mrs. otto has recently undergone extensive surgery for gynecologic cancer. The day after surgery, she asks...
mrs. otto has recently undergone extensive surgery for gynecologic cancer. The day after surgery, she asks for more pain medication than the physician prescribed. You call for an order to increase the pain medication dosage, but she still complains every 2 hours that she cannot tolerate the pain. What should be done?
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mrs. otto has recently undergone extensive surgery for
gynecologic cancer. The day after surgery, she asks...
You are a physician making rounds on your patients when you arrive at Mrs. Buckman’s room. She’s an elderly lady in her...
You are a physician making rounds on your patients when you arrive at Mrs. Buckman’s room. She’s an elderly lady in her late 70s who recently had colon surgery. She is also the wife of a prominent physician at the hospital. She has been known to be somewhat confrontational with the nursing staff. However, today she states she was just given a shot of insulin to cover her elevated blood sugar and the amount of insulin did not seem to...
Case Study – Medication Error You are a physician making rounds on your patients when you...
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CASE 24 Medication Error Dale Buchbinder You are a physician making rounds on your patients when...
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Mrs. K.B. is age 64 and has been a patient of yours for many years. You...
Mrs. K.B. is age 64 and has been a patient of yours for many years. You are calling her today to tell her the results of her Pap test which was done last week during her routine annual checkup in your office. The test showed marked dysplasia of cervical cells but no sign of infection. Unfortunately, when you call, there is no answer. Since you saw Mrs. K.B. last week she has had gastritis with severe vomiting for 3 days....
On Monday, Carmen, a 35-year-old woman, complains to her physician of chest and arm pain. The...
On Monday, Carmen, a 35-year-old woman, complains to her physician of chest and arm pain. The pain started after Carmen worked hard in the backyard the previous Saturday, lifting and carrying plants, fertilizer, and concrete blocks. She says that had continued working despite arm pain that developed about midday. Carmen has no problem breathing, but she cannot raise her arms above her shoulders, and her shoulder and chest muscles are sore to the touch. On questioning, Carmen reports that her...
VS is a 53- year-old woman who has recently been diagnosed with inflammatory arthritis (IA). She...
VS is a 53- year-old woman who has recently been diagnosed with inflammatory arthritis (IA). She is currently complaining of constant swelling, stiffness, and pain, with occasional numbness and tingling in her hands, wrists, and elbows. She reports her pain as 8 (0=no pain; 10- greatest pain) and states that the morning pain is frequently unbearable, rating it as 9 or 10. Initial Assessment: B/P: 112/72 Height: 5’6” Weight: 170 lbs. BMI: 27.4 Marked edema, warmth, and tenderness is noted...
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On Monday, Carmen, a 35-year-old woman, complains to her physician of chest and arm pain. The...
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7. The nurse is implementing evidence-based practice. Which of the following is not a component of...
7. The nurse is implementing evidence-based practice. Which of the following is not a component of this process? Patient preference Clinical expertise Research evidence Leader practice 8. The nurse wants to reduce the stress level for a preoperative client. Which of the following communication techniques can the nurse use to achieve this result? Allow the client to be along before the surgery Observe and ask the client if there is anything that can be done to help reduce her anxiety...
S.S. is a 69 year old retired school teacher who is day 2 postoperative after an...
S.S. is a 69 year old retired school teacher who is day 2 postoperative after an open reduction internal rotation (ORIF) for a fracture of his right femur. He has been on bedrest since surgery. At 0800, his vital signs are 133/86, 80 and regular, 18 unlabored and 99 F, Spo2 98% on room air. He is awake, alert, and oriented x 3. Lungs sound clear bilaterally, and there are positive bowel sounds in all 4 quadrants. He has been...
Alice is a 24-year old female recently diagnosed with Systemic Lupus Erythematosus (SLE). She was recently married and is considering starting a family. When counseling her about the disease, you might include all of the following EXCEPT: SLE is very rare in women of childbearing age b. Symptoms may worsen with the use of oral contraceptives Symptoms may worsen during or after pregnancy d. There is a strong genetic component to the incidence of SLE Some patients with RA develop...
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