A nurse is caring for a 78 years old male patient who has lo…
A nurse is caring for a 78 years old male patient who has lost his mobility following a stroke. The nurse has established interventions that include providing direct care to the patient, teaching, making referrals, and managing the case. USE THE DROP DOWN MENU TO SELECT THE ANSWERS. a. To meet the goal, the nurse’s NEXT step is to to [A] b. When assessing a patient with a disability, the nurse should always assess for [B] and [C] c. When teaching a patient with disability, the nurse’s PRIORITY interventions should be [D] [E]
Read DetailsThe school nurse is asked to assess a skin rash that is foun…
The school nurse is asked to assess a skin rash that is found on a male student’s elbows, knees and scalp. The nurse knows this is one of the most common chronic, non-communicable diseases that is characterized by slivery plaques frequently found over the elbow, knees and scalp. The nurse identifies which of the following?
Read DetailsThe nurse is assessing the morning lab values of 3 patients…
The nurse is assessing the morning lab values of 3 patients with gastrointestinal disorders including diarrhea, vomiting, and GI bleed as below Smith K+: 2.9, Na+: 138, Ca+: 10.4, Mg+: 1.2. Brown K+: 3.9, Na+: 135, Ca+: 8.7, Mg+: 1.9 Lee K+: 5, Na+:146, Ca+: 9.4, Mg+: 2 Standard range for labs per textbook and ATI Hct: 42-52% for M, 36-52 for F Hgb: 14 to 17.4 g/dL for M, 12 to 16 g/dL for F Creatinine serum: 0.6 to 1.3 mg/dL for M, 0.6 to 1.1 mg/dL for F BUN: Older adults (over age 60): 8 to 23 mg/dL Potassium serum: 3.5 to 5.2 mEq/L (ATI: 3.5-5) Sodium serum: Adults: 136 to 145 mEq/L Calcium: 8.8 to 10.4 mg/dL (ATI: 9.0-10.5) Magnesium: 1.8 to 2.6 mg/dL (ATI: 1.3-2.1) USE THE DROP DOWN MENU TO SELECT THE ANSWERS. a. What patient’s lab values should the nurse have IMMEDIATE action? [A] b. What clinical manifestations should the nurse expect on that patient? [B] [C] [D] c. What should be the nurse’s priority to include in her care plan for that patient? [E] [F] The next day, Mrs. Lee’s potassium level is 5.7. d. What treatments should the nurse anticipate? [G] and/or [H] e. What should the nurse monitor closely? [I] and [J] f. What should the nurse assess Mrs. Brown? [K] [L]
Read DetailsWhile performing health screenings in a clinic, a nurse asse…
While performing health screenings in a clinic, a nurse assesses a small child with a red sore under his nose. It is red, crusty, with yellow exudate which the patient’s mother reports returns after washing. The mother also states her older two children have similar skin sores. Which condition should the nurse identify?
Read DetailsA 67 years old male patient is admitted to the hospital with…
A 67 years old male patient is admitted to the hospital with severe diarrhea and vomiting. Vital signs: BP 84/68. HR 96. RR 20. Temp 99.8. O2 Sat 96% on 1 L of Oxygen via nasal cannula. Lab results: Hgb 25 g/dL; Hct 67% ; Creat. 1.9; BUN 24; Na+: 140, K+: 4.4, Calcium 9.2, Mg+ 1.6. ECG: Normal sinus rhythm. ABG: pH 7.39; pCO2: 43; HCO3: 24 Medical History: obtained by the patient’s family: hypertension, asthma, and hyperlipidemia. There is no surgical history. Allergies: Penicillin and nuts. Nursing initial assessment: The patient is alert and oriented x 3, gets up with 1 assistant due to weakness and dizziness. Skin is clammy and cool to touch. The patient denies pain and shortness of breath. Standard range for labs per textbook and ATI Hct: 42-52% for M, 36-52 for F Hgb: 14 to 17.4 g/dL for M, 12 to 16 g/dL for F Creatinine serum: 0.6 to 1.3 mg/dL for M, 0.6 to 1.1 mg/dL for F BUN: Older adults (over age 60): 8 to 23 mg/dL Potassium serum: 3.5 to 5.2 mEq/L (ATI: 3.5-5) Sodium serum: Adults: 136 to 145 mEq/L Calcium: 8.8 to 10.4 mg/dL (ATI: 9.0-10.5) Magnesium: 1.8 to 2.6 mg/dL (ATI: 1.3-2.1) USE THE DROP DOWN MENU TO SELECT THE ANSWERS. a. What lab values require the nurse immediate attention? [A] and [B] and [C] b. What immediate treatment should the nurse anticipate to be ordered? [D] c. What should the nurse monitor closely? [E] and [F] and [G] d. Two days later, the nurse is preparing discharge teaching for the patient, which of the following should the nurse teach the patient and family? [H] and [I]
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