Homework Answers
1. Addressing pain is one of the most important contributions ED providers can make.
2 Inaddition to the intrinsic value of improving patient comfort,relief of pain brings with it a variety of physiologic advantages.Reduction of pain-related tachycardia would be expected to have substantial effects in patients acute coronary syndrome.Temperature can be controlled using paracetamol and tepid sponging.
3I suspect the patient is infected Dengue fever,which is also known as Break-bone fever caused by Aedes mosquitoes.The clinical characteristics of dengue fever are fever,headache,muscle and joint pain,prostration,nausea and rash.This can be unequivocally diagnosed through lab tests. Inorder to confirm the diagnosis atleast one of the following is required such as
- Isolation of virus from serum.
- 4x increase in serum IgG
- Detection of virus in serum,tissue,cerebrospinal fluid by immune assays
- Detection of virus genomic sequences.
4 The lab tests used to diagnose dengue are
Haemoglobin agglutination test,Plaque reduction neutralization test,ELISA,RT-PCR,Complement fixation test,Antigen capture enzyme immunosorbent assay.
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Your patient was discharged 2 days ago and presents to the Emergency Department in severe pain....
Your patient was discharged 2 days ago and presents to the Emergency Department in severe pain....
Your patient was discharged 2 days ago and presents to the Emergency Department in severe pain. He says that he has had a fever for the last 24 hours and can not keep any thing down. You put him on a cardiadc monitor and this is what you see: HR 135, BP 84/55, RR 29 sats 93% on RA. » What do you do now? » What is the first thing you need to do for your patient? » What...
A patient presents to the emergency department with severe respiratory distress, hives, and edema after being...
A patient presents to the emergency department with severe respiratory distress, hives, and edema after being stung on the face by a bee. Which are accurate nursing assessments of the situation? Hypotension and bronchospasm will progress rapidly if treatment is delayed. The patient is suffering from anaphylactic shock. Epinephrine and diphenhydramine are the drugs of choice as first-line agents. Prompt treatment with drug therapy will prevent this syndrome from occurring again Which finding indicates that administration of glucagon has been...
A 23 year old male presents to the emergency room complaining of severe sharp pain in...
A 23 year old male presents to the emergency room complaining of severe sharp pain in the left side and back. The pain was of sudden onset. He reports that he also feels nauseated. His urine is positive for blood. Based upon his history and symptoms you would suspect: .. A 48 year old man, with a history of excessive alcohol intake, is brought to the ED. The paramedics found him unresponsive but still breathing. There was a strong urine...
1) 47 year-old female, in the Emergency Department for severe pain in back of neck, radiating...
1) 47 year-old female, in the Emergency Department for severe pain in back of neck, radiating down L arm and making fingers numb. RR 40, deep breaths, diaphoretic, and very anxious. HR 140, complaining to nurse of feeling faint, never had this pain before, s/p weight lifting and sit-ups, usual exercise routine. After speaking with patient, suddenly patient passes out. What do you initially do?? List the assessments: 2) 55 year-old male, 30 pack year smoking history, COPD/Emphysema patient. •RR...
1. Which of the following statements is true regarding a 4-year-old patient, 20kg experiencing a severe...
1. Which of the following statements is true regarding a 4-year-old patient, 20kg experiencing a severe asthma exacerbation. VS:HR 130, RR 45, BP 105/68, Sats 84% A. Therapy includes albuterol, oral steroids, oxygen B. The patient is experiencing increased pulmonary resistance c. Patient should be intubated if the PCO2 is 58 on an arterial blood gas 10mg/hr of continuous albuterol E. He may receive nebulized albuterol with helium to improve drug delivery to the distal lung areas 2. A 2...
A patient comes to the emergency department complaining of severe pain and requests something "strong" to...
A patient comes to the emergency department complaining of severe pain and requests something "strong" to help alleviate it. The doctor orders an opioid medication. The nurse believe the patient has a low tolerance. List factors that affect a patient's perception of pain and the pain response. Explain in detail how opioids (narcotics) block the pain impulses to the brain. Other than giving the patient medications, what other ways could be used to to help the patient reduce his pain?
A patient presents with a high fever, stiff neck, and severe headache. You suspect they may...
A patient presents with a high fever, stiff neck, and severe headache. You suspect they may have meningitis. How do you proceed? Give the patient a fever reducer and send them home. Culture a sample for 24 hours, then Gram stain, then begin antibiotics. Begin antibiotics immediately and send patient home. Conduct a Gram stain, and begin antibiotics immediately based on the Gram stain report.
A 48-year-old man presents to the emergency department with 2 days of crampy abdominal pain, nausea,...
A 48-year-old man presents to the emergency department with 2 days of crampy abdominal pain, nausea, vomiting, diarrhea, and fever. He has not had any blood in his stool. He denies contact with anyone with similar symptoms recently. He has not eaten any raw or unprocessed foods recently. The only food that he did not prepare himself in the past week was a breakfast of eggs “sunny side up” and bacon that he had at a diner the day before...
Dropbox Case Scenario: You are the triage nurse in the Emergency Department. Your patient, Mr. Sawyer,...
Dropbox Case Scenario: You are the triage nurse in the Emergency Department. Your patient, Mr. Sawyer, is a 50-year-old man who presents with severe abdominal pain, poor appetite, and fatigue. He states the pain awakened him from sleep and he began vomiting. He denies any relief from the pain and he can't get comfortable as the pain radiates to his back and right shoulder. He rates his current pain level as 10/10. He denies any previous medical or surgical history....
While working in the Emergency Department, you are assigned as the Triage Nurse, who is to...
While working in the Emergency Department, you are assigned as the Triage Nurse, who is to screen "walk-in" patients, assign an ESI priority level to each patient, and prioritize which patient should be assigned to an available treatment area first. There are currently three open beds in the department. The following 10 patients are waiting to be seen. "This morning, I stepped on a rusty nail, and it went right through my shoe into my foot. I washed it really...
Your patient was discharged 2 days ago and presents to the Emergency Department in severe pain. He says that he has had a fever for the last 24 hours and can not keep any thing down. You put him on a cardiadc monitor and this is what you see: HR 135, BP 84/55, RR 29 sats 93% on RA. » What do you do now? » What is the first thing you need to do for your patient? » What...
A 23 year old male presents to the emergency room complaining of severe sharp pain in the left side and back. The pain was of sudden onset. He reports that he also feels nauseated. His urine is positive for blood. Based upon his history and symptoms you would suspect: .. A 48 year old man, with a history of excessive alcohol intake, is brought to the ED. The paramedics found him unresponsive but still breathing. There was a strong urine...
1. Which of the following statements is true regarding a 4-year-old patient, 20kg experiencing a severe asthma exacerbation. VS:HR 130, RR 45, BP 105/68, Sats 84% A. Therapy includes albuterol, oral steroids, oxygen B. The patient is experiencing increased pulmonary resistance c. Patient should be intubated if the PCO2 is 58 on an arterial blood gas 10mg/hr of continuous albuterol E. He may receive nebulized albuterol with helium to improve drug delivery to the distal lung areas 2. A 2...
Dropbox Case Scenario: You are the triage nurse in the Emergency Department. Your patient, Mr. Sawyer, is a 50-year-old man who presents with severe abdominal pain, poor appetite, and fatigue. He states the pain awakened him from sleep and he began vomiting. He denies any relief from the pain and he can't get comfortable as the pain radiates to his back and right shoulder. He rates his current pain level as 10/10. He denies any previous medical or surgical history....
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