Nursing diagnosis: Self-care deficit related to altered cognitive functioning as evidenced by hallucination and disruption in activities of daily living. What will be the inference of the patient?
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A:
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- Explain the steps involved in assessing and managing a patient with a traumatic brain injury (TBI) in the emergency department, including neurological assessments and monitoring.ASAP: A patient diagnosis with CVA Post-resection: Co-Existing illness is Dysphagia. Identifies ONE relevant clinical event/experience/ learning opportunity that was significant/impactful in one or two sentences Describes this ONE clinical event Provides opinion/idea/perspective and feelings. role/actions/performance in this clinical experience.Briefly discuss the various mental illnesses
- The nurse is completing the admission assessment of a 3-year-old who is admitted with bacterial meningitis and hydrocephalus. Which assessment finding is evidence that the child experiencing increased intracranial pressure (ICP).Case Study: Dementia Mrs. Johnson is an 85-year-old female with a history of dementia and agitation. She resides in a long-term care facility and has been experiencing increased episodes of agitation, aggression, and restlessness. Vital Signs: Blood pressure: 150/90 mmHg Heart rate: 100 beats per minute Respiratory rate: 20 breaths per minute Oxygen saturation: 95% on room air Temperature: 101.5°F Labs: Complete blood count: Hemoglobin-13.1, WBC-15000, platelet - 150,000 Basic metabolic panel: Sodium 115, Chloride 98, potassium 3.2 Thyroid-stimulating hormone: Within normal limits Urinalysis: positive for infection Discussion What is dementia? What type of dementia is the client manifesting? 3 Which of the following findings would the nurse report to the provider? 1 2 4. Explain the lab values in relation to client's condition. 5. Explain the vital signs in relation to client's condition. 6. Which other data or information would the nurse need to care for the client? Discuss the…Enhance the nurses’ knowledge of the differences between types of dementia and delirium.
- A nurse is caring for a client in the emergency department (ED). Exhibit 1 Nurses' Notes 0600: Client presents with acute altered mental status. Client has a history of frequent ED visits for alcohol intoxication. Client states that they had an episode of binge drinking yesterday afternoon. Client awoke this morning on the living room floor trembling and flushed; remembers having intense dreams and was afraid they had a seizure so they called a family member to bring them to the ED. Client reports their average alcohol intake has been "two or three beers" after work each day and "more on the weekends" for the past 6 months. Client reports headache, nausea, agitation, and is noted to be diaphoretic. 0800: Client states "I've got bugs crawling on me. Get them off me!" Client tremulous and diaphoretic. Exhibit 2 History and Physical Alcohol use disorder Delirium tremens Nicotine use disorder Hypertension, diet and exercise controlled. Exhibit 3 Vital Signs 0600: Temperature 37°…Nursing care plan for Acute painpathophysiology head injury/ spinal cord injury (primary/secondary, types, clinical manifestations, assessment tools, etc)
- Nursing diagnosis: Risk of pre eclampsia to family history of cardiac anomaly.What will ne the inference of the patient? What will be then planning short term goal and long term goal?The person with dementia may experience loss and grief. Briefly discuss 3 losses that they may experience and suggest how the losses may affect them. Briefly comment on losses that may be experienced by the family and friends of the person with dementia and the effect it may have. How would you feel if your mother began to disrobe in public? How would you deal with the situation? "It is so embarrassing when dad starts to swear in front of our friends. I can't take him out anymore." This is an example of s--------i---- What makes someone a valued member of society? (at least 5 characteristics). List 5 challenging behaviours that may lead to devaluation of a person. Briefly explore what it might feel like to be devalued as a human being. Identify 2 financial strains that may be placed on families of a person with dementia. 12. What are some of the impacts that social devaluation can have on a) A client b) Family members
