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- A 20-year-old man, height 5.8 ft and weight 65 kg, with no past medical history presented to a primary stroke center with sudden left sided weakness and imbalance followed by decreased level of consciousness. Head CT scan showed no hemorrhage, no acute ischemic changes, and a hyper-dense basilar artery. The CT angiography shoed a mid-basilar occlusion. Physician order to start 3% Sodium Chloride 1 Liter with the dose of 1ml/kg/hr via peripheral line. The available preparations of Sodium Chloride at the Hospital Pharmacy are: 1. 0.9% Sodium Chloride 1L 2. Sodium Chloride 50mEq/20ml vial Activity: 1. Determine how many mL of 0.9% Sodium Chloride and Sodium Chloride 50 mEq/20ml are needed to make 3% Sodium Chloride 1 liter. Show your computation. 2. What will be the rate of infusion (ml/hr) to be given to the patient. 3. Is 3% Sodium Chloride infusion recommended to be infused via peripheral line? Please provide reference for your answer. Can you help me answer #2, pleaseThe nurse is caring for a 20-year-old female client, Rose Jones, who was admitted to the surgical floor after being the unrestrained (no seat belt) driver in a head-on motor vehicle accident. When Rose initially arrived in the emergency department, she was tachycardic, tachypneic, and anxious. She reported sharp chest pain and severe dyspnea with a pulse oximetry reading of 88% on room air. Before being transferred to your unit, Rose had a chest tube placed on the left side, after a chest x-ray showed a pneumothorax resulting from multiple rib fractures. She is currently ordered oxygen at 4 LPM via nasal cannula. (Learning Objectives 4, 5, 6, 10) 1. Describe the purpose of a chest tube for a client with a pneumothorax. 2. Describe key assessments that should be completed on a client with a chest tube and necessary equipment that should be kept available. 3. Describe the assessment findings that would suggest the client is hypoxic. What nursing interventions would be helpful for…18 year old male, brought in by ambulance following an alleged altercation where patient struck head on road curb at 2300 hrs. Patient is denies loss of consciousness but unable to recall all events. Patient appears alert but teary and takes a couple of moments to answer questions. On examination, 4cm laceration noted with slow ooze from wound. Dressing insitu. Vital signs and GCS recorded at 2325 hrs as per chart. No other obvious injuries. Patient denies drug use, states has had approximately ‘five beers since 7pm’. Breath alcohol taken at 2330 hours 0.06%. Patient reports pain to be 5/10 at occipital region, no analgesia taken prior to presentation. Patient states is usually fit and well. Past medical history Childhood asthma, up-to-date with immunisations (last tetanus 12 months ago).Not on any medications and no known allergies. Intervention: The decision is made to keep Zac in hospital overnight, for observation. Paracetamol is charted for pain. No other medications are…
- 18 year old male, brought in by ambulance following an alleged altercation where patient struck head on road curb at 2300 hrs. Patient is denies loss of consciousness but unable to recall all events. Patient appears alert but teary and takes a couple of moments to answer questions. On examination, 4cm laceration noted with slow ooze from wound. Dressing insitu. Vital signs and GCS recorded at 2325 hrs as per chart. No other obvious injuries. Patient denies drug use, states has had approximately ‘five beers since 7pm’. Breath alcohol taken at 2330 hours 0.06%. Patient reports pain to be 5/10 at occipital region, no analgesia taken prior to presentation. Patient states is usually fit and well. Past medical history Childhood asthma, up-to-date with immunisations (last tetanus 12 months ago).Not on any medications and no known allergies. Intervention: The decision is made to keep Zac in hospital overnight, for observation. Paracetamol is charted for pain. No other medications are…18 year old male, brought in by ambulance following an alleged altercation where patient struck head on road curb at 2300 hrs. Patient is denies loss of consciousness but unable to recall all events. Patient appears alert but teary and takes a couple of moments to answer questions. On examination, 4cm laceration noted with slow ooze from wound. Dressing insitu. Vital signs and GCS recorded at 2325 hrs as per chart. No other obvious injuries. Patient denies drug use, states has had approximately ‘five beers since 7pm’. Breath alcohol taken at 2330 hours 0.06%. Patient reports pain to be 5/10 at occipital region, no analgesia taken prior to presentation. Patient states is usually fit and well. Past medical history Childhood asthma, up-to-date with immunisations (last tetanus 12 months ago).Not on any medications and no known allergies. Intervention: The decision is made to keep Zac in hospital overnight, for observation. Paracetamol is charted for pain. No other medications are…18 year old male, brought in by ambulance following an alleged altercation where patient struck head on road curb at 2300 hrs. Patient is denies loss of consciousness but unable to recall all events. Patient appears alert but teary and takes a couple of moments to answer questions. On examination, 4cm laceration noted with slow ooze from wound. Dressing insitu. Vital signs and GCS recorded at 2325 hrs as per chart. No other obvious injuries. Patient denies drug use, states has had approximately ‘five beers since 7pm’. Breath alcohol taken at 2330 hours 0.06%. Patient reports pain to be 5/10 at occipital region, no analgesia taken prior to presentation. Patient states is usually fit and well. Past medical history Childhood asthma, up-to-date with immunisations (last tetanus 12 months ago).Not on any medications and no known allergies. Intervention: The decision is made to keep Zac in hospital overnight, for observation. Paracetamol is charted for pain. No other medications are…
- 18 year old male, brought in by ambulance following an alleged altercation where patient struck head on road curb at 2300 hrs. Patient is denies loss of consciousness but unable to recall all events. Patient appears alert but teary and takes a couple of moments to answer questions. On examination, 4cm laceration noted with slow ooze from wound. Dressing insitu. Vital signs and GCS recorded at 2325 hrs as per chart. No other obvious injuries. Patient denies drug use, states has had approximately ‘five beers since 7pm’. Breath alcohol taken at 2330 hours 0.06%. Patient reports pain to be 5/10 at occipital region, no analgesia taken prior to presentation. Patient states is usually fit and well. Past medical history Childhood asthma, up-to-date with immunisations (last tetanus 12 months ago).Not on any medications and no known allergies. Intervention: The decision is made to keep Zac in hospital overnight, for observation. Paracetamol is charted for pain. No other medications are…18 year old male, brought in by ambulance following an alleged altercation where patient struck head on road curb at 2300 hrs. Patient is denies loss of consciousness but unable to recall all events. Patient appears alert but teary and takes a couple of moments to answer questions. On examination, 4cm laceration noted with slow ooze from wound. Dressing insitu. Vital signs and GCS recorded at 2325 hrs as per chart. No other obvious injuries. Patient denies drug use, states has had approximately ‘five beers since 7pm’. Breath alcohol taken at 2330 hours 0.06%. Patient reports pain to be 5/10 at occipital region, no analgesia taken prior to presentation. Patient states is usually fit and well. Past medical history Childhood asthma, up-to-date with immunisations (last tetanus 12 months ago).Not on any medications and no known allergies. Intervention: The decision is made to keep Zac in hospital overnight, for observation. Paracetamol is charted for pain. No other medications are…18 year old male, brought in by ambulance following an alleged altercation where patient struck head on road curb at 2300 hrs. Patient is denies loss of consciousness but unable to recall all events. Patient appears alert but teary and takes a couple of moments to answer questions. On examination, 4cm laceration noted with slow ooze from wound. Dressing insitu. Vital signs and GCS recorded at 2325 hrs as per chart. No other obvious injuries. Patient denies drug use, states has had approximately ‘five beers since 7pm’. Breath alcohol taken at 2330 hours 0.06%. Patient reports pain to be 5/10 at occipital region, no analgesia taken prior to presentation. Patient states is usually fit and well. Past medical history Childhood asthma, up-to-date with immunisations (last tetanus 12 months ago).Not on any medications and no known allergies. Intervention: The decision is made to keep Zac in hospital overnight, for observation. Paracetamol is charted for pain. No other medications are…
- 18 year old male, brought in by ambulance following an alleged altercation where patient struck head on road curb at 2300 hrs. Patient is denies loss of consciousness but unable to recall all events. Patient appears alert but teary and takes a couple of moments to answer questions. On examination, 4cm laceration noted with slow ooze from wound. Dressing insitu. Vital signs and GCS recorded at 2325 hrs as per chart. No other obvious injuries. Patient denies drug use, states has had approximately ‘five beers since 7pm’. Breath alcohol taken at 2330 hours 0.06%. Patient reports pain to be 5/10 at occipital region, no analgesia taken prior to presentation. Patient states is usually fit and well. Past medical history Childhood asthma, up-to-date with immunisations (last tetanus 12 months ago).Not on any medications and no known allergies. Intervention: The decision is made to keep Zac in hospital overnight, for observation. Paracetamol is charted for pain. No other medications are…18 year old male, brought in by ambulance following an alleged altercation where patient struck head on road curb at 2300 hrs. Patient is denies loss of consciousness but unable to recall all events. Patient appears alert but teary and takes a couple of moments to answer questions. On examination, 4cm laceration noted with slow ooze from wound. Dressing insitu. Vital signs and GCS recorded at 2325 hrs as per chart. No other obvious injuries. Patient denies drug use, states has had approximately ‘five beers since 7pm’. Breath alcohol taken at 2330 hours 0.06%. Patient reports pain to be 5/10 at occipital region, no analgesia taken prior to presentation. Patient states is usually fit and well. Past medical history Childhood asthma, up-to-date with immunisations (last tetanus 12 months ago).Not on any medications and no known allergies. Intervention: The decision is made to keep Zac in hospital overnight, for observation. Paracetamol is charted for pain. No other medications are…A 55-year-old army captain was admitted to the ward for a general checkup. History revealed that during his service, he lost both lower legs to a landmine. As the clinical instructor, you expect the student nurse to report pulsations in all of the following sites, EXCEPT: femoral carotid popliteal radial
