Patient’s Clinical Record Nurse’s Transfer Note from the Eme…
Patient’s Clinical Record Nurse’s Transfer Note from the Emergency Department Patient admitted to the emergency department at 3 pm complaining of shortness of breath, which patient reported became worse over the last few days. Sputum culture and metabolic panel and complete blood count (CBC) drawn and sent to laboratory. Oxygen ordered at 2 L per minute via nasal canula, acetaminophen 650 mg administered at 5 pm. Patient transferred to 5 South with a diagnosis of R/O (rule out) pneumonia at 6 pm. Vital Signs Sheet Oxygen Saturation 6:15 pm 85% 2L Oxygen Nasal Canula Temperature 6:15 pm 102.4°F, temporal Heart Rate 6:15 pm 92 beats per minute, radial Blood Pressure 6:15 pm 160/90, Left Upper Arm Respirations 6:15 pm 28 breaths per minute Nurses Progress Note 7 pm: IV 0.45% sodium chloride running at 100 mL per hour. IV site is clean, dry, and intact. Patient has a productive cough, and respirations are 28 breaths per minute related to excessive respiratory secretions. Called attending provider for an order for chest physiotherapy. Patient states feeling tired and nauseated. patient had 4 oz of soup and 3 oz of water and refused rest of dinner. Patient assisted to the bathroom to void; no dizziness reported by the patient. ________________________________________________________________________________________________________________________________________________________________ Which statement from the documentation demonstrates the nurse is functioning in the Analyze Cues step of the CJMM?
Read DetailsThe Drug House Police in Salt Lake City receive an anonymous…
The Drug House Police in Salt Lake City receive an anonymous tip about “drug activity” at a house. A narcotics detective monitors the house over several days, and after seeing some occasional foot traffic in and out of the home, he suspects something might be up. After watching the house for a total of about three hours over a week, he decides to stop the next person to walk out and ask him some questions. He stops the man in a nearby parking lot, asks for identification and has a dispatcher run a warrant check. The check shows that there was an outstanding warrant for a traffic violation. The officer arrests the man, searches him and finds a baggie with meth and drug paraphernalia in his pockets. The man is charged with several drug-related offenses. Is it a legal stop?
Read DetailsA nurse is conducting the evaluation phase of the nursing pr…
A nurse is conducting the evaluation phase of the nursing process for a 75-year-old patient with heart failure and type 2 diabetes. Which actions by the nurse correctly demonstrate the evaluation of patient goals and outcomes? Select all that apply.
Read DetailsThe High-Crime Area A man is standing in a Chicago neighborh…
The High-Crime Area A man is standing in a Chicago neighborhood known for heavy narcotics trafficking. He’s holding an opaque bag when he sees police officers enter the area. Suddenly, he begins to run. The officers catch him, pat him down for weapons and find a .38-caliber handgun. The man is placed under arrest and convicted of unlawful use of a weapon by a felon. Is it a legal stop?
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