Upon 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?
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- 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?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 airA Male patient Y who is 40 years old and weighs 60 kg is admitted in the ICU with history of being involved in a motor vehicle accident, he sustained the following injuries;• Spinal injury• Head injury• Multiple fractures• Rib fracturesThe patient is intubated, mechanically ventilated and connected to the multiparameter monitor, chest drains are in situ and draining, intracranial pressure is monitored. No operation has been done because the patient is hemodynamically unstable.The following results and readings are available;ABG’s PH 7. 21 PaCO2 54 mmHg PaO2 60 mmHg HCO3 24 mmol/L SaO2 90% BE 0Vital signs HR 140 bpm BP 80/50 mmHg RR 25bpm ICP 10 mmHgVentilator settings Mode V-SIMV RR 16bpm FiO2 50% Vti 360 ml PEEP 5 cmH2O I:E Ratio 1:2 PPEAK 50 cmH2O1. Evaluate the arterial blood gas and rationalize
- Mrs. Jones is a 68 yr old woman, alert and oriented, presents to the ED with complaints of chest tightness, shortness of breath and congested cough. States she has been taking cough medicine but has gotten no better.On examination, vital signs are BP 112/72, pulse is 96, respiratory rate 28 and temp of 102.5 F. Oxygen saturation is 92%.What other assessment data would be useful to help understand Mrs. Jones symptoms?Discuss what factors might place patient for risk for pneumoniaA 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 shockA 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 bpm
- A 65-year-old male patient, Mr. Thompson, has been admitted to the medical-surgical floor with a diagnosis of congestive heart failure (CHF). He has a history of hypertension and type 2 diabetes mellitus. Upon admission, Mr. Thompson reports shortness of breath, fatigue, and swelling in his legs and feet. His vital signs are as follows: blood pressure 160/90 mmHg, pulse 102 bpm, respiratory rate 22 breaths/min, and oxygen saturation 92% on room air.As his nurse, you are responsible for performing a comprehensive assessment and initiating appropriate interventions based on your findings.Describe the initial nursing assessment you would perform for Mr. Thompson, detailing the specific aspects you would focus on given his diagnosis and symptoms.A patient with sharp chest pain has observations: Respiratory rate 24, spo2 93, heart rate 115 blood pressure 100/60, what should be the nursing and pharmacological interventions and considerations needed to be done? as well as what assessments should be performed?A patient with chronic obstructive pulmonary disease (COPD) is experiencing an acute exacerbation. Which medication should the nurse anticipate administering? a) Bronchodilators b) Diuretics c) Angiotensin-converting enzyme inhibitors d) Calcium channel blockers
- The first priority of providing CPR or first aid is which: a) Control any bleeding immediately with a clean dressing b) Ensure that there are no immediate hazards/dangers to the rescuer before approaching the patient c) Ensure that EMS ( ambulance ) has been called d) Ensure the patient has an open airway , is breathing, and has signs of circulation.Scenario: 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.
