Question 27 A Nurse Practitioner is obtaining baseline physical data from a 7-year-old patient who is to be started on dextroamphetamine for ADHD. After obtaining vital signs, height, and weight, the nurse will prepare the patient for an electrocardiogram (ECG). electromyogram (EMG). electroencephalogram (EEG). electrophysiologic study (EPS).
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Question 27
A Nurse Practitioner is obtaining baseline physical data from a 7-year-old patient who is to be started on dextroamphetamine for ADHD. After obtaining vital signs, height, and weight, the nurse will prepare the patient for an
electrocardiogram (ECG). |
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electromyogram (EMG). |
||
electroencephalogram (EEG). |
||
electrophysiologic study (EPS). |
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- Question 15 An older adult client has been taking new antidepressants and going to therapy for a week. The client is getting frustrated as he does not feel better. What is the nurse's best response to his concern? Question 15 options: Suggest he talk to the physician about an alternative medication Tell the client not to worry as others are seeing improvements Explain that is can take a few weeks for therapy to be take effect Clarify the client's expectations about the improvements he is hoping to seeQuestion 9 The nurse is caring for a 16 year old male client who attempted suicide, upon entering the room the nurse notices the client is tearful and silent. What is the nurse's best initial response? Question 9 options: Sit quietly beside the client and wait for the client to start speaking. Say, “I see you are tearful. Tell me about what is going on in your life, and we see how we can help you." Say, “You are crying. That means you feel badly about attempting suicide, so many people are worried about you" Observe the behavior, record it, and notify the health care provider.Question 10 The RN is working with a recently admitted client to understand the impact their mental illness has on their interpersonal relationships and daily functioning. Using the Tidal Model approach, how would the nurse document their findings? Question 10 options: Document your interpretation of the interview in a narrative style including as much detail as possible Document the interview using the patient's words, but only include what you feel is important Document the interview using the patient's words including all aspects of the patient's story Document your interpretation of the interview using point form notes
- Question 62 The nurse is caring for an adult client who is receiving morphine intravenously. Which client assessment data demonstrates the most therapeutic effect of this medication? Question 62 options: Pain rating 3/10, awake and alert, respirations 24 Pain rating 2/10, awake and alert, respirations 18 Pain rating 2/10, drowsy but easily roused, respirations 18 Pain rating 1/10, drowsy but easily roused, respirations 16Question 3 The daughter of a client in a long-term care facility, approaches the nurse as she is concerned about her father and his low mood. She becomes very tearful and expresses she is worried about her father being depressed. Which of the following are appropriate nursing actions to establish a therapeutic relationship with the client? (Select all that apply) Question 3 options: Ask the client to clam down to avoid making a scene Call a colleague to help deescalate the situation Respond in a non-judgemental manner Take the client to a private and safe area Share your own thoughts and feelings with the client Seek to understand the client's feelingsDuring rounds, a charge nurse hears the patient care techni-cian yelling loudly to a patient regarding a transfer from the bed to chair. When entering the room, what is the nurse’s bestresponse? a. “You need to speak to the patient quietly. You are disturb-ing the patient.” b. “Let me help you with your transfer technique.”c. “When you are finished, be sure to apologize for yourrough demeanor.”d. “When your patient is safe and comfortable, meet me atthe desk.”
- Question 1: Write a 1-2 page analysis stating your decision regarding whether the nurse was liable for the death of the patient in the scenario below. IT’S YOUR GAVEL… CHANCE OF SURVIVAL DIMINISHED On the afternoon of May 20, the patient, Mr. Ard, began feeling nauseated. He was in pain and had shortness of breath. Although his wife rang the call bell several times, it was not until sometime later that evening that someone responded and gave Ard medication for the nausea. The nausea continued to worsen. Mrs. Ard then noticed that her husband was having difficulty breathing. He was reeling from side to side in bed. Believing that her husband was dying, she continued to call for help. She estimated that she rang the call bell for 1.25 hours before anyone responded. A code was eventually called. Unfortunately, Mr. Ard did not survive the code. There was no documentation in the medical records for May 20, between 5:30 PM and 6:45 PM, that would indicate that any nurse or physician…discuss the legal and ethical issues for a nurse who is asked by a nurse manager to help clear up a backlog of paperwork by postdating and signing off on equipment inspections that were not performed as required?Discuss the legal and ethical issues (three ethical principles) for a nurse who is asked by a nurse manager to help clear up a backlog of paperwork by postdating forms and signing off on equipment inspections that were not performed as required? Answer them
- Discussion 4 After completing the assigned readings and activities, please choose to answer question A or B. You do not have to answer both, unless you choose to do so. In this discussion area, please respond to at least 1 peer that posted the option A or B that is opposite to the one you chose for your initial post. Question A: 1. Suggest an improvement project for your practice or healthcare organization that would improve patient safety or quality. What information would you like to have about your practice area that could be extracted using data mining strategies? 2. Briefly explain how you would design an improvement project that would utilize the data mined to improve a process or a patient outcome. 3. Before implementing the intervention(s) you've described in your improvement project, explain the importance of consulting with clinical experts. 4. Do you feel that it is ethical to mine data for improvement projects? Explain why or why not.For this assignment, you are the RN who has cared for Olivia Jones on the overnight shift. You will be using the SBAR format to provide shift report to the oncoming day nurse. The day nurse will be taking Ms. Jones to the OR for an emergency C-section. Use the information from the vSim and the information below to compose the SBAR report. Including “Situation-Background-Assessment – Recommendations according to the rubric. You will formulate the report using information from the vSim and you may supplement with this data: Olivia Jones is a 23-year-old, single, African-American female, G1 P0000 at 36 0/7 weeks of gestation. She has been diagnosed with severe preeclampsia and is admitted to the labor and delivery unit for assessment and surveillance. The patients blood type is O+. The patient is negative for HIV and Hepatitis B. Pregnancy has been unremarkable until routine prenatal visit at 30 weeks with elevated blood pressure at 146/92 mm Hg, proteinuria, and developing mild…You are the newest member of the health team. You were instructed by the head nurse to conduct a comprehensive physical assessment of a "Person Under Investigation" (PUI) or a suspected COVID-19 patient. 1. Would you ACCEPT the responsibility? Justify your answer. 2. How would you prepare the client for the examination? (Specify instructions/procedures to be done by the client before/during/after the assessment) 3. How would you prepare yourself for the task? (Specify the things you may need to carry out before/during/after the assessment)