Question

1. List 5(five) sign or symptoms of an Acute Renal disorder 2. List 5(five) nursing interventions for the management of acute diarrhoea 3. Myocardial Infarction 3.1 List 3(three) signs or symptoms for a suspected Myocardial Infarction 3.2 List 3(three) nursing interventions for a suspected Myocardial Infarction 4. Mr John has been admitted to the Emergency Department with chronic Pneumonia and severe dehydration 4.1 Define pneumonia (25-50 words) 4.2 List 4(four) nursing diagnosis according to priority 4.3 List 3(three) possible Nursing Diagnosis for severe dehydration List 3(three) nursing interventions 5. Burns 5.1 Using the Rule of Nines, estimate the percentage of burns for a person with second degree burns to both arms and chest. 5.2 List the three phases of psychological intervention planning you would implement for a patient recovering from severe burns.

Answer 1

1.The typical signs and symptoms of acute renal disorder are

• Decresed urine output
• Breathing difficulty generally due to fluid retention
• Fatigue
• Confusion
• Nausea

2.The nursing intervention for the management of acute diarrhoea are

• Provide adequate fluid orally (intravenously if ordered) to replace the lost fluid
• Monitor vital signs ,to get baseline data (patient can be hypotensive)
• Administer antidiarrhoeal drugs to cease loose stools
• Maintain intake and output chart to track the fluid status
• Provide fibre rich foods

3.The signs and symptoms of suspected myocardial infarction are

• Pain at the chest
• Dyspnea
• Palpitations
• Anxious
• Patient may have lightheadedness

The nursing intervention are

• monitor vital signs
• ECG can give a clear image of the hearts rhythm and conduction
• Administer NTG sublingually if patient is in pain ,or follow medication as per order

4.Pneumonia

It is an infection which affects the lungs where the airsacs namely the alveoli are filled with fluid at some times pus

The nursing diagnosis are

• Impaired gaseous exchange related to fluids in the alveolar sacs as evidenced by dyspnea
• Ineffective breathing pattern related to secretion as evidenced by increased breath rate
• Altered body temperature related to infection as evidenced by incraesed body temperature

The nursing diagnosis for severe dehydration are

• Deficient fluid volume related to increased peristaltic movements
• Imbalanced nutrition less than body requirement related to loss of electrolytes
• Fatigue related to loss of nutrients as evidenced by loose stools

The intervention are

• Replace the fluid orally or intravenously
• Administer medications as per order (antidiarrhoeal)
• Maintain intake and output chart
• Assess signs and symptoms of electrolyte imbalances