Question

NOTE: Please Answer Question 1-10

Nursing Care Plan 7-1: The Patient with an Infection

1. Mr. R. has a peripheral IV infusing and reports discomfort at the site of insertion. What should the nurse do?

Nursing Care Plan 8-1: The Patient with Activity Intolerance

2. The nurse is in the process of transferring Mr. D. from his bed to a chair using a mechanical lift. The nurse has prepared the chair and placed it near the bed. The nurse turns Mr. D. to his side, places the sling under Mr. D. to ensure adequate support of his head, returns Mr. D. to his back, and slowly begins to lift Mr. D. from his bed. What has the nurse forgotten to do, and why is it important?

Nursing Care Plan 9-1: The Patient Needing Skin Care

3. Mr. P. has a poor appetite and his chemistry profile reveals low protein, low albumin, and a low anion gap (A/G) ratio. Explain why poor nutrition predisposes the patient to impairment of skin integrity and poor tissue healing.

Nursing Care Plan 15-1: Specimen Collection or Diagnostic Examination

4. A male patient has been very quiet during his morning care. When you attempt a conversation, he is obviously not interested. What is a way the nurse might initiate a conversation to encourage him to relate his concerns regarding his upcoming bronchoscopy?

Nursing Care Plan 17-1: The Patient Using Complementary and Alternative Therapies

5. Ms. L. complains of feeling fatigued and tense. List some nonpharmacologic methods of bringing about a state of physical and mental tranquility that may be helpful. Why might each of these methods be helpful for Ms. L.?

Nursing Care Plan 24-1: The Patient Experiencing Complicated Grieving (Unresolved Grief)

6. Ms. S. is admitted to the medical unit for severe weakness, weight loss, and chronic depression. She is reluctant to get out of bed to dress and have meals. How could the nurse facilitate progression through the grieving process?

Nursing Care Plan 25-1: The Patient with a Normal Pregnancy

7. How should the nurse respond to Ms. P. if she expresses concern about her dietary practices and their effect on her baby? What suggestions can the nurse give her to ensure that her diet is adequate to support the pregnancy?

Nursing Care Plan 26-1: The Patient with Spontaneous Rupture of Membranes

8. Ms. G.’s labor is progressing normally with continuous monitoring. Suddenly the fetal heart rate drops to 90 bpm with late decelerations with each contraction. What should the nurse do now? Explain the reason for these actions.

Nursing Care Plan 31-1: The Child with a Congenital Heart Disease

9. The nurse enters Baby D.’s room and notices her mother sitting at her bedside crying. She states, “I don’t know how I will deal with her having heart surgery.” What would be an appropriate initial response to Ms. B.?

Nursing Care Plan 34-1: The Patient with Depression

10. Mr. W. is admitted to the psychiatric unit and placed on suicidal precautions. Mr. W. sits stoically staring out the window and does not respond to the nurse’s greeting. What safety interventions should the team incorporate into Mr. W.’s care while in suicide precautions?

Answer 1

7) Nursing care plan :-

Nursing diagnosis - risk for infection related to peripheral line.

Nursing interventions - Assess the IV site for redness , inflammation , check the temperature ,any drainage etc .

- use of aseptic technique while providing care to the patient during administration of medications ,IV fluids etc

- hand washing before and after administration of medications and injection

- changing the dressing every 72 hours

- keeping the area dry and clean

- if the patient has discomfort in the peripheral line ,check the line for any emboli or clot etc, discontinue the fluids and medicine and use a new line .

- flush the peripheral line before and after administration of medication.

8. The most important thing the nurses missed is assessing the comfort of the patient in the sling because if he is not comfortable then there are higher chances of getting injured during shifting .

9. Nutrition affects skin integrity because the vital nutrients like :-

Protein helps to maintain the skin , repair minor defects , and preserve intravascular volume.

Vitamins C/ zinc / copper helps in the formation of collagen .

Hydration is very important to maintain turgor . Dehydration leads to poor turgor .

So, if we don't take a balanced diet it will affect our skin integrity and cause impairment like pressure sores etc .

15. The nurse should use a therapeutic relationship with the patient and should encourage the patient to express his concerns , anxiety etc . Also the nurse should explain in detail about the procedure including preparation ,side effects , complications etc in a language which is understood by the patient and then take the informed consent .