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- 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 airScenario: Emily Campbell is a 48 year old female, she came to the Emergency Department with chest pain and some shortness of breath. She was conscious and ambulatory, and was accompanied by her 19 year old daugter. Presenting complaint: "Nurse, I just don't feel quite right. I've had pain on my chest and I've been feeling breathless." Question(s): 1.) What type of health history should the nurse be taking for Ms. Campbell? Elaborate why. 2.) What three vital questions do you need to ask in order to explore Ms. Campbell's symptoms? Explain the significance of each. 3.) Which part of the history assesment tool should you give focus on with regards to Ms. Campbell's case? Give at least 3 and explain.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?
- A nurse is assessing the vital signs of patients who presentedat the emergency department. Based on the knowledge ofage-related variations in normal vital signs, which patientswould the nurse document as having a normal vital sign?Select all that apply.a. A 4-month old infant whose temperature is 38.1°C(100.5°F)b. A 3-year old whose blood pressure is 118/80c. A 9-year old whose temperature is 39°C (102.2°F)d. An adolescent whose pulse rate is 70 bpme. An adult whose respiratory rate is 20 bpmf. A 72-year old whose pulse rate is 42 bpmYou take the vital signs for a client who does not appear to be in any distress and denies complaints of pain or shortness of breath. His oxygen saturation is 87% on room air. You see in his previously charted vitals that the saturation was 86%. You have two other clients who have requested your attention, including one who has been waiting for a shower. What will you do nextUpon the physical examination his body temperature is 39.6 degrees Celsuis,blood pressure is 95/70 mmHg,pulse rate is 75 beats/min regular and his respiratory rate is 18 breaths/min.What would be the rationale and interventions to the patient of his case scenario?
- The nurse is preparing to assess a client's vital signs. Which vital sign should the nurse assess first?A. TemperatureB. PulseC. RespirationD. Blood pressure Why Temperature is the correct answer? Why not Pulss, Respiration or Blood Pressure?Scenario Description: Juan Ferguson 50-year-old man with long-term emphysema who has become dyspneic and has been brought to the Emergency Department by paramedics and now is admitted to your floor for admission. He arrives alert and anxious, wheezing and still dyspneic. An IV has been started. Oxygen is started. What is my client’s primary and possible secondary diagnosis? What signs and symptoms would I expect to see with primary and secondary diagnosis? What do I need to assess? What is my top three priority assessments for this client? (Airway, breathing, circulation) What is my focused assessment for this patient and any nursing interventions I may need? What are the signs/symptoms that my client may exhibit if their condition is worsening? Give one or two reasons you would want to contact the healthcare provider?Upon the physical examination,his body temperature is 39.6 degrees Celsius,blood pressure is 95/70 mmHg,pulse rate is 75 beats/min and regular and his respiratory rate is 18 breaths/min.What is the inference of this case scenario of the patient?
- A client is diagnosed with polycythemia vera and has a hemoglobin of 19g/dL. Which of thefollowing statement indicate the client understand the teaching provided?a. “I should keep my lower extremities in a dependent position.”b. “I should limit my fluid intake to 1-2 liters per day.“c. “I should wear constrictive clothing and support stockings.”d. “I should use an electrical razor and soft bristled toothbrush.A client in the intensive care unit has a blood pressure of 87/39 mmHg with a bounding pulse and has warm, flushed skin accompanied by a sudden decline in level of consciousness. The client also has arterial and venous dilation and a decrease in systemic vascular resistance. Their body temperature is 39°C. What is the client's most likely diagnosis? Question 10 options: a) Septic shock b) Obstructive shock c) Neurogenic shock d) Hypovolemic shockSCENARIO: Aubrey, 19 years old, an incoming college freshman student went to Ateneo De Manila Health Services for physical examination. The nurse gathered the following information: Height: 5 ft Weight: 48 kg Vital signs: Temp 37.2C, Pulse rate: 95 beats per minute, Respiration rate: 12 breaths per minute, and BP: 100/70mmHg. Family History of illness: Father (+) Hypertension (HPN), and Diabetes Mellitus (DM) Present Health History: Aubrey never experienced to get hospitalized as far as she can remember. Her mother ensures that she takes daily supplemental vitamins such as vitamin C and B complex, and every year she gets flu vaccine from their family doctor. During the interview with the nurse, Aubrey mentioned that she has no known allergies. She said “I don’t think I have any problems with my health. I am lacto-ovo vegetarian. Most of the time I hang out with my friends for a tea or coffee. Although I think everything’s okay, I still would like to be active, and do activities that…