Discuss 4 observations you should perform when caring for a patient on anticoagulation therapy. (more than a sentence)             Voiding: Faeces: to tell your patient to then get you and to tell you that there is blood within their and then to then also tell them to not flush the toilet when they open their bowels, so then you can then check it and observe it Gums: advise patient to report if there is any signs of bleeding in within their gums Bruising is increased: Hematemesis (vomiting):

Choose topic no4. Dont need guideline okkk just do it accurate

An RN is working with a 34-year-old patient admitted after surgical removal of a ruptured spleen and an open reduction internal fixation of her left femur after a multiple vehicle accident in which it has been determined that her husband was driving under the influence of alcohol. Her husband and a passenger in the second car were killed in the accident. In her acute grieving state, the patient verbalizes excessive guilt, stating she never should have let her husband drive after drinking at a party earlier on the evening of the accident. The patient tearfully sobs, “I’ve taken away my babies’ father, lost another family their loved one, and caused terrible grief to everyone! It’s all my fault. If only I’d insisted that I drive. I knew he’d been drinking, but it didn’t seem like he was drunk. This is all my fault!Everyone must really hate me. They must wish that it was me who died. I know I do.”   a. What techniques can the nurse use to help develop a therapeutic relationship?   b.…

Prone posiitoning has been inplemented for a patient with acute respiratory distress syndrome. Which onformation cause by the nurse indicates thjat tje positioning is effective? 1. Endotracheal suctioning results in increase mucous secretions 2. the skin on the patient's back is intact  without redness 3.Sputum and blood cultures show no growth after 8 hours 4. The patients PaO2 is 87 mm Hg anf the SaO2 is 91%

The nurse is caring for a toddler receiving chelation therapy and intravenous deferoxamine. Which assessment finding would the nurse be most concerned about? Fever Emesis. Red urine. Facial flushing

A patient reports throat irritation, a bad taste, wheezing, and a cough after taking cromolyn sodium (Intal) prescribed for asthma attack prevention. Nurse expect in response to the symptoms? -Medications to offset symptoms -Review of the possible side effects -A change in the medication dose -Discontinuation because of toxicity

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?

A 62-year-old man who is a chronic smoker with a history of widespread atherosclerotic vascular disease complains of a 3-h history of severe midabdominal pain, accompanied by nausea and vomiting. He has a history of myocardial ischemia and peripheral vascular disease. On examination, he is writhing in pain. His abdomen has normal bowel sounds and minimal tenderness. A small amount of blood is present in the stool specimen. The electrolytes show a low bicarbonate level at 15 mEq/L, and the serum lactate level is high, which are indicative of tissue receiving insufficient oxygenation leading to tissue injury. A surgeon, who is concerned about mesenteric ischemia, has been called to evaluate the patient. Which of the following is the most likely diagnosis? Appendicitis Cholecystitis Gastritis Superior mesenteric thrombosis Amebic colitis

write me prompts and paragraphs on what to include for the subheading of "pallative care and end of life decision making" with UK citations

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…