List 4 observations and provide a rationale for the observations that you would make when assessing the peripheral IVT in a patient. (IVC assessments are only one observation)
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- List 4 observations and provide a rationale for the observations that you would make when assessing the peripheral IVT in a patient. (IVC assessments are only one observation)
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- A nurse is preparing to administer codeine 30 mg PO every 4 hr PRN to a client for pain. Theamount available is codeine oral solution 15 mg/5 ml. How many ml should the nurse planto administer per dose? (Round the answer to the nearest whole number. Use a leading zero ifit applies. Do not use a trailing zero.)A patient with a high output NG tube is at risk for which imbalance(s)? What assessment findings and nursing implementation would you expect?What action best matches the evaluation phase of the nursing process? Group of answer choices a. Counting the apical pulse before giving a dose of the medication b. Teaching the client about their cardiac medication c. Developing an outcome that the heart rate will be between 60-100 after giving the medication d. Counting the apical pulse and checking the blood pressure after giving the dose of medication e. Identifying "Decreased Cardiac Output" as a client problem
- What action best matches the evaluation phase of the nursing process? Group of answer choices a. Counting the apical pulse before giving a dose of the medication b. Teaching the client about their cardiac medication c.Developing an outcome that the heart rate will be between 60-100 after giving the medication d. Counting the apical pulse and checking the blood pressure after giving the dose of medication e. Identifying "Decreased Cardiac Output" as a client problemA nurse is preparing to administer gentamicin to a client who weight 165 lb. The medication reference recommends administering 2mg/kg IM every 8 hr. How many mg should the nurse plan to administer per dose?Category: Management of Care During the endorsement, which of the following clients should the on-duty nurse assess first? A. The 58-year-old client who was admitted 2 days ago with heart failure, blood pressure of 126/76 mm Hg, and a respiratory rate of 22 breaths/minute. B. The 89-year-old client with end-stage right-sided heart failure, blood pressure of 78/50 mm Hg, and a "do not resuscitate" order. C. The 62-year-old client who was admitted 1 day ago with thrombophlebitis and is receiving L.V. heparin. D. The 75-year-old client who was admitted 1 hour ago with new-onset atrial fibrillation and is receiving L.V. diltiazem (Cardizem).
- Briefly describe why the GCS is more appropriate for TBI assessment in intensive care and other acute care settings, as opposed to inpatient rehabilitation and outpatient rehabilitation settings where the RLA is more appropriate for assessment.Practice charting by identifying the following statements as to Focus (F), Data (D), Action (A), and Response (R ). Write your answer after each statement. Patient now rates pain from 7 to 5 on 1-10 rating scale. Administered Tylenol 200mg PO. Patient complains of pain and rate it 9 on 1-10 rating. The patient blood pressure is 120/80 mmHg. Orient family members to waiting area. Nausea and vomiting. Fever Assess pain at least every 2 hours.A 75-year-old woman is admitted to your unit for evaluation after being found in herapartment unconscious on the floor. She is now awake but moving slowly. Her vital signs arewithin normal limits. 1. In the hospital, it is unrealistic to expect to be able to spend an uninterrupted 30 to 60 minuteswith a single client performing an admission assessment. Which three system would have toppriority for her initial assessment? Discuss why. 2. While gathering relevant history data, what should you do if the client answers with simpleone-word answer or gestures? 3. Because the client may be in significant discomfort from her fall, it is not easy for her to moveabout for the examination. How might you organize your assessment to minimize here need tochange positions frequently? 4. If the client is unable to provide a detailed recent history, what other sources of these datacould you consider?
- Concept Map which consists of: 1 nursing diagnosis 1 Goal 3 Nursing interventions with rationale evaluation Completed medication cards Mr. S.B. has been a smoker for 20 years. He has noticed increased shortness of breath (SOB) for the past week and is complaining of a productive cough with thick whitish phlegm. VSS 99.9F, 92HR, 32R, and 152/90. Pulse oximetry is 90% on room air. Medications: Prednisone 10mg orally dailyProventil MDI 180mcg. 2 puffs inhaled every 6 hoursWhile assessing a patient in the PACU, a nurse notesincreased wound drainage, restlessness, a decreasing blood pressure, and an increase in the pulse rate. The nurse inter-prets these findings as most likely indicating: a. Thrombophlebitisb. Atelectasisc. Infectiond. HemorrhageA patient with sharp chest pain has observations: Respiratory rate 24, spo2 93, heart rate 115 blood pressure 100/60, what should be the nursing and pharmacological interventions and considerations needed to be done? as well as what assessments should be performed?