Mr. Santos, a 60-year-old senior citizen, is admitted to the hospital. His diagnosis is carotid insufficiency, and he is scheduled for surgery the following morning. While the physician is conducting the physical assessment, he told him, " I can't walk a couple of blocks without feeling pain in my legs" What additional assessments would you preform on this patient?
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- Mr. Santos, a 60-year-old senior citizen, is admitted to the hospital. His diagnosis is carotid insufficiency, and he is scheduled for surgery the following morning. While the physician is conducting the physical assessment, he told him, " I can't walk a couple of blocks without feeling pain in my legs" What clinical tests would you do on this patient?A 50-year-old female patient, Mrs. Smith, who recently underwent abdominal surgery, is reluctant to ambulate due to pain. She has a history of deep vein thrombosis and is currently on anticoagulant therapy. Her pain score is 6/10 on the numeric rating scale. Options: a) Encourage bed rest until pain subsides. b) Administer prescribed pain medication and assist with ambulation. c) Apply a cold compress to the surgical site. d) Increase the dose of anticoagulant therapy.A CST is assisting the surgeon on the midline closure of an episiotomy. The surgeon says, “Something’s wrong, but I can’t identify it.” The CST replies, “I’m worried also. Do you think she might have DIC (disseminated intravascular coagulopathy)?” The surgeon responds, “Why do you think that?” and the CST says, “I’ve seen this before, and the blood doesn’t look right. I placed some of the patient’s blood in a plain test tube 7 minutes ago, and no clot has formed.” The surgeon has the circulator page the attending obstetrician to the room and alerts the anesthesia care provider. The patient became slightly hypotensive, but the quick response of the OR team averted any serious complications. The patient was discharged several days later without further complications. What observation did the CST make that helped the patient in this case? Discuss whether the CSTs response was appropriate in this situation.
- A 54-year-old male patient arrives in the emergency department complaining of severe chest pain that radiates to his mid-back along with dyspnea. He is morbidly obese, has smoked two packs of cigarettes a day for the past 20 years, and has two immediate family members who have died of heart disease. What procedure is typically attempted before surgery, where is that procedure performed, and by what type of physician specialist?Mr. A was diagnosed with chronic renal failure and had an arteriovenous graft in his left arm. A student nurse applies the BP Cuff to his left arm. Which of the following responses would be correct by Mr. A? 1) How many patients BP have you assessed ? O 21 Are you sure you applied the BP Cuff to the correct arm? 3) | like the idea that you are using my left arm, it is closer to my heart O 4) What is my last BP reading?Mrs. Condif is a 35-year-old female who presents to the emergency department with the chief complaint of severe right sided flank pain which began one day ago. She reports feeling nauseated and has vomited once today. Mrs. Condiff does not show any outward appearance of pain but is having some difficulty sitting still. She states, “I feel the need to constantly walk around.” Upon further questioning, the client reveals a history of dysuria, urgency, and frequency of urination. As the nurse obtains a history, she notes that the client has no facial grimace and is not making eye contact. The client states, “I am sorry to come in with this pain, I have tried to treat it at home with Creeping Charlie but it just did not help.” Case Study Nursing assessment findings include pale, moist skin, costovertebral tenderness, and restlessness. Her vital signs are blood pressure 142/90, pulse 110, respirations 22, and temperature of 99.8°F (37.7°C) Oxygen saturation is 98% on room air. The emergency…
- The nurse is reviewing the postoperative prescriptions for a client who has just returned from surgery and notes that the surgeon has prescribed lepirudin. Which is this medication prescribed to prevent?Mr. Cardia has been admitted to your ward and care is assigned to you. Information from the history you have taken includes reporting 4 days of anorexia, nausea, vomiting, and occasional diarrhoea before he sought medical attention. His wife says he'd started falling asleep frequently, looked pale, and mentioned seeing yellow spots. Current medications: 0.25 mg of digoxin once a day and 20 mg of frusemide twice a day for heart failure. Vital signs: BP 110/60 P 46 RR 26 T 36.5 What may the signs and symptoms indicate? (two words)https://www.youtube.com/watch?v=t0IngUYN2OA https://www.youtube.com/watch?v=pPxnIh_WTb8 1) Identify three positions of the patient to obtain a BP. 2) What problems can result from high blood pressure Or (HYPERTENSION)? 3) What problems can result from low blood pressure OR (HYPOTENSION)? 4) What IS the effect of exercise on BP? How does the body benefit from this change in BP during exercise? 5) How would the BP of an anxious patient visiting a doctor be different than if the patient is calm? 6) In atherosclerosis, plaque builds up inside the arteries. How would this affect BP? Is this an example of hypertension or hypotension? Part 2: The circulatory system has 5 functions. · Highlight the statements below that are only functions of the circulatory system. It carries cells that help to fight diseases. It gives structure and support to the body. It carries waste products to the urinary system. It carries carbon dioxide from cells…
- Patient B., 60 years old, was hospitalized with the diagnosis "Myocardial infarction". On examination: cold and cyanotic skin. Respiration is frequent, superficial, arterial pressure 90/60 mm Hg, pulse - 110 beats / min (normal 60-90 beats per minute). The patient is transferred to the intensive care unit. 4. What other causes except myocardial infarction can cause this type of TPP? 5. Describe the mechanism of development of this TPP in the patient. STDDOa patient with a history of hypertensionasks the nurse if they could take psudoephedrie(sudafed) for a cold. For which health conditions are decongestants contraindicated? a)hypertension b)narrow angle glaucoma c)uncontrolled cardiovascular disease d)history of cva(cerebrovascular accident) e)diabetesGiven the following body sites, identify whether venipuncture can be performed on the site indicated and give a brief explanation : B. Intravenous Fluid line