EHR Continued: Nursing 2/28 1415 Nursing Note: Client arri…
EHR Continued: Nursing 2/28 1415 Nursing Note: Client arrived from community clinic to adjoining community hospital. Client states she is feeling crampy, feels like she is still “wet down there,” and thought it was from having sex last night. States she was not expecting to have to stay at a hospital and is very scared to deliver early since she has no car seat or baby supplies yet. Discussed plan of care. Placed on EFM. FHR 142 beats per minute. Assessment completed. Sterile vaginal exam performed, client is 2 cm dilated, 25% effaced, and -3 station. Tocodynamometry Date Frequency Duration Strength 2/28 1415 Toco applied 2/28 1430 3-5 mins 20-40 sec Mild Fetal Heart Rate Date Result Notes 2/28 1415 142 External fetal monitoring applied 2/28 1430 140 Moderate variability, no decelerations PROVIDER PRESCRIPTIONS & NOTES 2/28 1400 Prescriptions: Admit to hospital Sterile vaginal exam to check for dilation Continuous EFM Ceftriaxone 1 g IV infusion q24h Fetal fibronectin test Nifedipine 10 mg by mouth q4h until contractions are rare, then 30 mg q8h for no more than 24 hours Betamethasone 12 mg IM q24h times two doses Modified bed rest with bathroom privileges Before answering this question, review the client’s health information in the EHR. Identify if each action is indicated or not indicated in the plan of care. Use the drop downs to answer the questions as indicated or not indicated. 1- Instruct client to report rupture of membranes, increase in cramping or pelvic pressure immediately. [choice1] 2- Refer to social services for help with obtaining car seat and baby supplies. [choice2] 3-Administer betamethasone. [choice3] 4-Prepare for insertion of foley catheter. [choice4] 5-Help client to identify and use appropriate coping strategies. [choice5] 6-Prepare for epidural placement. [choice6] 7-Position in modified Trandelenburg’s position. [choice7] 8-Administer tocolytics. [choice8] 9-Administer appropriate antibiotics. [choice9] 10- Prepare for a precipitous delivery. [choice10] Lippincott Client Cases for Clinical Judgement
Read DetailsConsider the following tibial nerve conduction velocity (NCV…
Consider the following tibial nerve conduction velocity (NCV) test results below. A unique feature of distal limb motor neurons is that the axons taper abruptly in the lower extremities. What is the best explanation for why these average NCVs are decreasing with increasing height? Height (in) Mean NCV (m/s) < 5’3” 51 5’3” – 5’7” 49 > 5’7” 47
Read DetailsYou are evoking muscle twitches by stimulation in your physi…
You are evoking muscle twitches by stimulation in your physiology lab. You begin to see muscle contractions and successfully are able to evoke a twitch with each stimulation. Next, you increase the stimulation frequency to a more moderate level (3-5 Hz) and you now begin to see [answer1] occurring in your recording. Seeing this means that [answer2].
Read DetailsHere is a typical action potential from a neuron that you ar…
Here is a typical action potential from a neuron that you are recording in lab: Your lab partner applies a drug to that neuron. According to the label, it completely blocks all functions for one specific protein, but the label is damaged and doesn’t say which protein. The next action potential you record looks like this: Which of the following proteins has been targeted by the drug?
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