Marg a 73-year-old lady was admitted to hospital overnight and placed into your care. She had a fall at home and was transferred by ambulance to hospital. You have just come on to the morning shift and received handover. Marg’s observatories have been within normal limits since being transferred to the unit- BP110/60, HR 78, O2 Sats: 98% and Resp: 18. Marg settled quickly and fell asleep at about 2400hrs. You would like to assist Marg to the shower but you are unsure about how safe she is on her feet and you realise that she has not had a falls risk screening/assessment completed.  Other Documentation: Other medical history is: Hypertension Arthritis Osteoporosis Medications: Atenolol 100 mg daily Paracetamol 1gm QID Question 1 List normal and abnormal subjective and objective cues that you have collected for Marg.

SITUATION Zoran Solano, a 20-year-old man was brought into theEmergency Department (ED) after an accident whilst ridingon an electric scooter. He was stabilised and transferred tothe Orthopaedic Ward for surgery in the morning.BACKGROUND Zoran Solano was out partying with his friends, celebrating abirthday in the Valley. According to his cousin, Eyad, Zoranstarted drinking at 5pm that day and by the time they leftthe club around 2am, Zoran was very intoxicated. As theywere walking out of the club, Zoran decided to jump on anelectric scooter that was parked outside the club. Eyadstarted running after Zoran, and he saw Zoran weaving inand out of cars on the road at a high speed. Eyad saw Zoranbarely manage to avoid fully hitting the concrete column of abuilding but he jumped off the electric scooter and landed inan awkward position.ASSESSMENT GCS: 15/15, both pupils: 3 equal and reactive to light,moving both upper limbs and right leg in normal strength,left leg no movement (due to severe…

phathophysiology Paul Wheat (PW) is a 23 y/o male who suffered a hit-and-run auto-pedestrian accident and sustained multiple abrasions, a concussion, and a deep laceration of his left thigh. He was discovered approximately 2 hours after the incident and is now in the emergency room [ER]. Paul’s initial diagnostic workup, vital signs and lab work reveal a 2500 mL blood loss. A urinary catheter is inserted to monitor urine output. Currently, Paul’s urine output is 15 mL/hr and is clear but dark amber in color. In addition to urine output, what laboratory data should be monitored to assess potential changes in PW’s renal function?

4. Mr. Kee is intubated with a 7.5 mm orotracheal tube. He is in the ICU on a ventilator. The low-exhaled-volume alarm is sounding and Mr. Kee is phonating. His respiratory rate is 32 breaths/ minute, the heart rate is 122 bpm, and the pulse oximeter is 89 percent. You measure the cuff pressure to be 30 cm H2O, and the pilot tube and valve are intact. What would be your recommendations to remedy this situation?

Which of the following are back ward effects of right-sided failure? Pulmonary edema Increased urination Peripheral edema Immunosuppression

Mrs. Frances arrives in the emergency department with her son George. She cannot speak and there is weakness and numbness on her right side. She is seen by Victoria, the nurse practitioner, who also notices a drooping on the right side of Mrs. Frances’s face. George states that his mother was fine, eating her breakfast when this occurred. Victoria checks the woman’s BP and it is 200/100. The emergency department physician and Victoria examine the patient, and the physician makes the diagnosis of a cerebral vascular accident (CVA). What is the correlation between Mrs. Frances’s BP and her CVA?

Zoran Solano, a 20-year-old man was brought into the Emergency Department (ED) after an accident whilst riding on an electric scooter. He was stabilised and transferred to the Orthopaedic Ward for surgery in the morning. BACKGROUND Zoran Solano was out partying with his friends, celebrating a birthday in the Valley. According to his cousin, Eyad, Zoran started drinking at 5pm that day and by the time they left the club around 2am, Zoran was very intoxicated. As they were walking out of the club, Zoran decided to jump on an electric scooter that was parked outside the club. Eyad started running after Zoran, and he saw Zoran weaving in and out of cars on the road at a high speed. Eyad saw Zoran barely manage to avoid fully hitting the concrete column of a building but he jumped off the electric scooter and landed in an awkward position. ASSESSMENT GCS: 15/15, both pupils: 3 equal and reactive to light, moving both upper limbs and right leg in normal strength, left leg no movement (due to…

phathophysiology Paul Wheat (PW) is a 23 y/o male who suffered a hit-and-run auto-pedestrian accident and sustained multiple abrasions, a concussion, and a deep laceration of his left thigh. He was discovered approximately 2 hours after the incident and is now in the emergency room [ER]. Paul’s initial diagnostic workup, vital signs and lab work reveal a 2500 mL blood loss. A urinary catheter is inserted to monitor urine output. Currently, Paul’s urine output is 15 mL/hr and is clear but dark amber in color. What type of renal failure is PW likely developing? What is the underlying cause?

A nurse us caring for a client who is in shock and is receiving an infusion of albumin. Which of  the following findings should the nurse expect?  Oxygen saturation 96%  PaCO2 30 mm Hg  Increase in BP   d. Decrease in protein

Mrs. Frances arrives in the emergency department with her son George. She cannot speak and there is weakness and numbness on her right side. She is seen by Victoria, the nurse practitioner, who also notices a drooping on the right side of Mrs. Frances’s face. George states that his mother was fine, eating her breakfast when this occurred. Victoria checks the woman’s BP and it is 200/100. The emergency department physician and Victoria examine the patient, and the physician makes the diagnosis of a cerebral vascular accident (CVA). What other body systems will be affected because of the CVA?