Your patient is 80-year-old and has many debilitating diseases. When you do your morning assessment, you see a red spot on the coccyx. Tissues are likely in what phase __________.
ANSWER
* Assessment shows a red spot on the coccyx
Indicate tissues are likely in phase 1 or stage 1
of pressure ulcer.
Your patient is 80-year-old and has many debilitating diseases. When you do your morning assessment, you see a red spot...
Your patient is a 23-year-old female with a history of headaches. This morning she was experiencing a really bad headache as her boyfriend was driving her to the university. He thought she was sleeping and by the time they got to the school, 45 minutes later, she was not waking up. She was diagnosed with a cerebral aneurysm and you are taking care of her in the Neurological ICU. What testing do you expect to be performed to diagnose brain...
Ethel Goetz is a 72 year old patient has returned to the clinic this morning with questions regarding her medications. She shows you a prescription that reads: “K-Dur 20 mEq bid”, and asks : --“Should I still take the potassium?” --“Should I take Dyazide and Capoten together?” --“How is Dyazide different from Capoten?” The patient states that her “family doctor” put her on Dyazide (triamterene + HCTZ) instead of the Lasix (furosemide) that she had been taking for years. Then,...
After morning report, you do an assessment and auscultate decreased breath sounds and crackles in the posterior right lower lung base, her right middle lobe and right lower lobe percuss dull. She splints her right side when taking a deep breath. You suspect she is developing atelectasis. v. Identify what most likely accounts for the patient's inspiratory related behavior 11. List five (5) nursing interventions that might be used to prevent pulmonary complications postoperatively 12. Identify four (4) positive outcomes...
Mrs Lowe is a 52 year old patient being treated for lymphoma that occurred 6 years after a lung transplant . mrs lowe is discouraged about her current health status and has a kot of what she describes as muscle pain . the unit where Mrs lowe is recieving care has a number of very sick patients andbis short staffed you enter her room to do a morning assessment and find Mrs lowe crying, how are you going to use...
A. Chronic Pressure Ulcer – Stage 4 Your patient is a 47-year-old woman who has had a history of diabetes for the past 25 years, is a stroke survivor, and has congestive heart failure. She developed a stage 4 pressure ulcer following an above the knee amputation six months ago during her hospital stay. She lives at home with her daughter, who is a nurse, and also has home health care three days a week for dressing changes. Home health...
CRITICAL CARE PROBLEMS: #4. During your morning assessment, you note that a patient in hypovolemic shock has a Levophed drip infusing at 7mL/h. With a concentration of Levophed 8mg/250mL, how many mcg per minute is the patient receiving? #5. The physician orders esmolol IV drip at 50 mcg/kg/min for tachycardia. The patient weights 132 lb. The medication is supplied in 5g/500mL of D5W. Calculate the flow rate in mL/hr. #6. The physician has ordered a nitroglycerin in drip at 10...
you are caring for an 80 year old patient who is experiencing vomiting and diarrhea she has not been eating and tells you her fingers feel tingly her reflexes are hyperactive what electrolyte imbalance is she presenting with
Case 2 You are working at the homelessness clinic when a 57-year-old male patient comes in; he asks you to look at a spot near his ankle. He rolls up his pants and you note a large wound with irregular borders. The wound is very wet, with the drainage seeping onto his pants. The wound has some yellowish-green slough and a small area of black in the middle. The skin on his leg is very swollen and dark brown in...
Sara is a 16 year old new patient presenting to your clinic to discuss starting contraception. She has no medical or surgical history. She has her mom and friend with her at the visit. Questions: 1. What is the first question or questions you should ask this patient prior to starting your assessment in order to build trust with this patient? 2. Does this patient require parental permission to obtain contraception? If her parents ask, are you allowed to tell...
Your next patient is a 66-year-old African American female
complaining of right hip and knee pain. She states that her pain is
most intense during the morning, upon arising from bed but tends to
improve with movement. She states she “warms up” during the day,
but if she overexerts himself, her morning stiffness is worse. On
physical exam, you note tenderness at the right hip and knee with
movement but no swelling or erythema. You examine her right knee
and...