A 19-year-old male patient is admitted with a fracture of C6 and C7 that has progressed to quadriplegia. His career as a football player had been very promising. He was injured during a football game at the university where he is currently a senior. At the time of the injury, contract negotiations were in progress with a leading professional football team. Create a nursing intervention for each of the adaptive modes to promote adaptation (physiological, self concept, role function, and interdependence
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A 19-year-old male patient is admitted with a fracture of C6 and C7 that has progressed to quadriplegia. His career as a football player had been very promising. He was injured during a football game at the university where he is currently a senior. At the time of the injury, contract negotiations were in progress with a leading professional football team.
Create a nursing intervention for each of the adaptive modes to promote adaptation (physiological, self concept, role function, and interdependence
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- A 23-year-old male patient is admitted with a fracture of C6 and C7 that has resulted in quadriplegia. He was injured during a football game at the university where he is currently a senior. His career as a quarterback had been very promising. At the time of the injury, contract negotiations were in progress with a leading professional football team. 3.Create a nursing intervention for each of the adaptive modes to promote adaptation.Patricia Savon is 34 years old. She has come to the clinic because of a general feeling of weakness and some difficulty walking. She also has had problems with her vision. When you bring Patricia to the examining room, she asks you to leave the door open because she is afraid of being shut inside. The physician does a physical examination on Patricia and orders some diagnostic tests. A possible diagnosis for Patricia is multiple sclerosis. 1. The fear that Patricia experiences is known as _______________. 2. Understanding Patricia’s fears, what type of nuclear imaging test will be ordered for her? 3. Patricia wants to know how nuclear imaging works; she is afraid of radiation. Explain to her how imaging devices work. 4. What additional instructions and information can you give Patricia regarding the test? 5. Are there other imaging tests that could be ordered for Patricia?A 67-year-old male patient arrives in the emergency department complaining of progressively worsening bouts of right leg weakness. His wife notes that he is confused and often has trouble forming words at these times, which typically last about a day. The right leg weakness improves only slightly from instance to instance, leaving him weaker each time. Because the symptoms are transient, he has put off seeing a physician until now. His wife is worried that he might be having a stroke. He reports having smoked a pack of cigarettes each day for 45 years. What surgical procedure will be scheduled? What tests might the ED physician order to arrive at a diagnosis? What are the possible diagnoses, and which is most likely?
- A 67-year-old male patient arrives in the emergency department complaining of progressively worsening bouts of right leg weakness. His wife notes that he is confused and often has trouble forming words at these times, which typically last about a day. The right leg weakness improves only slightly from instance to instance, leaving him weaker each time. Because the symptoms are transient, he has put off seeing a physician until now. His wife is worried that he might be having a stroke. He reports having smoked a pack of cigarettes each day for 45 years. • What surgical procedure will be scheduled? • What tests might the ED physician order to arrive at a diagnosis? • What are the possible diagnoses, and which is most likely?You are a nursing student who is assigned to a busy medical-surgical unit that specializes in the care of patients with various neurologic disorders. One of your patients for the day is Mr. Choudhary, a 56 year old South Asian male with a primary diagnosis of cerebrovascular accident of hemorrhagic origin. You enter the room to conduct your morning assessment and you find that Mr. Choudhary is non-verbal but does seem to understand you. How do you think Mr. Chowdhary feels being unable to verbalize with you? How do you think you may best conduct your assessment while still being therapeutic to your non-verbal patient? How could you modify your assessment to be more certain that your non-verbal patient understands you?Sam Smith is a 57-year-old male, who lives alone in a large city in New Jersey. Sam had recently been feeling weaker and noticed he was having difficulty picking up his pen or lifting a cup of coffee. Sam decided to schedule an appointment in the Federally Qualified Health Center at which you are employed. After seeing the Nurse Practitioner and multiple tests, Sam is diagnosed with Amyotrophic Lateral Sclerosis (ALS). After receiving the diagnosis and some literature to read, Sam schedules a follow up appointment to discuss his options further. Sam returns to the center in a few days and informs you he has been reading about ALS online and knows that it is a terminal disease. Sam states he does not have family nearby and does not want to be a burden on any of his friends. Sam is exhibiting signs of depression and asks you about ending his life. He has read about the laws in New Jersey and would like to know how he goes about getting the medication. 1. How would you communicate the…
- Sam Smith is a 57-year-old male, who lives alone in a large city in New Jersey. Sam had recently been feeling weaker and noticed he was having difficulty picking up his pen or lifting a cup of coffee. Sam decided to schedule an appointment in the Federally Qualified Health Center at which you are employed. After seeing the Nurse Practitioner and multiple tests, Sam is diagnosed with Amyotrophic Lateral Sclerosis (ALS). After receiving the diagnosis and some literature to read, Sam schedules a follow up appointment to discuss his options further. Sam returns to the center in a few days and informs you he has been reading about ALS online and knows that it is a terminal disease. Sam states he does not have family nearby and does not want to be a burden on any of his friends. Sam is exhibiting signs of depression and asks you about ending his life. He has read about the laws in New Jersey and would like to know how he goes about getting the medication. 1. What are your responsibilities in…Hello, Can you help me please to answer this answer about this case? Analysis (Analyzing Cues) Which client conditions are consistent with the cues? Do the cues support a particular client condition? What cues are a cause for concern? What other information would help to establish the significance of a cue? Case A 77-year-old man is admitted to the intensive care unit (ICU) of a university hospital from the operating room. Earlier the same day, he had presented to the emergency department with abdominal pain. His medical history included treated hypertension and hypercholesterolemia, previous heavy alcohol intake, and mild cognitive impairment. In the emergency department, he was drowsy and confused when roused and was peripherally cold with cyanosis. The systemic arterial blood pressure was 75/50 mm Hg, and the heart rate was 125 beats per minute. The abdomen was tense and distended. After the administration of 1 liter of intravenous crystalloid to restore the blood pressure, a…A 35 year old male presents to the ER with left side facial droop. His symptoms started 5 hours ago and were noticed by his coworkers. He reports no significant personal or family history. He was sick with flu like symptoms two week previous but has since recovered without any lasting deficit. As a clinician you need to quickly assess your patient for a stroke or possibly a Bell’s palsy. To determine a differential diagnosis, what would be the best question to ask this patient to get a preliminary idea of what we are looking at? raise and lower your eyebrows stick out your tongue smile wide (show your teeth) puff out your cheeks Select your answer and give your reasoning.
- Craig is a 20 year old male college student who was involved in an automobile crash 3 days ago, suffering a traumatic amputation of his left lower leg. Craig’s mother has remained with him since the crash and is very supportive. His father is grief stricken and having difficulty dealing with Craig’s condition because Craig was captain of his college basketball team and had aspirations of becoming a professional athlete. Craig’s condition is stable and he is being placed into a rehabilitation program immediately. Soon, he will be fitted for a leg prosthesis. Usually an outgoing individual, Craig is somber and nontalkative. He does not look at his leg when dressings are being changed and he refuses to discuss his rehabilitation program.a. What data suggest that Craig’s self-esteem is or is at risk for being, negatively affected by his amputation?b. What factors are likely to affect Craig’s adaptation to his amputation andrehabilitation?c. What other groups of clients, in addition to…An 80-year-old man with Alzheimer's disease and a recent hip fracture is recovering in a rehabilitation facility. He is often confused and agitated, especially in the evening. He has a history of wandering and has fallen several times. The nursing staff must implement strategies to ensure his safety and comfort, taking into account his cognitive impairment and physical limitations. Options: A) Use physical restraints to prevent falls. B) Implement a routine schedule, engage in calming activities, and ensure adequate lighting. C) Increase sedative medications to reduce agitation. D) Place the patient in a room close to the nursing station for frequent monitoring.Category: Physiological Adaptation In a postoperative unit, a nurse is caring for a client who has recently undergone a laminectomy to relieve spinal cord compression. The client is alert but has been instructed to minimize movement to prevent post-surgical complications. In addition to monitoring for the usual postoperative signs such as infection or bleeding, which technique should the nurse use to reposition the client to promote comfort and prevent injury safely? A. Logroll the client carefully to maintain spinal alignment, ensuring that the head, back, and legs move as one unit. B. Assist the client to dangle on the side of the bed before standing to promote circulation and reduce the risk of orthostatic hypotension. C. Encourage the client to use an overhead trapeze when self-repositioning to enhance independence and strengthen upper body muscles. D. Instruct the client to perform gentle range-of-motion exercises to the lower extremities to prevent venous stasis and deep vein…