For several years, a 68-year-old patient managed an enlargin…
For several years, a 68-year-old patient managed an enlarging prostate with medication, but recently the symptoms became unmanageable. They found themselves waking up five or six times a night to use the bathroom, only to experience a weak, straining stream and a persistent feeling that their bladder never truly emptied. The patient developed complete urinary retention and had to visit the emergency room for catheterization. Because conservative treatments are no longer effective at preventing recurrent urinary tract infections, the urologist recommended a transurethral resection of the prostate (TURP) to clear the blockage and restore normal flow. The patient undergoes a transurethral resection of the prostate. The nurse providing care after the patient returns to the medical surgical floor is aware of the nursing diagnosis of Risk for Imbalanced Fluid Volume. In order to assess this risk, the nurse should prioritize what action?
Read DetailsThe patient is admitted to the med-surg unit for treatment o…
The patient is admitted to the med-surg unit for treatment of exacerbation of cystic fibrosis. The patient is preparing to eat a chicken salad sandwich and a side of yogurt. Which instruction by the nurse represents the most effective timing for the patient to take their prescribed Pancrelipase (Creon) capsules?
Read DetailsA 64-year-old retired architect with a history of stable ang…
A 64-year-old retired architect with a history of stable angina, CAD, hypertension, hyperlipidemia, and a 30-pack-year smoking history, noticed over the past three weeks, a heavy sensation in their chest while walking the dog, which consistently resolved with five minutes of rest. However, yesterday evening the pressure returned while watching television. Unlike previous episodes, the pain lasted 20 minutes and required two sublingual nitroglycerin tablets to subside. This morning, the pain returned with greater intensity at an 8/10, radiating to the left jaw and accompanied by diaphoresis and nausea.Vital SignsPulse 102 bpmBlood pressure 146/90 mmHgResp 20O2 Sat 94% RA.Family members bring the patient to the emergency room. Based on the patient’s presentation, how should the nurse best interpret the initial data?
Read DetailsThe patient is stabilized with the administration of vasopre…
The patient is stabilized with the administration of vasopressors, but continues to remain unresponsive with a pulse of 106 bpm, and a blood pressure of 94/64 mmHg. The provider orders targeted temperature management (TTM) to be started. The medical team initiates TTM. Which of the following are the primary goals of this intervention? (Select all that apply)
Read DetailsA patient is brought to the emergency room in cardiac arrest…
A patient is brought to the emergency room in cardiac arrest. IV access was established enroute. Ventilations with a bag valve mask (BVM) are performed, and 5 cycles of compressions are completed. The rhythm is assessed and the following rhythm is seen on the cardiac monitor (see ECG strip). A shock is delivered without a change in rhythm, and CPR is resumed. The nurse now prepares to deliver: V Fib.jpg
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