a. How do you think you may navigate this situation given Ms. Ncube's emotional status and also your time limitation to complete your needed tasks? . Part of your assessment includes observing Ms. Ncube's amputation site. How may you assess the site while still being therapeutic and respecting your patient? . How may Ms. Ncube's emotional status affect your overall assessment? Could her emotional status alter any of your assessments?
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- A nurse who works in the operating room notices that apediatric surgeon who has been on the staff for several years and has done excellent work suddenly seems not to be con-centrating during surgery and to be making more mistakes than usual. Rumors have been circulating about the sur-geon having a problem with cocaine abuse after his recent divorce. The parents of one pediatric patient are dissatisfiedwith the progress the patient is making and ask the nurse for an opinion about the surgeon. Should the nurse voice per-sonal concerns? Is the nurse ethically obligated to report the physician to the proper hospital authority for investigation?Mrs. Jones came to the office today to get a refill on her Lortab tab 5 mg TID. She saw the nurse practitioner who holds an NPI number. What is important about having an NPI number versus a DEA number. Can a nurse practitioner prescribe this type of medication? If so how can she prescribe the medication and what does she need in order to do so?You and your partner are dispatched for a report of an unresponsive 77-year-old male in a senior’s apartment complex. The time of the call is 08:36 am.Upon arrival, a home health aide greets you at the apartment door and informs you the patient is in the bedroom. As she leads you towards the bedroom, the aide begins to tell you she arrived for work about an hour ago and found the patient in his bed. “He normally is awake when I get here, but today I found him still in his bed. I thought he was only wanting to sleep in so I decided I would give him a little time, but he didn’t respond when I tried to wake him a few minutes ago.”She tells you she routinely visits Mr. Oliveira twice a week to help with cleaning and cooking. She says, “The last time I saw him was 3 days ago and he was sick at the time. I thought he might have come down with a bad cold because he was coughing a lot and I tried to encourage him to see his physician.”As you approach the patient’s bedside, you observe a thin,…
- The nurse is administering an intra-enous dose of morphine sulfate to a 48-year-old postoperative patient. The dose ordered is 3 mg e-ery 3 hours as needed for pain. The medication is supplied in -ials of 4 mg/mL. How much will be drawn into the syringe for this dose?The nurse is caring for a patient who has undergone surgery following a motor vehicle accident. The patient is stable and resting comfortably; he is expected to make a full recovery. Upon entering the room, the nurse notes the patient's wife is holding his hand and crying. Which statement by the nurse is most appropriate? he's really lucky that he will pull through this: we almost lost him." " I will sit with you for a while if you would like to talk about it. " I know you must be scared about almost losing him." ( "Oh, please don't cry, ma'am! He's doing so well!Dr. Falcone is an emergency department physician who has just called the OR desk concerning a patient. He tells the charge nurse, “we have a 23-year old male patient status post MVA, no airbag deploy, moderate facial injuries, bruising and swelling about the left eye, diplopia and enophthalmos. CT confirmes left orbital floor fracture. Hell be up in 10 minutes.” If the fracture isn’t stable after being reduced, what instrument tray should the CST have available?
- Marilyn Hughes is a 45-year-old female client admitted to the post-anesthesia care unit following a repair of a left mid-shaft tibia-fibula fracture. She returned from surgery with a below the knee ace bandage and splint dressing in place. Neurovascular checks are in a normal range. You are the post-anesthesia care unit (PACU) RN assigned to care for this client. The post-operative course proceeds smoothly until the client begins complaining of increasing pain in the left lower extremity. The RN assesses the client's left leg and notes that the client is complaining of sensations of “pins and needles” in the left lower extremity and complains of “tightness”. The RN assesses localized edema in the left foot and visible lower left extremity and notes capillary refill of greater than three seconds noted in the left foot and less than three seconds noted in the right foot. The RN communicates the findings to the surgeon, who assesses the client and determines the need to return to the OR…Marilyn Hughes is a 45-year-old female client admitted to the post-anesthesia care unit following a repair of a left mid-shaft tibia-fibula fracture. She returned from surgery with a below the knee ace bandage and splint dressing in place. Neurovascular checks are in a normal range. You are the post-anesthesia care unit (PACU) RN assigned to care for this client. The post-operative course proceeds smoothly until the client begins complaining of increasing pain in the left lower extremity. The RN assesses the client's left leg and notes that the client is complaining of sensations of “pins and needles” in the left lower extremity and complains of “tightness”. The RN assesses localized edema in the left foot and visible lower left extremity and notes capillary refill of greater than three seconds noted in the left foot and less than three seconds noted in the right foot. The RN communicates the findings to the surgeon, who assesses the client and determines the need to return to the OR…You and Sara are allocated in the same ward by RN during placement. You both have been given a 40-year-old man Thomas, who is admitted to hospital to treat his wound in the leg. In the duty Sara ask Thomas if she can take picture of his wound, he agrees. Later, Sara post this on social media. You saw Sara post and told what she has done wrong to Thomas. But Sara told Thomas won’t mind and they are going for dinner after Thomas get discharged. b. Describe and provide examples of how Sara’s actions have breached the Code of Ethics for Nurses (2021). 600 words
- Mr. KB is a 56-year-old patient with 3 years history of diabetes mellitus. He is currently receiving glibenclamide. His BP during the present visit is 130/85 mm Hg and PR is 82 bpm. Clinician is planning of starting low dose aspirin in the patient. Junior specialist in Department of Medicine would like to know regarding the latest recommendation on the use of aspirin in patients with Diabetes Mellitus? Whether Mr. KB requires low dose aspirin?Jane has been assigned to care for Jessie Hibbs. Jessie has just been told there is nothing further anyone can do to treat her illness and that she will be referred to hospice. Jane knows that means she has a prognosis of death within 6 months period of time. Jane is bathing Jessie and asks her if she has contacted her church to talk with her pastor or priest. Jessie tells her that she does not belong to a church, and Jane asks her if she wants to have the hospital chaplain come to visit her. Jessie tells her, “No, I do not want to talk to the chaplain.” Jane persists saying that everyone who is approaching death wants to make things right with God. Jessie tells her that she does not believe in God and does not follow any religious faith. Jane ends the discussion by saying, “Oh, that’s too bad. I feel sorry for you.” How has Jane failed to be therapeutic with Jessie? How do you imagine Jessie felt about this conversation?A physician requests that you change the “date of dictation” on a medical report to 3 days before the actual date of dictation so that the report will appear to have been dictated in a timely fashion. He explains that he was called out of town for a family emergency and fell behind in his dictation, and that he appreciates your cooperative and helpful attitude with small requests such as this. What do you do?