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Mr. Arnez has returned from having a lumbar puncture. His healthcare provider's orders state that he is to remain supine for the next 12 hours. (Learning Objectives 1, 2, 3, 6, 11) 1. 2. 3. What do you say to the client to explain what is meant by the supine position? When Mr. Arnez is allowed out of bed, you evaluate his fall risk and determine that he will need some assistance. List at least three principles related to safe movement in and out of bed. Mr. Arnez has become very weak and confused. It has been determined that he should not ambulate unassisted. However, he continues to get out of his bed or chair unassisted. Discuss the first nursing actions you would implement in order to provide for Mr. Arnez's safety.

Mr. Arnez has returned from having a lumbar puncture. His healthcare provider's orders state that he is to remain supine for the next 12 hours. (Learning Objectives 1, 2, 3, 6, 11) 1. 2. 3. What do you say to the client to explain what is meant by the supine position? When Mr. Arnez is allowed out of bed, you evaluate his fall risk and determine that he will need some assistance. List at least three principles related to safe movement in and out of bed. Mr. Arnez has become very weak and confused. It has been determined that he should not ambulate unassisted. However, he continues to get out of his bed or chair unassisted. Discuss the first nursing actions you would implement in order to provide for Mr. Arnez's safety.

Phlebotomy Essentials
Phlebotomy Essentials
6th Edition
ISBN:9781451194524
Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Chapter1: Phlebotomy: Past And Present And The Healthcare Setting
Section: Chapter Questions
Problem 1SRQ
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### Case Study, Chapter 48, Moving and Positioning Clients #### Scenario: Mr. Arnez has returned from having a lumbar puncture. His healthcare provider’s orders state that he is to remain supine for the next 12 hours. (Learning Objectives 1, 2, 3, 6, 11) #### Discussion Questions: 1. **What do you say to the client to explain what is meant by the supine position?** To explain the supine position to Mr. Arnez, you could say: "The supine position means that you need to lie flat on your back. It's important for you to stay in this position for the next 12 hours to help reduce the risk of complications after your lumbar puncture." 2. **When Mr. Arnez is allowed out of bed, you evaluate his fall risk and determine that he will need some assistance. List at least three principles related to safe movement in and out of bed.** - **Proper Body Mechanics:** Ensure that you use proper body mechanics when assisting Mr. Arnez. Bend at your knees, not your back, and avoid twisting your spine. - **Use of Assistive Devices:** Utilize assistive devices such as a gait belt or a walker to provide additional support and stability. - **Close Supervision:** Always stay close to Mr. Arnez when he is moving in or out of bed to catch him or provide immediate support if he begins to fall. 3. **Mr. Arnez has become very weak and confused. It has been determined that he should not ambulate unassisted. However, he continues to get out of his bed or chair unassisted. Discuss the first nursing actions you would implement in order to provide for Mr. Arnez’s safety.** - **Implement a Bed Alarm:** Place a bed alarm under Mr. Arnez’s mattress, which will alert staff when he attempts to get out of bed. - **Frequent Monitoring:** Increase the frequency of checks on Mr. Arnez to ensure his safety and provide assistance as soon as he needs to move. - **Clear Communication:** Explain to Mr. Arnez the importance of asking for help before attempting to get out of bed or his chair. Make sure that the instruction is repeated periodically given his confusion. - **Environment Safety:** Ensure that the environment around Mr. Arnez is free of clutter and falls hazards. Keep necessary items
Transcribed Image Text:### Case Study, Chapter 48, Moving and Positioning Clients #### Scenario: Mr. Arnez has returned from having a lumbar puncture. His healthcare provider’s orders state that he is to remain supine for the next 12 hours. (Learning Objectives 1, 2, 3, 6, 11) #### Discussion Questions: 1. **What do you say to the client to explain what is meant by the supine position?** To explain the supine position to Mr. Arnez, you could say: "The supine position means that you need to lie flat on your back. It's important for you to stay in this position for the next 12 hours to help reduce the risk of complications after your lumbar puncture." 2. **When Mr. Arnez is allowed out of bed, you evaluate his fall risk and determine that he will need some assistance. List at least three principles related to safe movement in and out of bed.** - **Proper Body Mechanics:** Ensure that you use proper body mechanics when assisting Mr. Arnez. Bend at your knees, not your back, and avoid twisting your spine. - **Use of Assistive Devices:** Utilize assistive devices such as a gait belt or a walker to provide additional support and stability. - **Close Supervision:** Always stay close to Mr. Arnez when he is moving in or out of bed to catch him or provide immediate support if he begins to fall. 3. **Mr. Arnez has become very weak and confused. It has been determined that he should not ambulate unassisted. However, he continues to get out of his bed or chair unassisted. Discuss the first nursing actions you would implement in order to provide for Mr. Arnez’s safety.** - **Implement a Bed Alarm:** Place a bed alarm under Mr. Arnez’s mattress, which will alert staff when he attempts to get out of bed. - **Frequent Monitoring:** Increase the frequency of checks on Mr. Arnez to ensure his safety and provide assistance as soon as he needs to move. - **Clear Communication:** Explain to Mr. Arnez the importance of asking for help before attempting to get out of bed or his chair. Make sure that the instruction is repeated periodically given his confusion. - **Environment Safety:** Ensure that the environment around Mr. Arnez is free of clutter and falls hazards. Keep necessary items
--- ## Developing Critical Thinking Through Understanding Pathophysiology ### Primary problem (medical diagnosis) of patient: ____________________________________ #### 1. Define and describe in your OWN WORDS the pathophysiology of the primary problem of your patient: ____________________________________________________________________________________ ____________________________________________________________________________________ #### 2. How would you explain and teach your patient about the pathophysiology of this medical problem using non-medical terminology? ____________________________________________________________________________________ ____________________________________________________________________________________ #### 3. What body system(s) are directly impacted by this disease and how are those systems affected? | BODY SYSTEM(S) | HOW BODY SYSTEM IS AFFECTED(S) | |---------------------|----------------------------------| | | | | | | #### 4. PRIORITY nursing assessments with this disease? (Refer to body system that is most affected). What assessment findings may be abnormal as a result of this illness? | PRIORITY ASSESSMENTS | EXPECTED ABNORMAL ASSESSMENTS | |-------------------------|---------------------------------| | | | | | | #### 5. What lab tests are altered by this problem? How are those lab tests affected? Does the altered lab test affect any physical assessment findings? | ABNL. LAB TESTS | HOW LAB TESTS AFFECTED | DOES IT IMPACT ASSESSMENTS? | |---------------------|----------------------------------|-------------------------------| | | | | | | | | #### 6. What medications are most commonly used to manage this problem? | MEDICATIONS | MECHANISM OF ACTION (OWN WORDS) | |--------------------|----------------------------------| | | | | | | --- This structured format can be used for educational purposes to help individuals develop critical thinking through understanding pathophysiology. Labels and columns help classify information efficiently and encourage comprehensive analysis and explanation of medical conditions.
Transcribed Image Text:--- ## Developing Critical Thinking Through Understanding Pathophysiology ### Primary problem (medical diagnosis) of patient: ____________________________________ #### 1. Define and describe in your OWN WORDS the pathophysiology of the primary problem of your patient: ____________________________________________________________________________________ ____________________________________________________________________________________ #### 2. How would you explain and teach your patient about the pathophysiology of this medical problem using non-medical terminology? ____________________________________________________________________________________ ____________________________________________________________________________________ #### 3. What body system(s) are directly impacted by this disease and how are those systems affected? | BODY SYSTEM(S) | HOW BODY SYSTEM IS AFFECTED(S) | |---------------------|----------------------------------| | | | | | | #### 4. PRIORITY nursing assessments with this disease? (Refer to body system that is most affected). What assessment findings may be abnormal as a result of this illness? | PRIORITY ASSESSMENTS | EXPECTED ABNORMAL ASSESSMENTS | |-------------------------|---------------------------------| | | | | | | #### 5. What lab tests are altered by this problem? How are those lab tests affected? Does the altered lab test affect any physical assessment findings? | ABNL. LAB TESTS | HOW LAB TESTS AFFECTED | DOES IT IMPACT ASSESSMENTS? | |---------------------|----------------------------------|-------------------------------| | | | | | | | | #### 6. What medications are most commonly used to manage this problem? | MEDICATIONS | MECHANISM OF ACTION (OWN WORDS) | |--------------------|----------------------------------| | | | | | | --- This structured format can be used for educational purposes to help individuals develop critical thinking through understanding pathophysiology. Labels and columns help classify information efficiently and encourage comprehensive analysis and explanation of medical conditions.
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