Homework Answers
1. Nurse should respond by saying that although you are not feeling any difference but the blood pressure has increased from earlier finding. Earlier also it was more than normal range and this time also. So better to prevent further conplications,antihypertensives should be started.
case study 2.
1. Nurse should expect to get order for intravenous fluid administration as patient us undergoing hypotension. Effectiveness will be evidenced in increase in blood pressure.
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answer both study case questions #1
Case Study 1 Marcus is a 44-year-old African-American man who...
Both #1 questions Case Study 2 A patient with pneumonia is admitted to the intensive care...
Both #1 questions
Case Study 2 A patient with pneumonia is admitted to the intensive care unit with a diagnosis of septic shock. She is confused. Her extremities are cool to touch. A central line catheter is inserted. The patient's blood pressure is 76/40 with a heart rate of 100 beats/min. 1. What pharmacological treatment will the nurse expect to administer first? What assessment findings would indicate that the treatment is effective? Case Study 1 Marcus is a 44-year-old African-American...
Marcus is a 44-year-old African-American man who has been seen twice in a health care clinic...
Marcus is a 44-year-old African-American man who has been seen twice in a health care clinic for “blood pressure” problems. At the first visit, his blood pressure was 144/90 mm Hg; at the second visit, his blood pressure was 154/96 mm Hg. The provider is preparing to start antihypertensive medications. Marcus tells the nurse, “I don’t feel any different with my blood pressure being higher, do I really need medication now?” How should the nurse respond? Discuss nonpharmacologic treatment of...
Marcus is a 44-year-old African-American man who has been seen twice in a health care clinic...
Marcus is a 44-year-old African-American man who has been seen twice in a health care clinic for “blood pressure” problems. At the first visit, his blood pressure was 144/90 mm Hg; at the second visit, his blood pressure was 154/96 mm Hg. The provider is preparing to start antihypertensive medications. Two years later Marcus is diagnosed with Type 2 diabetes. His blood pressure is 130/86 mm Hg on his current medications. Marcus is now prescribed captopril. Marcus states that he...
-VIRIS PUNTSU VISIT, his blood pressure was 144/90 mm Hg; at the second visit, his blood...
-VIRIS PUNTSU VISIT, his blood pressure was 144/90 mm Hg; at the second visit, his blood pressure was 154/96 mm Hg. The provider is preparing to start antihypertensive medications. In your small groups, cover the following questions: 1. Marcus tells the nurse, "I don't feel any different with my blood pressure being higher, do I really need medication now?" How should the nurse respond? 2. Discuss nonpharmacologic treatment of hypertension and patient teaching needs. 3. What initial two drugs will...
A patient with pneumonia is admitted to the intensive care unit with a diagnosis of septic...
A patient with pneumonia is admitted to the intensive care unit with a diagnosis of septic shock. She is confused. Her extremities are cool to touch. A central line catheter is inserted. The patient’s blood pressure is 76/40 with a heart rate of 100 beats/min. What pharmacological treatment will the nurse expect to administer first? What assessment findings would indicate that the treatment is effective?
Case Study John, a 44-year-old African-American man, has been seen twice in the last month for...
Case Study John, a 44-year-old African-American man, has been seen twice in the last month for "blood pressure problems." At the first visit, his blood pressure was 144/90 mm Hg; at the second visit, his blood pressure was 154/96 mm Hg. The provider is preparing to start antihypertensive therapy. John has no other medical conditions. 1.What initial drug therapy would be appropriate for him? What factors are considered when choosing which drug to use? 2.John tells you that he hopes...
A patient with pneumonia is admitted to the intensive care unit with a diagnosis of septic...
A patient with pneumonia is admitted to the intensive care unit with a diagnosis of septic shock. She is confused. Her extremities are cool to touch. A central line catheter is inserted. The patient’s blood pressure is 76/40 with a heart rate of 100 beats/min. What pharmacological treatment will the nurse expect to administer first? What assessment findings would indicate that the treatment is effective? The patient's blood pressure has increased to 78/50. What medication does the nurse anticipate to...
Albert, a seventy-two year old African-American man, is brought into the emergency room by his daughter....
Albert, a seventy-two year old African-American man, is brought into the emergency room by his daughter. Approximately 45 minutes before arriving, Albert dropped his book when his right arm and hand "fell asleep". When he tried to rise, he noticed his right leg was weak and he needed to hold onto the couch to stand up. He had a difficult time talking because the right side of his face and mouth were "numb" and his tongue felt "thick". In obtaining...
Multiple Organ Dysfunction Case St... 1. Adam Smith, 77 years of age, is a male patient...
Multiple Organ Dysfunction Case St... 1. Adam Smith, 77 years of age, is a male patient who was admitted from a nursing home to the intensive care unit with septic shock secondary to urosepsis. The patient has a Foley catheter in place from the nursing home with cloudy greenish, yellow-colored urine with sediments. The nurse removes the catheter after obtaining a urine culture and replaces it with a condom catheter attached to a drainage bag since the patient has a...
Mr. A is an 18-year-old 80-kg African American man admitted to the intensive care unit after...
Mr. A is an 18-year-old 80-kg African American man admitted to the intensive care unit after emergency surgery for gunshot wounds to the abdomen. The surgical procedure was extensive and involved repair of a perforated bowel, splenectomy, and hemostasis. Mr. A’s mean arterial pressure (MAP) dropped below 65 mm Hg during resuscitation, and he received 9 units of packed red blood cells and 4 L of lactated Ringer solution intravenously (IV) to achieve hemodynamic stability. Clinical Assessment Within 24 hours...
Both #1 questions
Case Study 2 A patient with pneumonia is admitted to the intensive care unit with a diagnosis of septic shock. She is confused. Her extremities are cool to touch. A central line catheter is inserted. The patient's blood pressure is 76/40 with a heart rate of 100 beats/min. 1. What pharmacological treatment will the nurse expect to administer first? What assessment findings would indicate that the treatment is effective? Case Study 1 Marcus is a 44-year-old African-American...
-VIRIS PUNTSU VISIT, his blood pressure was 144/90 mm Hg; at the second visit, his blood pressure was 154/96 mm Hg. The provider is preparing to start antihypertensive medications. In your small groups, cover the following questions: 1. Marcus tells the nurse, "I don't feel any different with my blood pressure being higher, do I really need medication now?" How should the nurse respond? 2. Discuss nonpharmacologic treatment of hypertension and patient teaching needs. 3. What initial two drugs will...
Case Study John, a 44-year-old African-American man, has been seen twice in the last month for "blood pressure problems." At the first visit, his blood pressure was 144/90 mm Hg; at the second visit, his blood pressure was 154/96 mm Hg. The provider is preparing to start antihypertensive therapy. John has no other medical conditions. 1.What initial drug therapy would be appropriate for him? What factors are considered when choosing which drug to use? 2.John tells you that he hopes...
Multiple Organ Dysfunction Case St... 1. Adam Smith, 77 years of age, is a male patient who was admitted from a nursing home to the intensive care unit with septic shock secondary to urosepsis. The patient has a Foley catheter in place from the nursing home with cloudy greenish, yellow-colored urine with sediments. The nurse removes the catheter after obtaining a urine culture and replaces it with a condom catheter attached to a drainage bag since the patient has a...
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