Patient Data Nurses' Notes 1600 A 78-year-old frail man is admitted to a long-term care facility. Client has a history of dementia and cerebrovascular accident with left-sided paralysis. The client has limited movement on the right side, is unable to move independently, and is bedridden. Client needs assistance with all activities of daily living. Client is confused as to person, place, time, and situation. Skin is warm and dry. Client has intact skin on coccyx and heel areas. Vital signs: temperature 97.3°F (36.3°C), pulse 95 beats/minute and irregular, respirations 22 breaths/minute and regular, blood pressure 112/68 mmHg, and oxygen oximetry on room air 95%. Client has a do-not-resuscitate (DNR) order. The nurse reviews nurses' notes to prepare the individualized plan of care. Complete the diagram by dragging from the choices area to specify which musculoskeletal condition the client i most likely to experience, two actions the nurse should take to address that condition, and two parameters the nurse should monitor to assess the client's progress. = Actions to Take Actions to Take Actions to Take Perform active range of motion on left side Provide hand rolls and ankle- foot splints E Reposition client every 2 hours. Move extremities on right side quickly and smoothly Promote negative nitrogen balance Muscle hypertrophy Potential Conditions E Arthritis Contractures E Convulsions Parameters to Monitor Parameters to Monitor Parameters to Monitor Ease of joint movement E Number of seizures Body alignment Client identification of surroundings Distance client ambulated unassisted

Essentials Health Info Management Principles/Practices
4th Edition
ISBN:9780357191651
Author:Bowie
Publisher:Bowie
Chapter8: Indexes, Registers, And Health Data Collection
Section: Chapter Questions
Problem 6CR
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Chrome
← → CO
File
Patient Data
Edit View History Bookmarks Profiles Tab Window
E Assessment X
Sherpath As XQ Sherpath Ex. X E Sherpath - X
puma-authess.elsevier.com/felt/library/motion/Funds_Mobility
Mi contenido | Mic... Citation Machine®...
Mometrix Login ...
Nurses' Notes
Dashboard
1600
A 78-year-old frail man is admitted to a long-term care facility. Client has a
history of dementia and cerebrovascular accident with left-sided paralysis. The
client has limited movement on the right side, is unable to move independently,
and is bedridden. Client needs assistance with all activities of daily living. Client is
confused as to person, place, time, and situation. Skin is warm and dry. Client has
intact skin on coccyx and heel areas. Vital signs: temperature 97.3°F (36.3°C),
pulse 95 beats/minute and irregular, respirations 22 breaths/minute and regular,
blood pressure 112/68 mmHg, and oxygen oximetry on room air 95%. Client has
a do-not-resuscitate (DNR) order.
900
6,668
Confident
JUN
→1
4
B
Help
Paraphrasing Tool.... E Student Assignme...
W
E
G 1600 a 78 ye x C A 78-year-ol x (10) GRAND X Traductor de X
☆
America/Denver:... G Demo document -...
Actions to Take
Actions to Take
Actions to Take
Perform active range of motion
on left side
Provide hand rolls and ankle-
foot splints
Reposition client every 2 hours
Move extremities on right side
quickly and smoothly
-
Promote negative nitrogen
balance
The nurse reviews nurses' notes to prepare the individualized plan of care.
Complete the diagram by dragging from the choices area to specify which musculoskeletal condition the client is
most likely to experience, two actions the nurse should take to address that condition, and two parameters the
nurse should monitor to assess the client's progress.
= Muscle hypertrophy
Potential Conditions
= Arthritis
US
E Contractures
E Convulsions
3D
Not Sure
zoom
G Which types X
Sun Jun 4
| +
Error U
Parameters to Monitor
E Number of seizures
Parameters to Monitor
Parameters to Monitor
= Ease of joint movement
00
Other
Body alignment
Client identification of
surroundings
Distance client ambulated
unassisted
||
Transcribed Image Text:Chrome ← → CO File Patient Data Edit View History Bookmarks Profiles Tab Window E Assessment X Sherpath As XQ Sherpath Ex. X E Sherpath - X puma-authess.elsevier.com/felt/library/motion/Funds_Mobility Mi contenido | Mic... Citation Machine®... Mometrix Login ... Nurses' Notes Dashboard 1600 A 78-year-old frail man is admitted to a long-term care facility. Client has a history of dementia and cerebrovascular accident with left-sided paralysis. The client has limited movement on the right side, is unable to move independently, and is bedridden. Client needs assistance with all activities of daily living. Client is confused as to person, place, time, and situation. Skin is warm and dry. Client has intact skin on coccyx and heel areas. Vital signs: temperature 97.3°F (36.3°C), pulse 95 beats/minute and irregular, respirations 22 breaths/minute and regular, blood pressure 112/68 mmHg, and oxygen oximetry on room air 95%. Client has a do-not-resuscitate (DNR) order. 900 6,668 Confident JUN →1 4 B Help Paraphrasing Tool.... E Student Assignme... W E G 1600 a 78 ye x C A 78-year-ol x (10) GRAND X Traductor de X ☆ America/Denver:... G Demo document -... Actions to Take Actions to Take Actions to Take Perform active range of motion on left side Provide hand rolls and ankle- foot splints Reposition client every 2 hours Move extremities on right side quickly and smoothly - Promote negative nitrogen balance The nurse reviews nurses' notes to prepare the individualized plan of care. Complete the diagram by dragging from the choices area to specify which musculoskeletal condition the client is most likely to experience, two actions the nurse should take to address that condition, and two parameters the nurse should monitor to assess the client's progress. = Muscle hypertrophy Potential Conditions = Arthritis US E Contractures E Convulsions 3D Not Sure zoom G Which types X Sun Jun 4 | + Error U Parameters to Monitor E Number of seizures Parameters to Monitor Parameters to Monitor = Ease of joint movement 00 Other Body alignment Client identification of surroundings Distance client ambulated unassisted ||
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