You and your fellow nursing assistant are completing ADLs for a dependent patient. You have given a bed bath and changed the occupied bed, and it is now time to reposition a dependent patient. After completing your cares, in what fashion will you leave this patient?
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You and your fellow nursing assistant are completing ADLs for a dependent patient. You have given a bed bath and changed the occupied bed, and it is now time to reposition a dependent patient. After completing your cares, in what fashion will you leave this patient?
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- A nurse writing a post-surgical client's plan of care has included ambulation several times daily. What is the best rationale for this intervention?You and your partner are dispatched for a report of an unresponsive 77-year-old male in a senior’s apartment complex. The time of the call is 08:36 am.Upon arrival, a home health aide greets you at the apartment door and informs you the patient is in the bedroom. As she leads you towards the bedroom, the aide begins to tell you she arrived for work about an hour ago and found the patient in his bed. “He normally is awake when I get here, but today I found him still in his bed. I thought he was only wanting to sleep in so I decided I would give him a little time, but he didn’t respond when I tried to wake him a few minutes ago.”She tells you she routinely visits Mr. Oliveira twice a week to help with cleaning and cooking. She says, “The last time I saw him was 3 days ago and he was sick at the time. I thought he might have come down with a bad cold because he was coughing a lot and I tried to encourage him to see his physician.”As you approach the patient’s bedside, you observe a thin,…Mrs. Perez’s nurse receives her from the postanesthesia care recovery unit (PACU) to her surgical unit. She realizes that orders are all discontinued when a patient leaves a floor and goes to the surgical suite for surgery. She is looking to admit her patient to her unit and needs a full order set for Mrs. Perez’s care from her surgeon for her postoperative care on the surgical unit. When the patient arrives, the nurse reviews all the new orders the surgeon has written for Mrs. Perez. The nurse will need to introduce herself and have the patient identify herself with two indicators. Once she has done that, she will then do the following to implement the nursing admission to the surgical unit: Interview the patient and/or husband and complete a history. Take vital signs and complete a physical examination. Create a care plan for the patient having acute pain postoperatively. Write an admission note using SOAPIE format (Subjective Data, Objective Data, Assessment, Plan, Implementation,…
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- You are an administrator in the Intensive Care Unit (ICU). The Physician approaches you for assistance with her patient Mr. Jones and Mr. Jones’ family. The Physician explains that Mr. Jones no longer requires the level of care that is provided in the ICU and wants to transfer Mr. Jones to an acute medical unit. Jones is ‘incapable’ so his daughter is making treatment decisions on his behalf. Jones’ does not have a Power of Attorney for Personal Care, his spouse passed away many years ago, and is daughter ranks next on the substitute decision-maker hierarchy. The issue that the Physician is facing is that Mr. Jones’ daughter does not want her father transferred out of the ICU and is telling the Physician and the staff that she does not give her consent for him to be transferred. Question: Using your critical thinking skills and what you’ve learned about the Health Care Consent Act, what advice do you give the Physician in this case? Explain your…Patient is moved to end of life care. His daughter asks "What happens now to my dad?" How to respond.The nurse is giving medications to a newly admitted patient who is to receive nothing by mouth (NPO status) and finds an order written as follows: “Digoxin, 250 mcg stat.” Which action is appropriate? a )Give the medication immediately (stat) by mouth because the patient has no intravenous (IV) access at this time. b )Clarify the order with the prescribing physician before giving the drug. c) Ask the charge nurse what route the physician meant to use. d )Start an IV line, then give the medication IV so that it will work faster, because the patient’s status is NPO at this time
- Following assessment from the surgical team, it has been determined that Mrs Smith has internal bleeding from the trauma of the MVA Discuss what nursing care is required for this patient. You should include a minimum of 4 nursing care points.You are a nurse caring for a patient who has an extensive history of peripheral vascular disease, resulting in frequent surgeries for the purpose of revascularizing her lower extremities with the intent of avoiding amputations, if possible. This is your patient’s third surgery this year; she has been brought to your step-down unit for postoperative recovery. While implementing the surgeon’s orders, you note several conditions that require the surgeon’s immediate attention. Upon calling the surgeon, he indicates that he will address these issues tomorrow. As a nurse advocate, how would you represent your patient?A nurse is administering a pain medication to a patient. In addition to checking his identification bracelet, the nurse cor-rectly verifies his identity by: a. Asking the patient his nameb. Reading the patient’s name on the sign over the bedc. Asking the patient’s roommate to verify his named. Asking, “Are you Mr. Brown?”
