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A multigravida at 32 weeks gestation tells the nurse that she gets dizzy in while.The nurse should instruct the patient to:
- Stand with her head lowered
- Discontinue moderate exercise
- Avoid being in a cold room
- Avoid sudden position changes
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- A group of student-nurses are about to conduct a community diagnosis. Which of the following activity is necessary during the first stage? Refer Julia immediately to an OBGyn doctor and have her checked in a hospital since she has high risk pregnancy Assist the family in providing adequate care to Julia by doing a daily home visit and Leopold’s Maneuver Discuss to Julia’s family the importance of regular prenatal check-ups Emphasize to Julia that health center services are freepost cesarean client receiving intrathecal narcotic for delivery has a respiratory rate of breaths per minuteIdentify the medication that the nurse should have on hand for opioid toxicityA multigravida at 37 weeks' gestation tells the nurse that she has frequent heartburn. After providing the patient with suggestions for obtaining relief from the heartburn. the nurse determines that the patient has understood the instructions when the patient says: I should eat only three large meals and drink plenty of fluids It's all right for me to have a fried hamburger and fries I can take a teaspoon of baking soda in water occasionally I should eat smaller, more frequent meals with fluids
- Betty presents at the ED with chest pain, accompanied by Alan and her daughter Cheryl. On triage, Betty reports that the pain started overnight. Betty is diaphoretic, pale and is complaining of pain - 7/10. She is alert and oriented but needs help to get into the ED from the car via a wheelchair. Once she is moved to a treatment cubicle, a cannula is inserted for IV access and she is given 5mg Morphine IV as a stat does. Her observations are as follows: T: 36.7 , HR:110bpm, BP: 150/90 Sats: 95%RA The admitting ED doctor orders and ECG and Bloods. ECG shows some <ST elevation> suggesting a myocardial infarction (MI). Her bloods show raised troponin – also suggestive of a MI. Provisional diagnosis –a second MI and she is admitted to a cardiology ward for a GTN infusion and ongoing monitoring History: Chronic Kidney Disease (CKD) Type 2 diabetes Coronary Artery Disease (CAD), Peripheral Vascular Disease (PVD) Hypertension Myocardial infarction (MI) Height: 168 cm; Weight: 50kg Betty…Betty presents at the ED with chest pain, accompanied by Alan and her daughter Cheryl. On triage, Betty reports that the pain started overnight. Betty is diaphoretic, pale and is complaining of pain - 7/10. She is alert and oriented but needs help to get into the ED from the car via a wheelchair. Once she is moved to a treatment cubicle, a cannula is inserted for IV access and she is given 5mg Morphine IV as a stat does. Her observations are as follows: T: 36.7 , HR:110bpm, BP: 150/90 Sats: 95%RA The admitting ED doctor orders and ECG and Bloods. ECG shows some <ST elevation> suggesting a myocardial infarction (MI). Her bloods show raised troponin – also suggestive of a MI. Provisional diagnosis –a second MI and she is admitted to a cardiology ward for a GTN infusion and ongoing monitoring History: Chronic Kidney Disease (CKD) Type 2 diabetes Coronary Artery Disease (CAD), Peripheral Vascular Disease (PVD) Hypertension Myocardial infarction (MI) Height: 168 cm; Weight: 50kg Betty…The nurse is caring for a patient who has recently returned to the unit after hip replacement surgery. The physician has prescribed heparin 2500 units bid subQ. Pharmacy has provided heparin 5,000 units/mL. How many mL (s) should the parent administer per dose? Which size syring will be most accurate to use to administer this medication? What size needle should you use (gauge & lenght)? Where will you administer this medication( preferred site)
- A patient in Rubin’s taking-in phase will display which of the following behaviors? Select all that apply. a. Asking her partner to choose what she should eat for dinner b. Becoming frustrated when she’s unable to change the baby’s diaper without making a mess c. Asking for assistance with pericare whenever she voids d. Stating that it’s ok that the baby is a girl when she was hoping for a boy e. Crying and stating she’s too anxious to eatA baby girl is admitted to the Neonatal Intensive Care Unit shortly after birth. It was noted at delivery that the child had widely spaced nipples and webbing of the neck. Furtherevaluation noteda heart murmur, edematous feet, and difficulty palpating or locating the pulse in the groin. An echocardiogram is ordered, and the child is diagnosed with coarctation of the aorta (a narrowing of the aorta that causes the left ventricle of the heart to pump against higher resistance, which can lead to heart failure). As a result of the nature of the symptoms, a geneticist is consulted and the newborn is diagnosed with Turnersyndrome. The family meets with the physicians to discuss the ramifications of this diagnosis. The physicians explain that the child has an abnormal numberof chromosomes. This particular syndrome is designated asAn assessment of a newborn includes the differentiation between cephalhematoma and caput succedaneum. When making this assessment, the nurse identifies that the newborn with caput succedaneum has scalp edema that: Does not cross the suture line Increases within 24 hours Is tender in the surrounding area Crosses the suture line
- In each scenario: Calculate correct dose to administer Which injection site to use Which equipment is needed (syringe and needle size) Any important assessments or teaching points Bob Jones is a 54 year old male weighing 210 pounds, admitted to the med/surg unit with back pain. He works for a lumbar yard and has been lifting heavy pallets of wood for over 20 years. His DOB is 6/4/XX and he is allergic to pork. He is scheduled for a laminectomy later today to relieve some of the pain. You are to calculate, select your equipment and administer medications due at 1000. lorazepam (Ativan) 0.05mg/kg, not to exceed 4mg IM x1 dose prior to surgery ---vial is 4mg/mL enoxaparin (Lovenox) 40mg SQ daily ---vial is 100mg/mL Wanda Phillips is a 70 year old female weighing 165 pounds, admitted to the med/surg unit for hyperglycemia. She reports being sick for the past 3 days and has DM type 1. Her DOB is 5/23/XX and she is allergic to penicillin and nuts. You are to calculate, select…Mrs. Vanessa Narciso , 22 year old Gravida 1 Para 1 delivered spontaneously to a live Isaby girl weighing 3,600 grams. Immediate postpartal care is done by Nurse Marina who is assigned to her. After the delivery has been completed, the following Interventions are done, except which of the following? Monitor her VS (every 10-15 mins) Lower her legs from the stirrups one after the another Cover her with blanket to avoid chilling Linen under her buttocks are replaced with a sterile perineal pad.