The patient says, "Ever since I had my stroke, I still have difficulty swallowing and due eating." You write: The patient is complaining of to impairment from a past stroke.
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- Ms. Mabel Zack is transferred to your rehabilitation facility after a cerebral vascular accident (stroke) 2 weeks ago. When you review her chart, it indicates she has right-sided hemiparesis, memory deficits, and dysphagia (difficulty swallowing). If a swallowing evaluation indicates that Ms. Zack can take medications orally, what precautions can you take to help ensure her safety?The patient says, I take a nitro tab and place it under my tongue when I have severe chest pain." You write: The patient states that he takes nitroglycerin medication for chest pain. A/Ms. Mabel Zack is transferred to your rehabilitation facility after a cerebral vascular accident (stroke) 2 weeks ago. When you review her chart, it indicates she has right-sided hemiparesis, memory deficits, and dysphagia (difficulty swallowing). Outline appropriate assessments to determine if it is safe to give Ms. Zack oral medications.
- Among the condition for donating blood the patient must take Aspirin before donating in blood A_worng B_rightHistory of Present IllnessTwo hours prior to admission, at 4am, patient Jake was jogging along LacsonStreet when a group of bystanders had approached him and stabbed himmultiple times. He claims that he does not know these people. He tried todefend himself resulting to multiple injuries in his upper extremities where hehad 3 lacerations, cheeks where he had a laceration on the left, right chest andright upper abdominal quadrant. Medications: Tetanus Toxoid 0.5 ml/amp, give 1 ampule via deep IM, now at right deltoid ATS 3,000 IU/amp, give 1 ampule via deep IM, now, ANST at left deltoid Piperacillin Tazobactam 2.25 grams/vial, give 1 vial via IV drip to run for 3 hours Q8H Tramadol 50 mg/amp, give 1 ampule very slow IV push now then Q6 PRN for pain Omeprazole 40 mg/amp, give 1 ampule via IVTT ODHS Latest Vital Signs : Blood Pressure: 90/60 mmHg Heart Rate: 121 bpm Respiratory Rate: 26cpm Temperature: 37.3 ⁰C Pain Scale: 10/10 NURSING CARE PLANMr. D is a 90-year-old man who was admitted to the hospital with complaints of nausea, vomiting, left arm pain, and chest pain. An electrocardiogram (ECG) is performed, and he is diagnosed as having a myocardial infarction. Mr. D has a long history of comorbidities including hypertension, diabetes, and congestive heart failure (CHF). With this in mind, the physician asks Mr. D if he wants life-sustaining measures taken (e.g., CPR, mechanical ventilation, etc.) should he experience cardiopulmonary arrest. Mr. D tells the physician that he wants all measures taken to save his life. Imagine that you are the nurse assigned to provide care to Mr. D, and address the following: Considering Mr. D's advanced age, what are the benefits/risks associated with providing life-sustaining measures?
- After Mrs. Shower’s CABG, she will be in the ICU for 4 to 6 days if there aren’t any complications. She will then be transferred back to the cardiac unit and stay a few more days before being discharged. As we discussed in class, nutrition education prior to the surgery is not appropriate as it is likely that the Patient will not be able to focus on the education. When she returns to the cardiac unit, you can obtain a detailed diet history for her usual intake at home: 1. Describe what nutrition education you will provide. 2. What are your goals for the education? 3. Describe the return demonstration you will ask Mrs. Showers to show that she understands the education.Mr. H is a 52-year-old male who presents to the emergency department. His left leg is in a cast, and he states that 1 week ago he was in an automobile crash and broke his upper leg. Since that time, he has had difficulty “getting around” and has mostly been lying on the couch watching television. On the evening of admission he noticed a sudden onset of dyspnea and chest pain. He denies having orthopnea, cough, hemoptysis, or wheezing. He smoked two packs of cigarettes a day for 19 years but quit 3 years ago. The ABG analysis of Mr. H suggests uncompensated respiratory alkalosis with mild hypoxemia, with base excess of -1 in her arterial side, whereas -4 in her venous side. Part 1: Her actual arterial-venous oxygen content difference (Ca-vO2) is 5.31 mL/dL. (Normal range considered here is 3.5 to 5 mL/dL) Part 2: Patient's actual oxygen extraction ratio (O2ER) was 29%. (Say normal range is 20-28%) What is clinically happening to the patient?Stroke patient was administered four ounces of food thickener, orally. Enter code(s)
- Or E a mass in the throatWhen the nurse is talking with a client who is experiencing "lightening." the client would most likely state which of the following? a. "lcan breathe easier now." b. I don't have to urinate as often now." c. My lower back pain is gone now. d. My feet are more swollen than before."Mrs. Condif is a 35-year-old female who presents to the emergency department with the chief complaint of severe right sided flank pain which began one day ago. She reports feeling nauseated and has vomited once today. Mrs. Condiff does not show any outward appearance of pain but is having some difficulty sitting still. She states, “I feel the need to constantly walk around.” Upon further questioning, the client reveals a history of dysuria, urgency, and frequency of urination. As the nurse obtains a history, she notes that the client has no facial grimace and is not making eye contact. The client states, “I am sorry to come in with this pain, I have tried to treat it at home with Creeping Charlie but it just did not help.” Case Study Nursing assessment findings include pale, moist skin, costovertebral tenderness, and restlessness. Her vital signs are blood pressure 142/90, pulse 110, respirations 22, and temperature of 99.8°F (37.7°C) Oxygen saturation is 98% on room air. The emergency…
