The Calgary Family Assessment Model (CFAM) is made up of man…
The Calgary Family Assessment Model (CFAM) is made up of many branches. Within each of those branches are sets of questions the healthcare provider can ask to elicit specific information for each category. The following question would be an example of what to ask when trying to derive information about Question: “Whom do you ask for help when problems arise in your family?”
Read DetailsA nurse is caring for a client who is 1 day postoperative fo…
A nurse is caring for a client who is 1 day postoperative following a right-sided thoracotomy with a chest tube insertion. Nurses Notes 0800: Chest tube is patent to client’s right side, dressing is dry and intact, connected to a disposable three-chamber drainage system. Suction at prescribed -20 cm H2O. Tidaling noted in the water seal chamber along with continuous bubbling. Client reports pain as 3 on a scale of 0 to 10. 50 mL of sanguineous drainage noted in the collection chamber since 0700. Productive cough with clear sputum. Physical Examination 0800: Lung sounds diminished in the bases bilateral, no adventitious sounds noted; Bowel sounds active x 4 quadrants, abdomen soft; Capillary refill less than 2 seconds; Skin dry and intact, 1+ edema noted to legs bilaterally Diagnostic Results 0500: CBC – H&H 15 g/dL, 35%; WBC count – 9,500/mm3 (5,000 to 10,000/mm3) Vital Signs 0800: Temp – 37.2° C (99° F); HR – 92/min; RR – 20/min; BP – 128/68 mm Hg; SaO2 96% on 2 L O2 via nasal cannula ***A nurse prioritizes care after completing the assessment and initiates the following action. Match the following: Condition the client is most likely experiencing, 2 actions the nurse should take to address that condition 2 parameters the nurse should monitor to assess the client’s progress.
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