is said to be: a. ) Alert and Oriented x 4 b. ) Unresponsive c. ) Responsive to painful stimuli d. ) Responsive to verbal stimuli 5. What is the MOST effective method of assessing the quality of air movement in the lungs? a. ) Auscultating breath sounds with a stethoscope b. ) Looking for accessory muscle use c. ) Applying a pulse oximeter d. ) Checking for cyanosis 6. Which of these is the MOST…