The patient who refused the blood transfusion, the nurse had to advocate for this patient by standing up to the physician and not forcing the treatment. We have all heard stories of people who do as they are told, even when it is not to their own benefit or the benefit of others, but because they were told to do so by an authority figure.
1. It's very difficult for me to function then if I have to go against what I have told to do because it actually creates a whole mess and affects many people .
2. Yes , I stand up for my own interests and rights and fight with evidences till my best . I believe tht better you say it than being silent . If that can make a change then it's better .
3. Yes , my comfort level in standing up for own and patients rights will of course depend on the stage level and my own position in my career because this is the base which provides you confidence to go further . Also based on the experience and knowledge I can better stand for my rights
4. A personal story - It's an incident when I was working in ICU . I had a patient who was psychologically disturbed along with having mechanical support . He was too active that he tried to jump of bed , removing tubings , clothes . I talked to the physician that it's harmful for the patient can we apply restraints with attendants consent . He said no ,I was like how can we handle him . I myself put the restraint with attendants consent being aware that its not allowed without doctors order .The incharge also shouted on me for this and said action will be taken . In the next shift the patient restrains were removed and the staff was unable to control him ,he felled out of the bed along with ventilator and got injured ,also his condition become worse .
The patient who refused the blood transfusion, the nurse had to advocate for this patient by...
How you would advocate for your patient in end of life care? If you have a patient who is not cognitive, and is actively dying, but the family wants everything done to try to save the patient's life, how do you advocate for the best outcome for the patient? And would this change if the patient was a child?
Sue is a postpartum nurse in a busy community hospital. She is caring for Ms. Morales, a patient who just gave birth to her first child. Ms. Morales’ native language is Spanish, and she has a limited understanding of English. Her brother, who’s in the room with her, understands and speaks perfect English. Because he is proficient in the English language, Ms. Morales’ brother states he is the best person to translate for her. While making rounds, Sue (using the...
Musculoskeletal Nursing The nurse is caring for a patient who has had blood work done. Lab results show significantly elevated sed rate (ESR) and the presence of rheumatoid factor (RF). Which of the following illnesses is suspected when these findings are present? A. osteoporosis B. rheumatoid arthritis C. gout D. osteoarthritis The nurse caring for a 55 year old client who is undergoing a total hip arthroplasty. The client is aware that there will be activity...
Blood Administration We have a 40-year-old patient who is anemic. related to a gastric bleed. They are stable but still needs a transfusion of Red packed blood cells because of hemoglobin of 6.9. The blood bank has called and notified you that the blood is ready to be picked up. Answer the following questions? 1) Before we administer a blood product what are the steps the nurse needs to do? 2) With another RN when the nurse is about to...
Your patient is a 72-year-old African American male who came in “throwing up blood”. This came on suddenly when he was at a nearby McDonalds. He states he feels like he could pass out, but denies any pain or any other symptoms. His only medication is 400 mg Ibuprofen q6hrs for “joint pain”. Reports being told he has high blood pressure, but does not take anything for it. What lab test or diagnostic test are you going to anticipate? (Include...
The patient is a 42-year-old female, Tracy Williams, who had a Thyroidectomy a week ago. The patient is complaining of twitching and numbness and tingling feelings of the hands, fingers and around the mouth. She states that her breathing is difficult. 5. What 3 factors control calcium levels and how? 6. Hospitalization is required for this patient for stabilization and treatment of the hypocalcemia. What orders do you as the nurse anticipate? 7. As you develop your plan of care...
You are a nurse on a medical-surgical unit in a hospital caring for a 68-year-old brick mason who had surgery 2 days ago for repair both of his knees. The surgery went smoothly and you are responsible for his postoperative care. He will have limited weight-bearing on both legs until his first follow up with the physician. Physical therapy will be working with this patient. 1) What assessments do you need to do to determine the best method of transfer...
(I appreciate if you can type the answer.) Patient A.B. is a 70-year-old male who had a right total knee replacement done yesterday. His past medical history includes osteoarthritis, hypertension, high cholesterol, diabetes mellitus, and GERD. During your initial shift assessment, the patient is noted to have swelling in his right calf and reports tenderness to touch in the calf region. You ask him to dorsi/plantar flex his right foot against resistance from your hand, and he indicates that the...
Patient A.B. is a 70-year-old male who had a right total knee replacement done yesterday. His past medical history includes osteoarthritis, hypertension, high cholesterol, diabetes mellitus, and GERD. During your initial shift assessment, the patient is noted to have swelling in his right calf and reports tenderness to touch in the calf region. You ask him to dorsi/plantar flex his right foot against resistance from your hand, and he indicates that the pain in his calf worsens with flexion. You...
1. What is the most important thing to teach a patient who uses aspart or lispro insulin? Group of answer choices Rub the injection site for 1 minute to ensure best drug absorption Rotate the injection site to prevent the development off skin problems Eat a meal within 15 minutes of injecting the drug Shake the bottle well before drawing up 2. A patient is being discharged on enoxaparin (Lovenox). Which statement should you include in the discharge teaching plan?...