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- The nurse on shift is caring for a 66 year old male patient who was brought in to the urgent care center by his partner with new onset nausea, vomiting, and confusion. Th nurse notes the following upon assessment History of DM, hypertension, chronic kidney disease (CKD) Reports of decreased urinary output over "past few days." Reports "feeling drowsy and tired." Noted pitting edema to lower extremities. Vitals: T97.3(oral), P86 regular, R20, BP178/95, SPO293% on room air Labs - BUN72, creat7.8, K6.1 Questions: 1. What signs and symptoms are of concern in this patient's presentation? 2. What could these be telling you is happening to the patient? 3. Of the concerning symptoms, which of these is a priority? Please explain your answer. 4. What can we do to stabilize this patient? Why?The nurse is reviewing factors that influence pharmacokinetics in the neonatal patient. Which factor puts the neonatal patient at risk with regard to drug therapy? a )Immature renal system b )Hyperperistalsis in the GI tract c) Irregular temperature regulation d )Smaller circulatory capacityThe nurse is caring for a 40-year-old client who is 2 hours postoperative following an appendectomy. The client received general anesthesia for the procedure and has opioid pain medications prescribed. The client’s vital signs are Temp 97.2°F, HR 105, RR 24 and BP 110/50. The client has had only 30 mL urine output since arriving to the postoperative area. The client is arousable and slow to respond to commands, but has become slightly restless, shifting in the bed frequently. The client states that they “hurt” and asks for something to drink. The last dose of IV pain medication was given to the client just before leaving the surgical suite. Discuss three key pieces of assessment data and why you feel they are important. Discuss nursing interventions you would implement in caring for this client.
- Postoperative nursing care for a client after an appendectomy should include which of the following interventions Noting the first bowel movement after surgery Measuring abdominal girth every 2 hours Administering sitz bath three times a day Limiting the client’s activity to bathroom privileges A client who had an appendectomy for a perforated appendix returns from surgery with a drain inserted in the incisional site. The nurse understands that the purpose of the drain is to accomplish which of the following? Provide access for wound irrigation Minimize development of scar tissue Decrease postoperative discomfort Promote drainage of wound exudates Which of the following symptoms would a client in the early stages of peritonitis exhibit? Abdominal distention Right upper quadrant pain Abdominal pain and rigidity Decreased bowel sounds A client is diagnosed with ulcerative colitis. When assessing this client, which sign/symptom would the nurse expect to find? Hard, rigid…Identify three nursing interventions with associated rationale for the concern listed above. You and your fellow nursing assistant are completing ADLs for a dependent patient. You have given a bed bath and changed the occupied bed, and it is now time to reposition a dependent patient.Discuss the nursing implications for caring for a patient undergoing continuous renal replacement therapy (CRRT).
- Draw a nursing care plan for a patient under the following conditions: 1.patient observed having overgrown finger nails. 2.patient complains he is not able to eat due to above right amputation. 3. Patient complains he is not able to sleep. 4. Patient have not bathed due to weakness.Q. The nurse is completing the admission assessment for a patientscheduled 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. 1. How does aging affect drug absorption, metabolism, distribution, and excretion? Explain.?IDENTIFY WHAT KIND OF INTERVENTIONS ARE BELOW. WITH EXPLANATION PLEASE. (INDEPENDENT, DEPENDENT, COLLABORATIVE) 1.The nurse will educate the patient about the need of taking zinc, omega-3 fatty acids, and iron supplements that need to be taken to overcome the unbalanced diet and encourage the patient to meet a nutritionist or a dietician and plan an individualized diet plan and exercise plan for an improved healthy lifestyle. 2. The nurse will stabilize the diet pattern of the patient to meet the nutritional requirements and help the patient to choose food which is rich in nutrition like grains such as quinoa, barley, vegetables such as green leafy vegetables, broccoli, and fruits such as apple, orange, protein such as tofu, dairy products so, it will reduce patient confusion about diet. 3. The nurse will assess the patient regarding her understanding of the nutritional principles and the psychological factor associated with increased weight 4. The nurse…
- List all the nursing diagnosis for a bedridden patient Note: include what each nursing diagnosis is related to and evidenced by from and include short term and long term goalsPart of the Dietary Reference Intakes is the Tolerable Upper Intake Level (UL). Which of the following would be the correct explanation for the nurse to provide the client regarding these amounts? The UL is the highest level of daily nutrient intake that is likely to pose no risk of adverse health effects The UL is the recommended level of intake for that nutrient The UL is the estimated amount of nutrient that will meet the needs of 90% of a given population The UL is the nutrient intake amount determined to be most beneficial for preventing chronic diseaseWhich of the following should the nurse interpret as an indication of a complication after the first few days of TPN therapy? Question 77 options: a) Elevated temperature b) Elevated HbA1c c) Decreased appetite d) A 0.45-0.9 kg weight gain