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- Patient #1: John Smith is an 85-year old male admitted for Dr. Lee. He fell at home. He has a history of COPD, smoked one pack per day for 60 years, CHF and DM. He had surgery two days ago for the left hip fracture. We are to change the dressing daily and PRN. The incision site is slightly pink, edematous, and draining sanguineous drainage. I changed the dressing once in the night. They stopped his IV fluids yesterday. He is saline locked. The patient gets QID blood sugar checks. I checked him in the night because he felt kind of sweaty and didn't talk to me much, but his sugar was 110. I checked his vitals at 0450- Temp 99.0, HR 98, R-20, BP 100/65, O sat 91 & on 1 liter, I bumped up his oxygen to 3 liters at that time. His lung sounds are coarse. As for as orientation goes. Patient #2: Maria is a 40 year old patient. She was admitted two days ago with DKA. She has a history of poorly controlled DM-Type 1. Apparently her blood sugars have been poorly controlled over the last week…Mrs. A has an IV of 1,000 mL D5W started at 0100. The IV is infusing at 100 mL/hr. The nurse would expect that____ mL would be in the IV bag at 0700. Enter the amount of IV fluid remaining in the IV bag at 0700. Enter only the numeral (not the unit) in your answer.Patient had Vehicular Accident what will be the FDAR to the patient.?
- Explain all the pre-operative surgical management for Mrs.Janet Donald (the patient)Mr. Avery had a stroke. He has hemiplegia, receptive aphasia, and dysphagia. Explain how you will plan to perform the care measures listed below. : 1.Dressing and undressing him 2.Assisting him with food and fluids 3.Performing a safety check of the room Direct the question no need to write them all only what is importantUsing the following word parts, build or complete medical terms from the definitions below: hem/o hyper- tachy- py/o -ptysis a- -osmia -sphyxia an- -pnea -thorax dys- 1. Increase in depth of breathing: 2. Excessive or rapid breathing: 3. Blood in the chest (pleural space): hemo 4. Not breathing: 5. Pus in the chest (pleural space): __empy 6. Spitting up blood: 7. Abnormal breathing (shortness of breath): 8. No sense of smell: 9. Lack of pulse: струета
- Mr. H is a 52-year-old male who presents to the emergency department. His left leg is in a cast, and he states that 1 week ago he was in an automobile crash and broke his upper leg. Since that time, he has had difficulty “getting around” and has mostly been lying on the couch watching television. On the evening of admission he noticed a sudden onset of dyspnea and chest pain. He denies having orthopnea, cough, hemoptysis, or wheezing. He smoked two packs of cigarettes a day for 19 years but quit 3 years ago. The ABG analysis of Mr. H suggests uncompensated respiratory alkalosis with mild hypoxemia, with base excess of -1 in her arterial side, whereas -4 in her venous side. Part 1: Her actual arterial-venous oxygen content difference (Ca-vO2) is 5.31 mL/dL. (Normal range considered here is 3.5 to 5 mL/dL) Part 2: Patient's actual oxygen extraction ratio (O2ER) was 29%. (Say normal range is 20-28%) What is clinically happening to the patient?Ms. Hall has an order for hydromorphone (Dilaudid), 2 mg,intravenously, q 4 hours PRN pain. The nurse notes thataccording to Ms. Hall’s chart, she is allergic to Dilaudid. Theorder for medication was signed by Dr. Long. What would bethe correct procedure for the nurse to follow in this situation?a. Administer the medication; the doctor is responsible formedication administration.b. Call Dr. Long and ask that she change the medication.c. Ask the supervisor to administer the medication.d. Ask the pharmacist to provide a medication to take theplace of Dilaudid.Mr. Henry is a 50-year-old male who presents to the office for headaches. he has a known history of sinus infections when the seasons change, high blood pressure and depression. his medications include Lopressor 50mg, daily and Claritin 10mg daily. he has a family history significant for aneurysms and depression. His vitals are BP 196/86 right arm seated, HR 87 regular, RR 13, Temp 98 oral. What is a NANDA approved diagnosis you could give her?
- I nend help with this question please 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 other vital…Mr. Clarke had a heart attack. Which of the following diagnostics is the best option for him? Chest X-ray CT scan Brain scan AngiogramMr. Avery had a stroke. He has hemiplegia, receptive aphasia, and dysphagia. Explain how you will plan to perform the care measures listed below. : 1 transferring him from bed to w/c 2.Communicating with him 3.Dressing and undressing him 4.Assisting him with food and fluids 5.Performing a safety check of the room