Consult note General Surgery- LC

Nursing question re_route Please Please make table to differentiate ITP, TTP, HIT, DIC. ?

Answer and rationale

Title: Girl interrupted Director: James mangold Nurse Care Plan

Question: To the following Given Drugs How to explain the drug's Indication, Side effects, and Health Teaching to the patient that is easier to understand to them? Given Drug:  TFD/FTC (Truvada) 300mg tab OD PO Raltegravir (Isentress) 400mg 1 tab BID PO   Title: Care of clients with Human Immunodeficiency Virus Focus Area: Obstetric Nurse Station   Margerie Ramos, a 32-year-old female, who, on her 34th week of pregnancy was transferred to the hospital after coming from a prenatal clinic and reported to be experiencing continuous regular contractions for almost 2 days. This is her third pregnancy. The labor and delivery team were planning to admit her to observe and monitor her baby through a fetal Non-Stress Test and to exclude complications associated with preterm labor. The patient previously agreed to a scheduled repeat C-section since she already had two prior ones.   Upon admission, the patient verbalized, “I'm cold, I feel so hot.” Temperature was taken, T=38.5 C. She also…

Patient #1: John Smith is an 85-year old male admitted for Dr. Lee. He fell at home. He has a history of COPD, smoked one pack per day for 60 years, CHF and DM. He had surgery two days ago for the left hip fracture. We are to change the dressing daily and PRN. The incision site is slightly pink, edematous, and draining sanguineous drainage. I changed the dressing once in the night. They stopped his IV fluids yesterday. He is saline locked. The patient gets QID blood sugar checks. I checked him in the night because he felt kind of sweaty and didn't talk to me much, but his sugar was 110. I checked his vitals at 0450- Temp 99.0, HR 98, R-20, BP 100/65, O sat 91 & on 1 liter, I bumped up his oxygen to 3 liters at that time. His lung sounds are coarse. As for as orientation goes. Patient #2: Maria is a 40 year old patient. She was admitted two days ago with DKA. She has a history of poorly controlled DM-Type 1. Apparently her blood sugars have been poorly controlled over the last week…

Complete a referral form and schedule a mammogram appointment for the patient below. Scenario: Georgia Thompson needs to have her first mammogram appointment scheduled for her. She has transportation arrangements for Tuesdays and Thursday from 9:00am – 1:00pm. Her diagnosis is right breast – Cyst of breast and unspecified breast disorder – calcification. Georgia's last menstrual period was 05/27/XX. Copies of her mammogram need to be sent to Dr. Smith at 2121 College Drive, Suite 450, Middleton California, 55456. (916) 555-4321. - Patient Demographics: DOB: 05/28/1955 Name: Georgia Thompson Insurance: Cigna Phone # (209) 555-1234 ID #: U26183656 02 CPT: 77055 ICD10: N60.01, R921 Authorization #: 135674

Discharging Provider Length Readmission of stay with 30 days of Telephone follow-up 2 Referral to Medication Primary Care Outpatient Management Provider discharge days post- Cardiac Rehab Plan Appointment 3 days discharge post-discharge Edwards 5 NO YES YES YES YES Edwards 5 NO YES YES YES YES Gregory 3 YES NO YES YES NO Gregory 4 YES NO YES YES NO Gregory 3 YES NO YES YES NO Johnson 4 YES NO NO YES NO Johnson 5 NO YES YES YES YES Langley 2 NO YES YES YES YES Langley 3 YES NO YES YES NO Langley Smith Smith Stern Tierney Tierney 25 6435 YES NO NO YES NO NO YES NO YES YES NO YES YES NO YES YES NO YES YES NO NO YES YES YES YES YES NO YES YES NO

Case:Location: Medical-Surgical UnitTime: 0800Report from night shift charge nurse:Situation:Sara Lin is an 18-year-old patient who had an emergency appendectomy. It is day 2 postoperative, and Sara is expected to be discharged late this afternoon. We have discontinued her IV antibiotics after her morning dose. She will be getting oral meds today.Background:Sara presented in the ED 2 days ago with a 2-day history of nausea, vomiting, and increasing pain. She was taken to surgery that day and had an open appendectomy for a ruptured appendix. She has been stable since arriving to the unit. Her parents have been here with her most of the time and are very helpful and supportive.Assessment:Sara is alert and oriented. She needs to be reminded to use her incentive spirometer. Abdomen is soft and tender to touch. Bowel sounds active. She has progressed to regular diet, and she's eating small amounts. No nausea reported since postoperative day 1. The surgery team changed the abdominal dressing…

Case:Location: Medical-Surgical UnitTime: 0800Report from night shift charge nurse:Situation:Sara Lin is an 18-year-old patient who had an emergency appendectomy. It is day 2 postoperative, and Sara is expected to be discharged late this afternoon. We have discontinued her IV antibiotics after her morning dose. She will be getting oral meds today.Background:Sara presented in the ED 2 days ago with a 2-day history of nausea, vomiting, and increasing pain. She was taken to surgery that day and had an open appendectomy for a ruptured appendix. She has been stable since arriving to the unit. Her parents have been here with her most of the time and are very helpful and supportive.Assessment:Sara is alert and oriented. She needs to be reminded to use her incentive spirometer. Abdomen is soft and tender to touch. Bowel sounds active. She has progressed to regular diet, and she's eating small amounts. No nausea reported since postoperative day 1. The surgery team changed the abdominal dressing…

Case:Location: Medical-Surgical UnitTime: 0800Report from night shift charge nurse:Situation:Sara Lin is an 18-year-old patient who had an emergency appendectomy. It is day 2 postoperative, and Sara is expected to be discharged late this afternoon. We have discontinued her IV antibiotics after her morning dose. She will be getting oral meds today.Background:Sara presented in the ED 2 days ago with a 2-day history of nausea, vomiting, and increasing pain. She was taken to surgery that day and had an open appendectomy for a ruptured appendix. She has been stable since arriving to the unit. Her parents have been here with her most of the time and are very helpful and supportive.Assessment:Sara is alert and oriented. She needs to be reminded to use her incentive spirometer. Abdomen is soft and tender to touch. Bowel sounds active. She has progressed to regular diet, and she's eating small amounts. No nausea reported since postoperative day 1. The surgery team changed the abdominal dressing…

Case:Location: Medical-Surgical UnitTime: 0800Report from night shift charge nurse:Situation:Sara Lin is an 18-year-old patient who had an emergency appendectomy. It is day 2 postoperative, and Sara is expected to be discharged late this afternoon. We have discontinued her IV antibiotics after her morning dose. She will be getting oral meds today.Background:Sara presented in the ED 2 days ago with a 2-day history of nausea, vomiting, and increasing pain. She was taken to surgery that day and had an open appendectomy for a ruptured appendix. She has been stable since arriving to the unit. Her parents have been here with her most of the time and are very helpful and supportive.Assessment:Sara is alert and oriented. She needs to be reminded to use her incentive spirometer. Abdomen is soft and tender to touch. Bowel sounds active. She has progressed to regular diet, and she's eating small amounts. No nausea reported since postoperative day 1. The surgery team changed the abdominal dressing…

Case Scenario/Description Case:Location: Medical-Surgical UnitTime: 0800Report from night shift charge nurse:Situation:Sara Lin is an 18-year-old patient who had an emergency appendectomy. It is day 2 postoperative, and Sara is expected to be discharged late this afternoon. We have discontinued her IV antibiotics after her morning dose. She will be getting oral meds today.Background:Sara presented in the ED 2 days ago with a 2-day history of nausea, vomiting, and increasing pain. She was taken to surgery that day and had an open appendectomy for a ruptured appendix. She has been stable since arriving to the unit. Her parents have been here with her most of the time and are very helpful and supportive.Assessment:Sara is alert and oriented. She needs to be reminded to use her incentive spirometer. Abdomen is soft and tender to touch. Bowel sounds active. She has progressed to regular diet, and she's eating small amounts. No nausea reported since postoperative day 1. The surgery team…

Case Scenario/Description Case:Location: Medical-Surgical UnitTime: 0800Report from night shift charge nurse:Situation:Sara Lin is an 18-year-old patient who had an emergency appendectomy. It is day 2 postoperative, and Sara is expected to be discharged late this afternoon. We have discontinued her IV antibiotics after her morning dose. She will be getting oral meds today.Background:Sara presented in the ED 2 days ago with a 2-day history of nausea, vomiting, and increasing pain. She was taken to surgery that day and had an open appendectomy for a ruptured appendix. She has been stable since arriving to the unit. Her parents have been here with her most of the time and are very helpful and supportive.Assessment:Sara is alert and oriented. She needs to be reminded to use her incentive spirometer. Abdomen is soft and tender to touch. Bowel sounds active. She has progressed to regular diet, and she's eating small amounts. No nausea reported since postoperative day 1. The surgery team…

Case Scenario/Description Case:Location: Medical-Surgical UnitTime: 0800Report from night shift charge nurse:Situation:Sara Lin is an 18-year-old patient who had an emergency appendectomy. It is day 2 postoperative, and Sara is expected to be discharged late this afternoon. We have discontinued her IV antibiotics after her morning dose. She will be getting oral meds today.Background:Sara presented in the ED 2 days ago with a 2-day history of nausea, vomiting, and increasing pain. She was taken to surgery that day and had an open appendectomy for a ruptured appendix. She has been stable since arriving to the unit. Her parents have been here with her most of the time and are very helpful and supportive.Assessment:Sara is alert and oriented. She needs to be reminded to use her incentive spirometer. Abdomen is soft and tender to touch. Bowel sounds active. She has progressed to regular diet, and she's eating small amounts. No nausea reported since postoperative day 1. The surgery team…

Make a Discharge Planning Diagnosis: Impaired comfort related to tissue trauma and edema in the episiotomy site as evidenced by right mediolateral episiotomy, 1 cm of edema and ecchymosis around her episiotomy site, Patient is pale and tired,droopy/hanging eyelids, has dark circles under the eyes, pale skin, are indicative of both sleep deprivation and looking fatigue. Reports of dizziness and light-headedness when standing up, feeling disturbed with the episiotomy as verbalized I'm scared cause the stitch might rip if I forced it” Reports pain "I'm scared cause the stitches hurt and might be rippen."  I. Specific Objectives 1. 2. 3. 4. 5. II. Health Teaching 1. Knowledge a. b. c. d. e.

Mr. Avery had a stroke. He has hemiplegia, receptive aphasia, and dysphagia. Explain how you will plan to perform the care measures listed below. : 1 transferring him from bed to w/c 2.Communicating with him 3.Dressing and undressing him 4.Assisting him with food and fluids 5.Performing a safety check of the room

Personal Information Name: Thomas Sykes Gender: Male Age: 17 Marital Status: Single Weight: 240 pounds (108.86 kg) Height: 5 ft. 11 in. (71 inches) Occupation: High School Student Address: New York, USA Race: African American Religion: Baptist Allergies: None Known Immunizations: Up to date Major Support Name: Keisha Sykes, age 31 Relationship: Sister Phone: 577-666-7890 Attending Provider/Team: Susan Henretty, DNP, CRNP, PPCNP-BC Past Medical History: Significant for chronic obesity and depression. History of Present Illness: Thomas was recently discharged from an inpatient psychiatric program for suicidal ideation. He has undergone group therapy, individual therapy, and is taking an SSRI antidepressant medication (escitalopram). Upon discharge he was feeling somewhat less depressed. He is continuing in counseling and states it is helping. He is working on a healthy eating weight-loss plan and was instructed on keeping a food log. Social History: Thomas lives with his sister,…

Personal Information Name: Thomas Sykes Gender: Male Age: 17 Marital Status: Single Weight: 240 pounds (108.86 kg) Height: 5 ft. 11 in. (71 inches) Occupation: High School Student Address: New York, USA Race: African American Religion: Baptist Allergies: None Known Immunizations: Up to date Major Support Name: Keisha Sykes, age 31 Relationship: Sister Phone: 577-666-7890 Attending Provider/Team: Susan Henretty, DNP, CRNP, PPCNP-BC Past Medical History: Significant for chronic obesity and depression. History of Present Illness: Thomas was recently discharged from an inpatient psychiatric program for suicidal ideation. He has undergone group therapy, individual therapy, and is taking an SSRI antidepressant medication (escitalopram). Upon discharge he was feeling somewhat less depressed. He is continuing in counseling and states it is helping. He is working on a healthy eating weight-loss plan and was instructed on keeping a food log. Social History: Thomas lives with his sister,…

Personal Information Name: Thomas Sykes Gender: Male Age: 17 Marital Status: Single Weight: 240 pounds (108.86 kg) Height: 5 ft. 11 in. (71 inches) Occupation: High School Student Address: New York, USA Race: African American Religion: Baptist Allergies: None Known Immunizations: Up to date Major Support Name: Keisha Sykes, age 31 Relationship: Sister Phone: 577-666-7890 Attending Provider/Team: Susan Henretty, DNP, CRNP, PPCNP-BC Past Medical History: Significant for chronic obesity and depression. History of Present Illness: Thomas was recently discharged from an inpatient psychiatric program for suicidal ideation. He has undergone group therapy, individual therapy, and is taking an SSRI antidepressant medication (escitalopram). Upon discharge he was feeling somewhat less depressed. He is continuing in counseling and states it is helping. He is working on a healthy eating weight-loss plan and was instructed on keeping a food log. Social History: Thomas lives with his sister,…

Betamethasome Indication/mechanism of action Dosage/route Nursing responsibility

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