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- A nurse is monitoring a patient who is receiving an IVinfusion of normal saline. The patient is apprehensive andpresents with a pounding headache, rapid pulse rate, chills,and dyspnea. What would be the nurse’s priority interventionrelated to these symptoms?a. Discontinue the infusion immediately, monitor vitalsigns, and report findings to primary care providerimmediately.b. Slow the rate of infusion, notify the primary care providerimmediately and monitor vital signs.c. Pinch off the catheter or secure the system to prevent entryof air, place the patient in the Trendelenburg position, andcall for assistance.d. Discontinue the infusion immediately, apply warm, moistcompresses to the site, and restart the IV at another site.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?A patient is recei-ing an opioid -ia a PCA pump as part of his postoperati-e pain management program. During rounds, the nurse finds him unresponsi-e, with respirations of 8 breaths/min and blood pressure of 102/58 mm Hg. After stopping the opioid infusion, what should the nurse do next? a )Notify the charge nurse b )Draw arterial blood gases c )Administer an opiate antagonist per standing orders d) Perform a thorough assessment, including mental status examination
- https://www.tandfonline.com/doi/full/10.1080/17482631.2019.1667133 Give a brief summary (3-4 paragraphs), and include some aspect of therapeutic interventions for nurses from the article.From the data provided, formulate a nursing diagnosis and a nursing care plan (by using A-ssessment, D-iagnosis, P-lanning/Goal, I-ntervention with Rationale, E-valuation) to be implemented in the emergency room for this client.A visiting nurse is performing a family assessment of ayoung couple caring for their newborn who was diagnosedwith cerebral palsy. The nurse notes that the mother’s hairand clothing are unkempt, the house is untidy, and themother states that she is “so busy with the baby that I don’thave time to do anything else.” What would be the priorityintervention for this family?a. Arrange to have the infant removed from the home.b. Inform other members of the family of the situation. c. Increase the number of visits by the visiting nurse.d. Notify the care provider and recommend respite care forthe mother.
- A nurse is caring for an older male patient in a long-term carefacility who has a spinal cord injury affecting his neurologicreflex arc. Based on this patient data, what would be a priorityintervention for this patient?a. Monitoring food and drink temperatures to prevent burnsb. Providing adequate pain relief measures to reduce stressc. Monitoring for depression related to social isolationd. Providing meals high in carbohydrates to promote healingThe nurse is practicing the therapeutic communication technique of broad opening. Which of thefollowing statements by the nurse best demonstrates a correct understanding of this technique?a. “How do you feel when you are arguing with your daughter?”b. “What are you thinking about?”c. “Are you planning on hurting yourself?”d. “You are biting your fingernails. Is something bothering you?”A dose of an opioid medication (45mg) and an anticholinergic medication (0.3mg) has been ordered for preoperative sedation. The opioid medication is provided in a prefilled syringe containing 50 mg/ml and the anticholenergic medication is provided in a vial containing 400 mcg/ml. What is the total volume that the nurse will inject?
- Mr. Wright is recovering from abdominal surgery. When thenurse assists him to walk, she observes that he grimaces, moves stiffly, and becomes pale. She is aware that he hasconsistently refused his pain medication. What would be apriority nursing diagnosis for this patient? a. Acute Pain related to fear of taking prescribed post-operative medications b. Impaired Physical Mobility related to surgical procedurec. Anxiety related to outcome of surgeryd. Risk for Infection related to surgical incisionThe surgeon has prescribed 5/150 mg hydrocodone bitartrate and acetaminophen PO Q6H prn pain. The nurse is reviewing the drug label and preparing to administer the opioid to the client who is complaining of 8 out of 10 RUQ pain. What pain scale was used to assess this client? How many tablet(s) will the nurse administer per dose? (Be sure to include units.) What is meant by 300 mg on the drug label below? If the nurse administers the first dose at 1730 to the client, when can the client have the next dose? What type of order is prn?While in a clinical rotation my junior year, I was assignedthe dreaded Jack Camp (I still remember his name). He was a middle-aged single man receiving care for a com-pound fracture of his left lower extremity being treated with an external fixator. He had a bad case of diabetes, and aneven worse sweet tooth. Before I even met him, the nurseson the floor were saying things like “good luck,” whichmade this junior nursing student extra paranoid (althoughI was grateful for the warning). The patient was known for voicing loud complaints about his room, the food, andthe hospital routine. He also was using his call light veryfrequently. The nurses called him names and discussedtheir dislike of him in the nurses’ station, which was in thecenter of the unit.As the day progressed, I found out that all this patientwanted was some attention, because he was used torunning things in his business. I actually found himentertaining. How do you think you would respond in a similar situation?Why? What…