You are assisting in the care of a newborn. He is only 72 hours old. He has become fussy and feels warm, and you note that his umbilical stump is producing a small amount of foul-smelling drainage. What should you do?
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You are assisting in the care of a
newborn. He is only 72 hours old.
He has become fussy and feels
warm, and you note that his
umbilical stump is producing a
small amount of foul-smelling
drainage.
What should you do?
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- You are providing the immediate preoperative care for a womanscheduled for surgery to remove a brain tumor. She tells you shedoes not want the surgery because she knows she is dying andjust wants to go home to be with her husband and children. Shealso knows that her husband cannot accept the fact that she is dying and wants her to have the surgery. What do you do?A visiting nurse is performing a family assessment of ayoung couple caring for their newborn who was diagnosedwith cerebral palsy. The nurse notes that the mother’s hairand clothing are unkempt, the house is untidy, and themother states that she is “so busy with the baby that I don’thave time to do anything else.” What would be the priorityintervention for this family?a. Arrange to have the infant removed from the home.b. Inform other members of the family of the situation. c. Increase the number of visits by the visiting nurse.d. Notify the care provider and recommend respite care forthe mother.An abnormolly is any deviation from what is regarded as normal.
- Mr. Gagnon is a 58-year-old man who has weakness on the left side of his body. Youare assigned to help him dress in regular clothes after breakfast. He is sitting in a chair in his room,wearing pyjamas, a robe, and slippers. His fresh clothes are on the bed, including an undershirt,dress shirt, slacks, socks, and shoes. 1. How did you provide for Mr. Gagnon’s privacy? 2. How did you position Mr. Gagnon to undress and dress him? 3. Which arm did you redress first and why? 4. Discuss how Mr. Gagnon might feel if unable to assist in getting dressed.Twenty-year-old Kevin groaned and clutched his abdomen as he lay on the emergencyroom gurney. He had just been diagnosed with acute appendicitis and was waiting to betaken to the operating room (OR). Although he desperately wanted the pain to stop,Kevin was terrified of having general anesthesia. He hoped his fear wasn’t obvious to hisolder brother Cole, who was finishing medical school and thought he knew everything.“Hang in there,” Cole said, for what seemed like the eighteenth time. “I’m sure they’ll getyou upstairs as soon as they can. They don’t want that thing to burst.”Kevin grunted. “I know…but does that anesthesia stuff work all the time? How can I notwake up when someone’s slicing my gut open?”Cole assumed a professorial air, and Kevin wished he’d kept his mouth shut. However,Cole didn’t get a chance to say anything before an aide arrived to take Kevin to the OR.In the OR, someone placed a mask over Kevin’s face and when he blinked, he suddenlyfound himself in a hospital room…Twenty-year-old Kevin groaned and clutched his abdomen as he lay on the emergencyroom gurney. He had just been diagnosed with acute appendicitis and was waiting to betaken to the operating room (OR). Although he desperately wanted the pain to stop,Kevin was terrified of having general anesthesia. He hoped his fear wasn’t obvious to hisolder brother Cole, who was finishing medical school and thought he knew everything.“Hang in there,” Cole said, for what seemed like the eighteenth time. “I’m sure they’ll getyou upstairs as soon as they can. They don’t want that thing to burst.”Kevin grunted. “I know…but does that anesthesia stuff work all the time? How can I notwake up when someone’s slicing my gut open?”Cole assumed a professorial air, and Kevin wished he’d kept his mouth shut. However,Cole didn’t get a chance to say anything before an aide arrived to take Kevin to the OR.In the OR, someone placed a mask over Kevin’s face and when he blinked, he suddenlyfound himself in a hospital room…
- Twenty-year-old Kevin groaned and clutched his abdomen as he lay on the emergencyroom gurney. He had just been diagnosed with acute appendicitis and was waiting to betaken to the operating room (OR). Although he desperately wanted the pain to stop,Kevin was terrified of having general anesthesia. He hoped his fear wasn’t obvious to hisolder brother Cole, who was finishing medical school and thought he knew everything.“Hang in there,” Cole said, for what seemed like the eighteenth time. “I’m sure they’ll getyou upstairs as soon as they can. They don’t want that thing to burst.”Kevin grunted. “I know…but does that anesthesia stuff work all the time? How can I notwake up when someone’s slicing my gut open?”Cole assumed a professorial air, and Kevin wished he’d kept his mouth shut. However,Cole didn’t get a chance to say anything before an aide arrived to take Kevin to the OR.In the OR, someone placed a mask over Kevin’s face and when he blinked, he suddenlyfound himself in a hospital room…After having an abortion, a patient tells the visiting nurse, “Ishouldn’t have had that abortion because I’m Catholic, butwhat else could I do? I’m afraid I’ll never get close to mymother or back in the Church again.” She then talks with herpriest about this feeling of guilt. Which evaluation statementshows a solution to the problem?a. Patient states, “I wish I had talked with the priest sooner.I now know God has forgiven me, and even my motherunderstands.”b. Patient has slept from 10 pm to 6 am for three consecutivenights without medication.A 70-year-old male is scheduled for surgery. He says to thenurse, “I am so frightened—what if I don’t wake up?” Whatwould be the nurse’s best response?a. “You have a wonderful doctor.”b. “Let’s talk about how you are feeling.”c. “Everyone wakes up from surgery!”d. “Don’t worry, you will be just fine.”
- Mixing Embalming Fluids Mildred is 58 years old and died after falling down the stairs when she tripped on her crutches. Mildred was using crutches because she had severe foot problems due to uncontrolled diabetes. The fall left her with a large gash across her forehead, a fracture in the temporal bone of the skull, black eyes, and many bruises. She was transferred to the morgue where the medical examiner performed a complete autopsy. Mildred is not being viewed, however, her burial will not take place for 2 weeks after her death. What fluids would you use? and why?What do you mean by perichondrium?A 65-year-old male is recovering from subtotal colectomy. You inform him that it is time to get out of bed to the chair. The patient tells you he does not want to get out of bed. How do you educate your patient on the importance of getting out of bed?
