please help me with the clinical significance part
Homework Answers
Anxious and apprehensive facial expressions signifies that the patient is uncomfortable and is experiencing pain and uneasiness in some part of the body.
Pain : chest pain signifies angina which may occur due to impaired oxygen supply ti heart muscles
Edema in ankles might signify right sided heart failure that results in failure of right ventricle causing congestion of capillaries leading to pitting edema of lower legs.
Irregular heart sounds may signify increased intra cardiac pressure or valvular heart diseases.
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please help me with the clinical significance part
Your Initial nursing Assessment GENERAL APPEARANCE: up in...
Ht 4'11", Wt 100 Current Assessment: GENERAL APPEARANCE: RESP: CARDIAC: NEURO: GI: GU: SKIN: Breath sounds...
Ht 4'11", Wt 100 Current Assessment: GENERAL APPEARANCE: RESP: CARDIAC: NEURO: GI: GU: SKIN: Breath sounds clear and diminished in bases, short of breath. Tachycardia, regular rhythm, no edema Muscle tone generally weak Mucous membranes pale, tongue smooth/shiny, abdomen soft, non-tender, spleen palpable. Patient has not voided yet Pale, intact w/o erythema or ecchymosis RELEVANT Assessment Data: Clinical Significance:
Current Assessment: GENERAL APPEARANCE: Appears anxious, body tense, tired (dark circles under his eyes) RESP CARDIAC:...
Current Assessment: GENERAL APPEARANCE: Appears anxious, body tense, tired (dark circles under his eyes) RESP CARDIAC: NEURO: Breath sounds clear with equal aeration bilaterally, non-labored respiratory effort Pink, warm & dry, no edema, heart sounds regular with no abnormal beats, pulses strong, Alert & oriented to person, place, time, and situation (x4), flat affect, inability to fall asleep Abdomen softnon-tender, bowel sounds audible per auscultation in all four quadrants Voiding without diffic equal with palpation at radial/pedalpost-tibial landmarks only two...
FUNDAMENTAL Reasoning: STUDENT Cirrhosis I. Developing Nurse Thinking by Identifying Clinical Relevance/Significance History of Present Problem:...
FUNDAMENTAL Reasoning: STUDENT Cirrhosis I. Developing Nurse Thinking by Identifying Clinical Relevance/Significance History of Present Problem: John Richards is a 45-year-old male who presents to the emergency department (ED) with abdominal pain, and increasing nausea and vomiting the past 3 days that has not resolved. He is also feeling more fatigued and has had a poor appetite. He denies any ETOH intake the past week, but admits to episodic binge drinking on most weekends. John weighs 150 pounds and is...
II. Nurse Collected Clinical Data: Current VS: T: 100.5 (oral) P: 110 (regular WILDA Pain Assessment...
II. Nurse Collected Clinical Data: Current VS: T: 100.5 (oral) P: 110 (regular WILDA Pain Assessment (s" vs) Words: Intensity: 610 Location: RUQepigastric Duration: Continuous Ache BP: 12888 0 2 sat: 95% RA | Aggravate: Nothing Alleviate: Nothing Orthostatic BP's: Position: HR: BP: Standing What VS data is RELEVANT that must be recognized as clinically significant? 110 128/88 132 124/80 RELEVANT VS Data: Clinical Significance: Current Assessment: GENERAL Appears uncomfortable APPEARANCE: Breath sounds clear with equal acration bilaterally, nonlabored respiratory...
Head to toe assessment HOW TO WRITE: YOU ARE TO CREATE A PICTURE OF YOUR PATIENT General appearance: Affect/behaviour/...
Head to toe assessment HOW TO WRITE: YOU ARE TO CREATE A PICTURE OF YOUR PATIENT General appearance: Affect/behaviour/anxiety Level of hygiene Body position Patient mobility Speech pattern and articulation This is not a specific step. Evaluating the skin, hair, and nails is an ongoing element of a full body assessment as you work through steps 3-9. 2. Skin, hair, and nails: Inspect for lesions, bruising, and rashes. Palpate skin for temperature, moisture, and texture. Inspect for pressure areas. Inspect...
Post-op Pain Management: Day of Surgery (1/2) History of Present Problem: Sheila Dalton is a 52-ver-old...
Post-op Pain Management: Day of Surgery (1/2) History of Present Problem: Sheila Dalton is a 52-ver-old woman who has a history of chronic low back pain and COPD. She had a posterior spinal fusion of L4S1 today. She had an estimated blood loss (EBL) 675 ml during surgery and received 2500 mL of Lactated Ringers (LR) Paimis currently controlled at 2 10 and increases with movement. She was started on a hydromorphone patient-controlled analgesia (PCA) with IV bolus dose of...
please complete the entire case study pertaining to cirrhosis and nursing, thank you. 3 Cirrhosis John...
please complete the entire case study pertaining to cirrhosis
and nursing, thank you.
3 Cirrhosis John Richards, 45 years old Primary Concept Nutrition Interrelated Concepts (In order of emphasis) I. Fluid and Electrolyte Balance 2. Perfusion 3. Cognition 4. Addiction 5. Clinical Judgment 6. Patient Education 7. Communication 8.Collaboration O 2016 Keith Rischer/www.KeithRN.com UNFOLDING Reasoning Case Study: STUDENT History of Present Problem: John Richards is a 4S year-old male who Cirrhosis presents to the emergency department (ED) with abdominal pain...
il cricket 1:38 AM 0 * 47% History of Present Problem: Anthony Perkins is a 15-year-old...
il cricket 1:38 AM 0 * 47% History of Present Problem: Anthony Perkins is a 15-year-old African American male who was at a medically monitored summer camp and participated in several sports activities when the temperature was greater than 90 degrees. He began having pain in his knees and was evaluated by the camp nurse. After evaluation, he was transported to his primary care provider where he was then transferred as a direct admit to the pediatric floor of the...
SKINNY Reasoning Part I: Recognizing RELEVANT Clinical Data History of Present Problem: Marcus Jackson is a...
SKINNY Reasoning Part I: Recognizing RELEVANT Clinical Data History of Present Problem: Marcus Jackson is a 34-year-old African American male who served four combat tours of duty in Iraq and Afghanistan. He came to the Veterans Administration (VA) today for an outpatient appointment because he has not slept more than two hours a night for the past week. This is his fourth clinic visit over the past year with the same symptoms: inability to sleep, nightmares, increasing anxiety, and isolation....
SKINNY Reasoning Part I: Recognizing RELEVANT Clinical Data History of Present Problem: Marcus Ja...
SKINNY Reasoning Part I: Recognizing RELEVANT Clinical Data History of Present Problem: Marcus Jackson is a 34-year-old African American male who served four combat tours of duty in Iraq and Afghanistan. He came to the Veterans Administration (VA) today for an outpatient appointment because he has not slept more than two hours a night for the past week. This is his fourth clinic visit over the past year with the same symptoms: inability to sleep, nightmares, increasing anxiety, and isolation....
Ht 4'11", Wt 100 Current Assessment: GENERAL APPEARANCE: RESP: CARDIAC: NEURO: GI: GU: SKIN: Breath sounds clear and diminished in bases, short of breath. Tachycardia, regular rhythm, no edema Muscle tone generally weak Mucous membranes pale, tongue smooth/shiny, abdomen soft, non-tender, spleen palpable. Patient has not voided yet Pale, intact w/o erythema or ecchymosis RELEVANT Assessment Data: Clinical Significance:
Current Assessment: GENERAL APPEARANCE: Appears anxious, body tense, tired (dark circles under his eyes) RESP CARDIAC: NEURO: Breath sounds clear with equal aeration bilaterally, non-labored respiratory effort Pink, warm & dry, no edema, heart sounds regular with no abnormal beats, pulses strong, Alert & oriented to person, place, time, and situation (x4), flat affect, inability to fall asleep Abdomen softnon-tender, bowel sounds audible per auscultation in all four quadrants Voiding without diffic equal with palpation at radial/pedalpost-tibial landmarks only two...
FUNDAMENTAL Reasoning: STUDENT Cirrhosis I. Developing Nurse Thinking by Identifying Clinical Relevance/Significance History of Present Problem: John Richards is a 45-year-old male who presents to the emergency department (ED) with abdominal pain, and increasing nausea and vomiting the past 3 days that has not resolved. He is also feeling more fatigued and has had a poor appetite. He denies any ETOH intake the past week, but admits to episodic binge drinking on most weekends. John weighs 150 pounds and is...
II. Nurse Collected Clinical Data: Current VS: T: 100.5 (oral) P: 110 (regular WILDA Pain Assessment (s" vs) Words: Intensity: 610 Location: RUQepigastric Duration: Continuous Ache BP: 12888 0 2 sat: 95% RA | Aggravate: Nothing Alleviate: Nothing Orthostatic BP's: Position: HR: BP: Standing What VS data is RELEVANT that must be recognized as clinically significant? 110 128/88 132 124/80 RELEVANT VS Data: Clinical Significance: Current Assessment: GENERAL Appears uncomfortable APPEARANCE: Breath sounds clear with equal acration bilaterally, nonlabored respiratory...
Post-op Pain Management: Day of Surgery (1/2) History of Present Problem: Sheila Dalton is a 52-ver-old woman who has a history of chronic low back pain and COPD. She had a posterior spinal fusion of L4S1 today. She had an estimated blood loss (EBL) 675 ml during surgery and received 2500 mL of Lactated Ringers (LR) Paimis currently controlled at 2 10 and increases with movement. She was started on a hydromorphone patient-controlled analgesia (PCA) with IV bolus dose of...
please complete the entire case study pertaining to cirrhosis
and nursing, thank you.
3 Cirrhosis John Richards, 45 years old Primary Concept Nutrition Interrelated Concepts (In order of emphasis) I. Fluid and Electrolyte Balance 2. Perfusion 3. Cognition 4. Addiction 5. Clinical Judgment 6. Patient Education 7. Communication 8.Collaboration O 2016 Keith Rischer/www.KeithRN.com UNFOLDING Reasoning Case Study: STUDENT History of Present Problem: John Richards is a 4S year-old male who Cirrhosis presents to the emergency department (ED) with abdominal pain...
il cricket 1:38 AM 0 * 47% History of Present Problem: Anthony Perkins is a 15-year-old African American male who was at a medically monitored summer camp and participated in several sports activities when the temperature was greater than 90 degrees. He began having pain in his knees and was evaluated by the camp nurse. After evaluation, he was transported to his primary care provider where he was then transferred as a direct admit to the pediatric floor of the...
SKINNY Reasoning Part I: Recognizing RELEVANT Clinical Data History of Present Problem: Marcus Jackson is a 34-year-old African American male who served four combat tours of duty in Iraq and Afghanistan. He came to the Veterans Administration (VA) today for an outpatient appointment because he has not slept more than two hours a night for the past week. This is his fourth clinic visit over the past year with the same symptoms: inability to sleep, nightmares, increasing anxiety, and isolation....
SKINNY Reasoning Part I: Recognizing RELEVANT Clinical Data History of Present Problem: Marcus Jackson is a 34-year-old African American male who served four combat tours of duty in Iraq and Afghanistan. He came to the Veterans Administration (VA) today for an outpatient appointment because he has not slept more than two hours a night for the past week. This is his fourth clinic visit over the past year with the same symptoms: inability to sleep, nightmares, increasing anxiety, and isolation....
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