Tonya is planning to return to Mr. Lawson's room and spend more time discussing his concerns about going home and what to expect. She knows that Mrs. Lawson usually comes to visit around 11 AM, just before lunchtime. Tonya believes that Mrs. Lawson will be an important source of support in providing Mr. Lawson's ongoing home care. The surgeon has ordered directions for wound care and standard activity restrictions.
1. Tonya goes to Mr. Lawson's room and asks the patient, “What concerns do you and your wife have about cleaning the wound?” Which type of assessment question is this and why has Tonya asked it?
2. Tonya and Mr. Lawson have the following interaction:
Tonya: Mr. Lawson, What do you understand about the reason for the activity restrictions your doctor ordered?
Mr. Lawson: I think it will prevent me from not hurting myself.Tonya: Uh huh … go on
Mr. Lawson: I think the doctor said I could pull my stitches.
Tonya's phrase “uh huh … go on” is an example of which interviewing technique? Explain why it is useful.
3. Tonya returns to Mr. Lawson's room to discuss his discharge instructions, but she notes as she enters the room that the patient is grimacing. She asks him, “Tell me where the pain is.” Mr. Lawson is asked to rate the pain on a scale of 0 to 10 and rates it a 6. Tonya looks at the patient's surgical wound and notes that the area of separation is still inflamed. Match the assessment technique on the left with the type of measurement on the right.
|
1. Patient rates pain 6 on a 0 to 10 scale. |
___ A. Determining location of a symptom |
|
2. Tell me where the pain is. |
___ B. Observation |
|
3. Patient is seen grimacing. |
___ C. Inspection |
|
4. Nurse looks at condition of wound. |
___ D. Determining severity of a symptom |
1. Answer.
There are two type of assessment
A) Subjective data
B) Objective data
It is subjective assessment,in this we asked patient
what he is feeling,
How much pain he has,
What concern he is having related to disease condition,
How much kwnoledge patient has regarding his disease condition,
What questions are arising in patient mind related to his disease condition.
Etc ....
In this question the type of assessment is Subjective type as Tonya has asked mr. Lawson's regarding his concern related to the wound care , as he is getting discharged it is important for Tonya to make them clear how they have to clean the wound at home, if wound will not be cared according to the guidelines then there are possibilities of getting infection and delayed wound healing.
2 . Answer.
Tonya's phrase " uh- huh " is the intervention comes under pain management, as patient had undergone a surgical procedure and stitches are there at the wound site, if patient will not restrict activity with stitches there are absolute chances that stitches will come out and can cause pain at the surgical site, to prevent Mr. Lawson from such emergencies it is important for Tonya to explain why he is told to restrict activities with stitches .
3. Answer.
Match the following.
1. Patient rates pain 6 on a 0 to 10 scale-----------
Determining Severity of symptoms.
2. Tell me where the pain is ----------------
Determining location of a symptoms.
3. Patient is seen grimacing --------------------
Observation.
4.Nurse looks at condition of wound ------------------
Inspection.
Tonya is planning to return to Mr. Lawson's room and spend more time discussing his concerns...
Tonya returns to Mr. Lawson's room to discuss his discharge instructions, but she notes as she enters the room that the patient is grimacing. She asks him, “Tell me where the pain is.” Mr. Lawson is asked to rate the pain on a scale of 0 to 10 and rates it a 6. Tonya looks at the patient's surgical wound and notes that the area of separation is still inflamed. Match the assessment technique on the left with the type...
UNIT-3-Clinical Practice Preparing for Clinical Practice Critical Thinking in Nursing Practice Medical treatment stabilized Mr. Lawson's condition. He had a pulmonary embolus, but he is now on anticoagulants, medications that will reduce likelihood of more clot formation. Knowing that Mr. Lawson is on anticoagulants and has had recent surgery and the processes of normal wound healing (see Chapter 48 (Links to an external site.) Links to an external site. ), Tonya believes that the patient is at risk for bleeding...
UNIT-3-Clinical Practice Preparing for Clinical Practice Critical Thinking in Nursing Practice Medical treatment stabilized Mr. Lawson's condition. He had a pulmonary embolus, but he is now on anticoagulants, medications that will reduce likelihood of more clot formation. Knowing that Mr. Lawson is on anticoagulants and has had recent surgery and the processes of normal wound healing (see Chapter 48 (Links to an external site.)Links to an external site.), Tonya believes that the patient is at risk for bleeding from his...
Medical treatment stabilized Mr. Lawson's condition. He had a pulmonary embolus, but he is now on anticoagulants, medications that will reduce likelihood of more clot formation. Knowing that Mr. Lawson is on anticoagulants and has had recent surgery and the processes of normal wound healing (see Chapter 48 (Links to an external site.)Links to an external site.), Tonya believes that the patient is at risk for bleeding from his surgical wound. She acts by increasing assessments of the wound and...
Critical Thinking in Nursing Practice Medical treatment stabilized Mr. Lawson's condition. He had a pulmonary embolus, but he is now on anticoagulants, medications that will reduce likelihood of more clot formation. Knowing that Mr. Lawson is on anticoagulants and has had recent surgery and the processes of normal wound healing (see Chapter 48 (Links to an external site.)Links to an external site.), Tonya believes that the patient is at risk for bleeding from his surgical wound. She acts by increasing...
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