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Problem statement: A patient feels that he/she has received false laboratory report.
1-Draw a neat legible diagram (To draw, use the website:https://www.canva.com/graphs/fishbone-diagrams/ ) and explain the concept of fishbone diagram
2-provide necessary justification for your response
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- Clinical reasoning Scenario: A 76-year-old man is admitted to the post anaesthesia care unit (PACU) following an arthroplasty of his right hip. He is complaining of pain and difficulty taking a deep breath. What resources would you use to identify the current safe practice guidelines for this older patient?Case Study Hibiscus Medical Centre has been in operations for over eighteen (18) years. They specialize in Plastic and Restorative Surgery. One of their physicians has recently found himself in a lawsuit for $850 000. In administering a standard diagnostic procedure, which involved injecting the patient with a certain drug, to conduct an abdominoplasty procedure, she became paralyzed. The physician in his twenty (20) years of practice and twelve (12) years at the Centre has performed this standard procedure without any adverse effects. However, the lawyer of the Centre and the physician has notified them that more than likely the plaintiff’s legal team will utilize the res ipsa loquitur doctrine which will permit the jury to lean favorably toward the plaintiff unless the physician can prove that he was without a doubt not negligent. Questions Justify what defense the physician and his Centre’s legal team can employ against this negligence claim.Question: Can you make a list of Nursing Diagnosis related to the given Case Scenario below? INFANT WITH TETRALOGY OF FALLOT Case Scenario: Baby Pearl, a 9-month-old girl presents to the emergency department with his mother,who reports episodes of tachypnea, cyanosis, and irritability during feeding. The mother explainsthat these episodes have become more frequent, with baby Pearl becoming more cyanotic aroundthe mouth and fingers especially when crying (tet spells) when she was around 7 months old.These episodes resolve spontaneously but are occurring every few days. The mother breastfeeds every 3 hours, but sometimes takes a long time to feed. She alsoobserved that baby Pearl becomes diaphoretic with feeding, and stops frequently to catch herbreath while feeding. She reported to the nurse that vomiting the milk (sometimes goes out fromthe nose) and becomes more frequent after feeding. The patient currently appears comfortable,with no signs of respiratory distress, fever, or…
- Case study: Jack is a 77-year-old retired bank executive. During the last 15 years of his employment, he played golf regularly and frequently met with the 'boys' after that last hole for dinner and drink. Jack retired 5 years ago at age 68. Since his wife passed away 2 years ago, Jack has found his golfing outings to be more important than ever. Last month Jack had a righ knee replacement that 'went wrong.' His incision became infected and he had to have the procedure redone. Jack now has orders for 'no weight bearing' and is being seen by a home health nurse for daily IV antibiotics. Last week when his nurse visited and asked if he needed anything, Jack replied "I need a fifth of whiskey and a handgun." 1) What disciplines would you involve in a care-planning meeting for Jack? Provide rational for your choices of inclusion and exclusion 2) What teaching might be appropriate for Jak?Preoperative, operative, and postoperative procedures (global package): How do these terms apply in the Surgery section?32 Delegation: Collette Cassandra (x + Delegation This is a graded discussion: 0 points possible Delegation Krystal Grant due Apr 9 at 7:15pm Discuss the critical relationship between RN delegation and time management in providing quality patient care. How can effective delegation skills enhance time management in a clinical setting? Share your insights on balancing patient needs, task delegation, and time constraints as a practicing RN please make sure your response a minimum of 250 words and you are responding to at least one of your classmates with something insightful, and non-repetitive. Q Search entries or author Unread + Reply Replies are only visible to those who have posted at least one reply. Search
- Hello, I am doing a concept map but before starting, I need to answer some questions, can you please help me with them? Concep: ELIMINATION Case Study While you are working as a nurse on a GI/GU floor, you receive a call from your affiliate outpatient clinic notifying you of a direct admission, ETA (estimated time of arrival) 60 minutes. She gives you the following information: A.G. is an 87-year-old woman with a 3-day history of intermittent abdominal pain, abdominal bloating, and N/V. A.G. moved from Italy to join her grandson and his family only 2 months ago and she speaks very little English. All information was obtained through her grandson. PMH: colectomy for colon CA 6 years ago, hernia repair 2 years ago. No hx of CAD, DM, or pulmonary disease. She takes only ibuprofen occasionally for mild arthritis. Allergies include sulfa drugs and meperidine. A.G.’s tentative diagnosis is small bowel obstruction (SBO). A.G. is being admitted to your floor for diagnostic work-up. Her VS are…Question: What's wrong with this patient? What therapy should be suggested for this disease? Prognosis in an Elderly Female, by V. Dimov, M.D., Reviewer: S. Randhawa, M.D.A 96-year-old African American female (AAF) was admitted from a nursing home with complaints of abdominal pain, nausea and vomiting (N/V), dizziness, confusion and double vision for 5 days. She was discharged from the hospital just 4 days ago. Digoxin was started during that previous hospitalization for control of tachycardia in atrial fibrillation. One day prior to discharge, digoxin level was 1.8 mg/mL and digoxin dose was decreased to 125 mcg PO Q 48 hr.Past medical history (PMH): Hypertension, atrial fibrillation, coronary artery disease, stroke, congestive heart failure.Medications: Metoprolol, digoxin, ASA (aspirin), lisinopril, furosemide (Lasix), Coumadin (warfarin), esomeprazole (Nexium).Physical examination: In pain, combative and confused.VSS.Chest: Occasional bibasilar crackles.Cardiovascular System: Clear…Clinical reasoning Scenario: During your preoperative assessment of your patient, a 68-year-old woman who is alert and oriented describes her surgery as 'getting a new right knee'. The Operating Room schedule indicates that she is having a left knee arthroscopy. What are the priorities of the perioperative nurse?
- Question: To the following Given Drugs How to explain the drug's Indication, Side effects, and Health Teaching to the patient that is easier to understand to them? Given Drug: Ampicillin 1gm IVTT q6 2 Paracetamol 300 mg IVTT q4 Miconazole 200mg (Monistat) ovule, 1 supp, PV @ HS x 3 days Title: Care of clients with Human Immunodeficiency Virus Focus Area: Obstetric Nurse Station Margerie Ramos, a 32-year-old female, who, on her 34th week of pregnancy was transferred to the hospital after coming from a prenatal clinic and reported to be experiencing continuous regular contractions for almost 2 days. This is her third pregnancy. The labor and delivery team were planning to admit her to observe and monitor her baby through a fetal Non-Stress Test and to exclude complications associated with preterm labor. The patient previously agreed to a scheduled repeat C-section since she already had two prior ones. Upon admission, the patient verbalized, “I'm cold, I feel so hot.” Temperature…Please help me with this question? Question SITUATION: Mr Chong was brought into Emergency Department (ED) last night by ambulance after collapsing at home. The ED Registered Nurse reported that Mr Chong was alert and orientated to person, time and place on admission. He has global aphasia, left gaze preference, right homonymous hemianopia (field cut), right facial droop, dysarthria, and right hemiplegia. CT angiography showed a left Middle Cerebral Artery (MCA) occlusion (Fig 1). 12-lead ECG showed Atrial Fibrillation (Fig 2). BACKGROUND Mr Chong has a past medical history of Coronary Artery Disease, Coronary Artery Bypass Grafting, Atrial Fibrillation and previous TIA (Transient Ischaemic Attack) three month ago. Mr Chong is retired and independent with activities of daily living. He speaks simple English. Mr Chong lives with his wife and two sons. ASSESSMENT His last Glasgow Coma Scale (GCS) is between 13-14 (disorientated and occasionally confused to time and place) and…Question: To the following Given Drugs How to explain the drug's Indication, Side effects, and Health Teaching to the patient that is easier to understand to them? Given Drug: TFD/FTC (Truvada) 300mg tab OD PO Raltegravir (Isentress) 400mg 1 tab BID PO Title: Care of clients with Human Immunodeficiency Virus Focus Area: Obstetric Nurse Station Margerie Ramos, a 32-year-old female, who, on her 34th week of pregnancy was transferred to the hospital after coming from a prenatal clinic and reported to be experiencing continuous regular contractions for almost 2 days. This is her third pregnancy. The labor and delivery team were planning to admit her to observe and monitor her baby through a fetal Non-Stress Test and to exclude complications associated with preterm labor. The patient previously agreed to a scheduled repeat C-section since she already had two prior ones. Upon admission, the patient verbalized, “I'm cold, I feel so hot.” Temperature was taken, T=38.5 C. She also…