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School
Yuba College *
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Course
1211
Subject
Nursing
Date
Nov 24, 2024
Type
png
Pages
1
Uploaded by dhoot530
Patient Data The nurse reviews the chart for a 15-year-old female patient who has been admitted to an inpatient eating disorder clinic with diagnoses of anorexia nervosa and dehydration. iSeonyann Pinaral . Lahosirey Resulis Click to highlight the assessment findings the nurse will report to the healthcare provider immediately for further evaluation. Select a tab to see patient information @ - Temperature 95.5°F Pulse 40 bpm Respirations 14 breaths/min Blood pressure 74/40 mmHg Pulse oximetry 96% Potassium 2.9 mEq/L The patient states she is “fat and ugly” Constipation BUN 30 mg/dL Creatinine 3 mg/dL KEY @ correct word(s) highlighted @ incorrect word(s) highlighted @ missed correct word(s) that should have been highlighted W That's right! Rationale: The patient has hypothermia with a temperature of 95.5°F, bradycardia with a heart rate of 40 bpm, and hypotension with a blood pressure of 74/40 mmHg, which should all be reported to the healthcare provider for further evaluation and treatment. The patient’s laboratory values are abnormal, showing hypokalemia (low potassium) and elevated kidney function with BUN and creatinine. These laboratory levels are associated with medical complications from anorexia nervosa and need further evaluation. The patient’s respiratory rate and pulse oximetry reading are normal. The patient’s thoughts about her appearance are not an urgent concern at this time but are associated with her diagnosis of anorexia nervosa and will likely be addressed with counseling. The constipation is not an urgent need at this time.
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Related Questions
document the following scenario using SOAPIE documentation system
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A nurse is completing an 8-hr l&O record for a client who consumed 4 oz juice, 6 oz hot tea, 100 mL ice chips, an IV bolus of 150 mL, and 8 oz broth. The nurse
should record how many mL of intake on the client's record?
_mL
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As a nurse on a general medical floor, the RN has received a new admit. Review the client data provided.
Richard Henderson
58 years old
Male
Admit diagnosis: GI bleed
History: no surgical history
Medical history: Gastritis & GERD
Medications: Prilosec 40 mg PO daily, Atenolol 25 mg PO BID, Fiber daily, Alka Seltzer PO – states he takes this at least daily.
Report from physician’s office: Mr. Henderson arrived to the physician’s office today for a complaint of increasing abdominal pain. He states that he is now throwing up coffee-ground emesis. He states that he didn’t take his BP medication this morning because he was dizzy. The physician is admitting him with a diagnosis of GI bleed with an EGD scheduled for tomorrow. He is NPO, and has a 22G IV lock in the left forearm. Last set of vital signs BP 106/60 mm Hg, HR 98 beats/min, RR 20 breaths/min, Temp. 98.8 degrees F, P.O. 90% on room air. He last vomited about 45 minutes ago with a small amount of dark coffee-ground emesis.…
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Rewrite the following statements using the appropriate language for nursing documentation.
Patient states that he has arthritic knee pain bilaterally – rates pain at 8/10; pt. looks like he is not in that much pain – given Tylenol for mild pain instead of 2 Percocet ordered for severe pain; patient told that obesity is causing knee pain.
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Please do nursing care plan regarding hypokalemia electrolyte imbalance with a format like this. Thank u
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document the following scenario using FOCUS documentation system
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What is the most appropriate initial action for the nurse to take?
Question 4Answer
a.
Administer insulin as prescribed.
b.
Encourage John to drink water.
c.
Notify the healthcare provider.
d.
Give John a sugary snack.
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a medication order states, administer vitamin B12 0.5 mg IM bi-monthly. Available is vitamin B12 1000 mcg/mL. How many mL should the nurse administer for each dose? (Record answer to the tenth, or one decimal place.
Use a leading zero if it applies. Do not use a trailing zero.)
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Please help me with these questions, picture attach I need it by tomorrow morning thanks.
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Time
Temperature (C)
Pulse (beats/min)
Respiration (respirations/min)
Blood pressure (mmHg)
6:00 AM
36.8
88
18
110/70
10:00 AM
37.3
86
18
120/80
2:00 PM
36.5
81
19
110/80
6:00 PM
36.6
83
18
110/80
10:00 PM
36.6
80
17
160/80
Point out the aberrant vital sign
What is the possible explanation for this finding?
If you are the patient’s nurse, what will be your next step?
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Document the following senario using SOAPIE documentation
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Name: Patient XOXO
Age: 54 y/o
Patient XOXO, a teacher at public school in Caloocan City. She currently weighs 57kg and stands 5'4'' tall with medium body frame size. She was recently diagnosed with Dysphagia secondary to Neurologic Disorder. Her doctor prescribed a Level 1 Dysphagia diet based on her tolerance after the swallowing assessment and recommendations of OT and PT. Create a one-day meal plan for Patient XOXO requiring such diet.
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A client has impaired memory, impaired mobility and ADL, increased risks for fall. increased risk for skin breakdown high blood pressure. Left visual deficits, left side weakness. Assisst with walker, last bowel movement 9/72023
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Patient ID:
A.C, a 4 year old female from Daraga Albay. History source – Mother 100 % reliability.
Chief compliant: Persistent vomiting.
History of present illness:
2 weeks PTA the patient experienced abdominal pain with painful urination. No fever, no vomiting, nor watery stool. No medication nor consult was done.
7 days PTA, the patient presented with an episode of vomiting with the passage of live worms. She also experiences abdominal pain without passage of stool for 2 days.
6 days PTA, the abdominal pain was persistent and with several episodes of vomiting but no passage of live worms.
A few hours of PTA, the persistence of abdominal pain, increased frequency of vomiting, and presence of abdominal distention prompted them for a consult.
Past medical history:
(+) Bronchial asthma with last attack 1 month ago.
(-) Heart disease.
Family history:
(+) DM, maternal and paternal side.
(-) Cancer, cardiac disease, kidney, and asthma.
Birth and Maternal history:
24 G1P1 mother with the…
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The nurse is visiting a 75-year-old client in the home. The client has type 1 diabetes mellitus, hypertension, and osteoarthritis in both knees. The client's sight is moderately, impaired despite the use of eyeglasses. The client's medication regimen includes Humulin insulin (70/30) (combination insulins), 35 units subcutaneously in the morning, lisinopril (Prinivil) 5mg by mouth daily, and celecoxib (Celebrex) 100mg by mouth daily.What data will the nurse gather to evaluate the effects of the ordered medications?
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The nurse is visiting a 75-year-old client in the home. The client has type 1 diabetes mellitus, hypertension, and osteoarthritis in both knees. The client's sight is moderately, impaired despite the use of eyeglasses. The client's medication regimen includes Humulin insulin (70/30) (combination insulins), 35 units subcutaneously in the morning, lisinopril (Prinivil) 5mg by mouth daily, and celecoxib (Celebrex) 100mg by mouth daily.What are two important medication administration safety issues that the nurse will assess in the client?
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The nurse is visiting a 75-year-old client in the home. The client has type 1 diabetes mellitus, hypertension, and osteoarthritis in both knees. The client's sight is moderately, impaired despite the use of eyeglasses. The client's medication regimen includes Humulin insulin (70/30) (combination insulins), 35 units subcutaneously in the morning, lisinopril (Prinivil) 5mg by mouth daily, and celecoxib (Celebrex) 100mg by mouth daily.What criteria will the nurse use to select printed educational materials for the clients use?
arrow_forward
SEE MORE QUESTIONS
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Related Questions
- document the following scenario using SOAPIE documentation systemarrow_forwardA nurse is completing an 8-hr l&O record for a client who consumed 4 oz juice, 6 oz hot tea, 100 mL ice chips, an IV bolus of 150 mL, and 8 oz broth. The nurse should record how many mL of intake on the client's record? _mLarrow_forwardAs a nurse on a general medical floor, the RN has received a new admit. Review the client data provided. Richard Henderson 58 years old Male Admit diagnosis: GI bleed History: no surgical history Medical history: Gastritis & GERD Medications: Prilosec 40 mg PO daily, Atenolol 25 mg PO BID, Fiber daily, Alka Seltzer PO – states he takes this at least daily. Report from physician’s office: Mr. Henderson arrived to the physician’s office today for a complaint of increasing abdominal pain. He states that he is now throwing up coffee-ground emesis. He states that he didn’t take his BP medication this morning because he was dizzy. The physician is admitting him with a diagnosis of GI bleed with an EGD scheduled for tomorrow. He is NPO, and has a 22G IV lock in the left forearm. Last set of vital signs BP 106/60 mm Hg, HR 98 beats/min, RR 20 breaths/min, Temp. 98.8 degrees F, P.O. 90% on room air. He last vomited about 45 minutes ago with a small amount of dark coffee-ground emesis.…arrow_forward
- Rewrite the following statements using the appropriate language for nursing documentation. Patient states that he has arthritic knee pain bilaterally – rates pain at 8/10; pt. looks like he is not in that much pain – given Tylenol for mild pain instead of 2 Percocet ordered for severe pain; patient told that obesity is causing knee pain.arrow_forwardPlease do nursing care plan regarding hypokalemia electrolyte imbalance with a format like this. Thank uarrow_forwarddocument the following scenario using FOCUS documentation systemarrow_forward
- Presenting Situation:John has a blood glucose level of 300 mg/dL. He feels thirsty and reports frequent urination. What is the most appropriate initial action for the nurse to take? Question 4Answer a. Administer insulin as prescribed. b. Encourage John to drink water. c. Notify the healthcare provider. d. Give John a sugary snack.arrow_forwarda medication order states, administer vitamin B12 0.5 mg IM bi-monthly. Available is vitamin B12 1000 mcg/mL. How many mL should the nurse administer for each dose? (Record answer to the tenth, or one decimal place. Use a leading zero if it applies. Do not use a trailing zero.)arrow_forwardPlease help me with these questions, picture attach I need it by tomorrow morning thanks.arrow_forward
- Case: You are the primary nurse of a 35yo patient who was admitted due to loss of appetite. The patient does not have other diseases (e.g. asthma, hypertension, diabetes). The patient is now on her 3rd hospital day, is already relieved of her primary complaint, and is very comfortable. Below is the vital signs monitoring sheet of the patient for today. Time Temperature (C) Pulse (beats/min) Respiration (respirations/min) Blood pressure (mmHg) 6:00 AM 36.8 88 18 110/70 10:00 AM 37.3 86 18 120/80 2:00 PM 36.5 81 19 110/80 6:00 PM 36.6 83 18 110/80 10:00 PM 36.6 80 17 160/80 Point out the aberrant vital sign What is the possible explanation for this finding? If you are the patient’s nurse, what will be your next step?arrow_forwardDocument the following senario using SOAPIE documentation Mr. Smith is one day post-operative (Post-up) abdominal surgery. He complains of (c/lo) "severe pain" to his abdomen and rates his pain level as an 8 on a scale of 1-10. he is grimacing. His heart rate is 92. The nurse administers morphone sulfate 4mg IV. The nurse evaluates Mr. Smith's pain after administering the morphine sulfate. Mr. Smith says his pain has decreased and now rates his pain level as a 2. HE is no longer grimacing and his heart rate is 72.arrow_forwardName: Patient XOXO Age: 54 y/o Patient XOXO, a teacher at public school in Caloocan City. She currently weighs 57kg and stands 5'4'' tall with medium body frame size. She was recently diagnosed with Dysphagia secondary to Neurologic Disorder. Her doctor prescribed a Level 1 Dysphagia diet based on her tolerance after the swallowing assessment and recommendations of OT and PT. Create a one-day meal plan for Patient XOXO requiring such diet.arrow_forward
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