Chapter 1, Problem 2CS

Case Study: A 25-year-old female Marine patient who is 32 weeks pregnant is admitted to your ED with full-blown eclampsia. She is unconscious and there is no family or significant others nearby to ask for consent to treat her. You know, having worked on the OB floor in the past, that the only solution for eclampsia is to deliver the baby when other interventions have failed. The OB on-call is not answering pages and the ED physician has not attempted to get a consultation with another OB physician. Describe how you will proceed in advocating for this patient?

Category: Reduction of Risk Potential A 57-year-old patient with a recent history of severe left leg pain and diagnosed with acute arterial occlusion is postoperative following an emergency embolectomy. Six hours after the procedure, the nurse is unable to detect pulses in the patient’s left foot using a Doppler ultrasound. The nurse informs the surgical team of the potential need for further intervention. When discussing the situation with the patient, who expresses a desire to refuse any additional surgical procedures, what should the nurse prioritize as the initial response? A. Explain the risks of not having the surgery B. Notifying the physician immediately C. Notifying the nursing supervisor D. Recording the client’s refusal in the nurses’ notes

Case study Analysis:          The nurse is completing the admission assessment for a patient scheduled for cataract surgery in the outpatient center. Having cataract can be common during old age. Because the patient is over the age of 70 and has several chronic conditions, including hypertension and congestive heart failure, the nurse focuses on completing a thorough medication history.   What questions should the nurse include in the medication history? Discuss.      2. How does aging affect drug absorption, metabolism, distribution, and excretion? Explain.