. A 5-week-old male child presents to the healthcare clinic with projectile vomiting and dehydration. The patient’s mother states that the patient began forcefully vomiting after feedings yesterday, but was previously healthy with no medical conditions or allergies. What condition do you suspect this patient has? What symptoms lead you to that conclusion? What nursing interventions should be included in the plan of care to prevent dehydration in this patient?
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5. A 5-week-old male child presents to the healthcare clinic with projectile vomiting and dehydration. The patient’s mother states that the patient began forcefully vomiting after feedings yesterday, but was previously healthy with no medical conditions or allergies.
What condition do you suspect this patient has? What symptoms lead you to that conclusion? What nursing interventions should be included in the plan of care to prevent dehydration in this patient?
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- 1. Patient X is diagnosed with constipation. As a knowledgeable nurse, which nursing intervention is appropriate for maintaining normal bowel function? A. Assessing dietary intake B. Decreasing fluid intake C. Providing limited physical activity D. Turning, coughing, and deep breathing 2. A 12-year-old boy was admitted to the hospital two days ago due to hyperthermia. His attending nurse, Dennis, is quite unsure about his plan of care. Which of the following nursing interventions should be included in the care plan for the client? A. Room temperature reduction B. Fluid restriction of 2,000 ml/day C. Axillary temperature measurements every 4 hours D. Antiemetic agent administration14) A newborn with a repaired gastroschisis is transferred to the pediatric unit after several days in the pediatric intensive care unit. The infant is receiving parental nutrition and continuous enteral feeding. To maintain normal growth and development of the infant, which action should the nurse includes in plan of care? A. Use sterile techniques during feedings. B. Offer a pacifier for non-nutritive sucking. C. Ensure placement of the enteral tube with an abdominal x-ray I D. Speak to the healthcare provider about instituting nhysical therapy.12. Mr. Emad is a 35-year old newly married patient. He visited a healthcare facility complaining of epigastric discomfort. He was diagnosed with gastroesophageal reflux. Mr. Emad had been using an antacid for immediate relief of his epigastric discomfort. He was prescribed cimetidine and was referred to the nursing patient teaching and care. Prepare a nursing care and a teaching guide for Mr. Emad. The guide should include Assessment: History and Examination, Nursing Diagnoses, Implementation, Evaluation, and Patient Teaching?.
- 2. You are a nurse in a medical-surgical hospital unit caring for a patient who had an open cholecystectomy 3 days earlier. Subsequently, the patient developed a paralytic ileus. Additional complications require continued postoperative antibiotic infusions. (Learning Objectives 2, 3, and 5) a. What nursing assessment finding could indicate the presence of a paralytic ileus? b. Which medical interventions could have contributed to the development of your patient’s paralytic ileus? c. How long would you expect the paralytic ileus to last? d. In what ways would you expect a paralytic ileus to resolve? e. List possible nursing diagnoses for this patient related to the surgical procedure and postoperative complications.1. A nurse is caring for a client with a kidney disorder who has been admitted to an acute healthcare facility. What nursing interventions would assist the client to meet basic needs for adequate nutrition? 2. A client with a bladder infection is admitted to a healthcare facility. The healthcare provider has directed the client to increase fluid intake along with other medication. What actions should the nurse take to help the client increase fluids? 3. A nurse is caring for a convalescent client diagnosed with a peptic ulcer. The client is also obese. The healthcare provider has prescribed a therapeutic diet for the client. What is the rationale for the use of this type of diet? 4. A client has undergone intestinal surgery. The nurse has to modify the client’s diet after the surgery. a. What factors should be considered for modification of the diet? b. Why should the client be given a liquid diet after surgery? 5. A nurse is caring for a client who has difficulty with chewing. What…2. A client with a family history of kidney stones has come to a healthcare facility for an annual health checkup. The client has had two previous experiences with renal colic. The client states, “I really don’t ever want to experience that kind of pain again.” a. What factors should the nurse include when teaching the client about kidney stones for those with a family history of the same?b. What general measures should the nurse suggest to prevent formation of kidney stones? 3. A client who had a bladder tumor recently underwent surgery for removal of the urinary bladder with creation of an ileal conduit. An appliance is fitted over the surgical stoma.a. The nurse would monitor the client for which possible complications? b. What measures should the nurse include when providing postoperative care for this client?
- A primiparous breast-feeding mother at 2 weeks’ postpartum is at the clinic for a postpartum checkup. She tells the nurse that her right breast is hurting and that she is not feeling well. 1. What assessment findings would the nurse need to be alerted to indicate whether the client is experiencing mastitis? 2. What treatment measures and health teaching does this client need in regard to her infection and breast-feeding?2. Write a report that describes the necessary nursing interventions for clients who are receiving: Enteral tube feeding Parenteral nutrition 3. Prepare a checklist that identifies the important information to be collected when caring for a client with an ostomy.Liver cirrhosis 1. risk factor 2. signs and symptoms 3. when to call immediate healthcare provider 4. treament 5. online and community resources
- 1. There are at least three AMD discussions between Justin's parents (or mother) and his physician. Describe each experience (location or situation, conversation) then identify the concerns his parents had and those the physician had with each discussion. 2. After viewing the discussions of AMDS with Justin's mother, identify (and provide an example) of at least three challenges of presenting AMDs to family members. 3. Identify the life sustaining treatments Tim's mother and Alex's parents implemented for their children. How did these parents consider their children's self- determination rights in their decisions regarding care? 4.Along with AMDs, what are other concerns a family must contend with when dealing with a family member with a terminal illness?Your patient is recovering after delivering twin girls 46 hours ago. She complains of uterine pain and has malodorous lochia. Her last vital signs were B/P 120/80, P 122, R 20, Temp 101.2. What do you suspect is happening and what are your priority nursing actions/rationales Patient Ana was recovering after delivering twin girls 46 hours ago. She complains of uterine pain and has mal odorous lochia. Her vital signs are the following: BP 120/80; PR 122; RR 20; Temp 101.2 F. Guide Questions: What do you suspect is happening to Patient Ana? What are your priority nursing diagnosis? What are your priority nursing interventions and include the rationale?Category: Safety and Infection Control The nurse is providing lunch to a 68-year-old male patient with a history of stroke which has affected his swallowing reflex. As the patient begins to eat, he suddenly starts choking on a piece of food but is coughing loudly and forcefully. Observing this, what should the nurse do? A. Assist the patient to stand up and perform the abdominal thrust maneuver immediately. B. Lay the patient down and prepare to perform back blows and chest thrusts. C. Exit the room quickly to summon for additional help from the healthcare team. D. Stay with the patient, encourage him to keep coughing, and monitor him closely. E. Provide a drink of water to help the patient swallow the obstructing food.