Mr. Mitch Igan is unable to pass a modified barium swallow study and remainsNPO. A PEG is placed.He is tolerating Jevity 1.2 and IVF are discontinued in anticipation of dischargein two days.After discharge his cousin, Mr. Ken Tucky, will live with him and help him withbolus feedings.You recommend bolus feedings prior to discharge to assess tolerance and toallow the nurses to train the patient and Mr. Tucky on bolus feedings, waterflushes, medication administration, and care of the PEG.a) How many cartons of Jevity 1.2 will Mr. Igan need per day?b) What is the total volume of water (mL) needed daily?c) What volume of water (mL) should be given with each bolus feeding?

Approach to solving the question:1. Determine the total volume of Jevity 1.2 needed per day based on…

Answered: Mr. Mitch Igan is unable to pass a…

Phlebotomy Essentials

6th Edition

ISBN:9781451194524

Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)

Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)

Chapter1: Phlebotomy: Past And Present And The Healthcare Setting

Section: Chapter Questions

Problem 1SRQ

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Situation:Sara Lin is an 18-year-old patient who had an emergency appendectomy. It is day 2 postoperative, and Sara is expected to be discharged late this afternoon. We have discontinued her IV antibiotics after her morning dose. She will be getting oral meds today.Background:Sara presented in the ED 2 days ago with a 2-day history of nausea, vomiting, and increasing pain. She was taken to surgery that day and had an open appendectomy for a ruptured appendix. She has been stable since arriving to the unit. Her parents have been here with her most of the time and are very helpful and supportive.Assessment:Sara is alert and oriented. She needs to be reminded to use her incentive spirometer. Abdomen is soft and tender to touch. Bowel sounds active. She has progressed to regular diet, and she's eating small amounts. No nausea reported since postoperative day 1. The surgery team changed the abdominal dressing early this morning. The incision is closed with staples; the edges are well…
your client was admitted to surgical ward complaining of severe abdominal pain to rule out appendicitis. I.V. fluid NS 2000ml/24 hours was started and kept on I.V Rocephine 2 gm OD. On the 2nd day of I.V therapy, he complained of burning pain along iv site and staff nurse noticed a sluggish flow of IV fluid. His arm looks like the below picture. e Answer Identify the complication of I.V therapy that your cleint has developed. x X, & For the toolbar, press ALT+F10 (PC) or ALT+FN+F1O (Mac). Arial 工 0 Q 14px BIUS Paragraph
Situation:Sara Lin is an 18-year-old patient who had an emergency appendectomy. It is day 2 postoperative, and Sara is expected to be discharged late this afternoon. We have discontinued her IV antibiotics after her morning dose. She will be getting oral meds today.Background:Sara presented in the ED 2 days ago with a 2-day history of nausea, vomiting, and increasing pain. She was taken to surgery that day and had an open appendectomy for a ruptured appendix. She has been stable since arriving to the unit. Her parents have been here with her most of the time and are very helpful and supportive.Assessment:Sara is alert and oriented. She needs to be reminded to use her incentive spirometer. Abdomen is soft and tender to touch. Bowel sounds active. She has progressed to regular diet, and she's eating small amounts. No nausea reported since postoperative day 1. The surgery team changed the abdominal dressing early this morning. The incision is closed with staples; the edges are well…
Terminally ill male hospice client who is at home is showing decreased awareness office rounding his appetite is poor, and he often refuses oral intake of solid and liquid for the past several days. He has been unable to get out of bed which action should the hospice nurse implement.
The HCP orders Zantac 50 mg IV every 6 hours for ulcers. The pharmacy delivers 25 mg/ml. The nurse will dilute in 50 mL of 0.9% NS to infuse over 30 minutes. No IV pump available. Need to administer via gravity. IV administration set available is a drop factor of 15 What is the rate? Numeric value only.
.. A 3-year-old boy, Jessie Jarnes is admitted at 0700hrs for elective adenotonsillectomy on the morning of surgery. Apart from chronic symptoms relating to enlarged tonsils and adenoids he is generally fit, well, alert and communicative Medical history: He has had 2 previous anaesthetics at age of 2 and 3 years old for cautery of nose to treat epistaxis. His mother was instructed that Jessie be nil by mouth (NBM) from 12midnight, but he has had nothing since 1830 his last night. He has been taken to the playroom. where he plays Nintendo with Captain Starlight At 1045hrs Jessie's mother returns him to his room. He is drowsy, confused, cold, clammy, and sweaty. He lies curled up with severe abdominal pain. His mother rings the call bel for the nurse. Q1. What would be your next nursing actions? Q2 Explain the pathophysiological changes that causes the patient fo be cold. clammy, and Sweaty q3. identify and provide rationale for two (2) priority care for this patient?
PLEASE USE YOUR OWN WORD Constipation can be an issue for infants, toddlers and school aged children, and therefore, an issue for the childs parents. What interventions, both pharmacological and non-pharmacological, can the nurse suggest to the parents of a child with constipation not caused by an underlying medical condition?
A client admitted for COPD exacerbation is prescribed dexamethasone PO daily for 5 days. Which question is most important for the nurse to ask before giving the first dose? Select one: Oa. "Have you had a fever in the past 72 hours?" Ob. "How would you rate your pain?" c. "Are you having trouble breathing?" d. "When was your last bowel movement?"
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Patient is a 70 year old male with Parkinson’s disease, depression, HTN, and insomnia. He fell at hometwo weeks ago fracturing his forearm and bumping his head. He states that he was going into the kitchento make breakfast and his slipper caught the corner of the floor rug. He has no known drug allergies.Allergies NKDA Current MedicationsLevodopa/Carbidopa (Sinemet®) 25/250mg po TIDFluoxetine (Prozac®) 20mg po daily at bedtime (started 2 weeks ago)Amlodipine 5mg PO once dailyKetorolac (Toradol®) 10mg po every 6 hours prn arm pain x last two weeksDiazepam (Valium) 10mg po at bedtime for sleepPMH Parkinson’s DiseaseDepressionHTNInsomnia1. Discuss possible reasons this patient fell.2. List common side effects of Levodopa/Carbidopa3. He states that he doesn’t think his antidepressant is working. How will you address his concern?4. Which of his medications might be causing the insomnia? How could this be addressed?5. List some general education points regarding sleep hygiene.6. Do you have…
Patient is a 70 year old male with Parkinson’s disease, depression, HTN, and insomnia. He fell at hometwo weeks ago fracturing his forearm and bumping his head. He states that he was going into the kitchento make breakfast and his slipper caught the corner of the floor rug. He has no known drug allergies.Allergies NKDA Current MedicationsLevodopa/Carbidopa (Sinemet®) 25/250mg po TIDFluoxetine (Prozac®) 20mg po daily at bedtime (started 2 weeks ago)Amlodipine 5mg PO once dailyKetorolac (Toradol®) 10mg po every 6 hours prn arm pain x last two weeksDiazepam (Valium) 10mg po at bedtime for sleepPMH Parkinson’s DiseaseDepressionHTNInsomniaWhich of his medications might be causing the insomnia? How could this be addressed?
Patient is a 70 year old male with Parkinson’s disease, depression, HTN, and insomnia. He fell at hometwo weeks ago fracturing his forearm and bumping his head. He states that he was going into the kitchento make breakfast and his slipper caught the corner of the floor rug. He has no known drug allergies.Allergies NKDA Current MedicationsLevodopa/Carbidopa (Sinemet®) 25/250mg po TIDFluoxetine (Prozac®) 20mg po daily at bedtime (started 2 weeks ago)Amlodipine 5mg PO once dailyKetorolac (Toradol®) 10mg po every 6 hours prn arm pain x last two weeksDiazepam (Valium) 10mg po at bedtime for sleepPMH Parkinson’s DiseaseDepressionHTNInsomnia 1. His wife tells you that he has started having hallucinations. Which medication might be causing this?Discuss why this happens.

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