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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).
- Before giving medication to a patient, what is the right that have to be observed and how do you implement it?
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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). Outline appropriate assessments to determine if it is safe to give Ms. Zack oral medications.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). After administration of medication, what is the most important thing to do especially when you are administering a drug for the first time to a patient?An elderly man presents himself to the ER. He has contractures and paralysis of his let hand and is aphasic. Upon questioning, he removes his left shoe and points to his big toe. The nurse is unable to gather additional information from him because of his difficulty in communicating She asks if someone is accompanying him, He shakes his head. The nurse asks him how he came to the hospital. He shows her a driver's license. Subsequently the nurse leaves the room and returns a few minutes later to find that the patient has left the hospital having received no care. 1. What are the ethical implications in this situation? 2 What ethical principles are involved? 3. Should the nurse locate the patient and ensure that he is not endangering himself or others by driving? Would this be a breach of contidentiality? Autonomy? 4. How does the nurse express fidelity in this situation?
- According to your analysis of the case, what factors are contributing to the patient’s presenting signs and symptoms? Should she/he continue her/his current medication regimen? Why or why not? Which medications should be continued and which medications should be eliminated? What treatments or interventions do you anticipate being ordered for this client?An elderly man presents himself to the ER. He has contractures and paralysis of his left hand and is aphasic. Upon questioning, he removes his left shoe and points to his big toe. The nurse is unable to gather additional information from him because of his difficulty in communicating She asks if someone is accompanying him. He shakes his head. The nurse asks him how he came to the hospital. He shows her a driver's license. Subsequently the nurse leaves the room and returns a few minutes later to find that the patient has left the hospital having received no care. QUESTION: What is the beneficent action?An elderly patient, only partially responsive on admission, has family present most of the time. Family members continue to ask questions of the healthcare providers, insisting on knowing the patient's condition and his future options. What are the responsibilities of healthcare providers to the family members? Do the family members have a right to know their relative's exact condition? Does HIPAA apply in this situation?
- An elderly man presents himself to the ER. He has contractures and paralysis of his left hand and is aphasic. Upon questioning, he removes his left shoe and points to his big toe. The nurse is unable to gather additional information from him because of his difficulty in communicating. She asks if someone is accompanying him, He shakes his head. The nurse asks him how he came to the hospital, He shows her a driver's license. Subsequently the nurse leaves the room and returns a few minutes later to find that the patient has left the hospital having received no care. 1. What are the ethical implications in this situation? 2. What ethical principles are involved? 3. Should the nurse locate the patient and ensure that be is not endangering himself or others by driving? Would this be a breach of confidentiality? Autonomy? 4. How does the nurse express fidelity in this situation?You are a nursing student who is assigned to a busy medical-surgical unit that specializes in the care of patients with various cardiac related disorders. One of your patients for the day is Mr. Stein, a 66 year old male with a primary diagnosis of a myocardial infarction. You enter the room to conduct your morning assessment and you find that Mr. Stein does not appear to be in a positive mood. As you begin your assessment, Mr. Stein criticizes your technique and berates you for anything you seem to do. Should you continue with your assessment? If so, could you say or do anything different to help improve the situation? How do you think receiving criticism and negative feedback may affect your job performance, if at all? Prior to beginning your assessment, could you have said or done anything that may have prevented or reduced Mr. Stein's hostility towards you?The nurse is reviewing the postoperative prescriptions for a client who has just returned from surgery and notes that the surgeon has prescribed lepirudin. Which is this medication prescribed to prevent?
- Julie is a new patient who brings a list of her current medications to her first appointment. She indicates in her health history that she has several conditions for which she is taking medications prescribed by her previous physician, but she is unaware of which medication is associated with a particular condition. Her medical records have been requested from her previous physician, but have not yet arrived. What steps can you take to attempt to match her medications with the disorders that she reports?You are on vacation for a week. When you return, the nurse tells you that she is assigning you to Mrs. Berk because Mrs. Berk has been asking for you. The nurse tells you that the client’s condition has deteriorated and she is very close to death. When you enter the room, Mrs. Berk seems to recognize you but cannot carry on a conversation. While giving care, you note physical signs that death is near. 1. How would you feel about caring for someone so close to death? What difference would it make whether you knew the person or not? 2. How would you change your care of a dying person from caring for a person who is expected to recover? Why do you think there might be a difference? 3. What kinds of signs and symptoms would you expect to observe?A nurse is assisting with the care of a client following an abdominal aortic aneurysm resection. List five (5) actions that will be required to care for this client during the first 4-hours of the postoperative period.