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document the following scenario using FOCUS documentation system
Step by step
Solved in 3 steps
- Ms. Hall has an order for hydromorphone (Dilaudid), 2 mg,intravenously, q 4 hours PRN pain. The nurse notes thataccording to Ms. Hall’s chart, she is allergic to Dilaudid. Theorder for medication was signed by Dr. Long. What would bethe correct procedure for the nurse to follow in this situation?a. Administer the medication; the doctor is responsible formedication administration.b. Call Dr. Long and ask that she change the medication.c. Ask the supervisor to administer the medication.d. Ask the pharmacist to provide a medication to take theplace of Dilaudid.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.Dressing and undressing him 2.Assisting him with food and fluids 3.Performing a safety check of the room Direct the question no need to write them all only what is importantMr. 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
- The nurse clarified the verbal order dosage from the physician and 5 mg morphine sulfate IV q6h PRN for pain was ordered. The nurse goes to the medication room and retrieves the following morphine sulfate vial: •MorphineSulfate Injection l2 mg / mLfresenius Kabi Canada How many milliliters should the nurse draw up to give the medication as ordered? ___ mLMr. 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)A medication order reads: “Hydromorphone, 2 mg IV every 3to 4 hours PRN pain.” The prefilled cartridge is available witha label reading “Hydromorphone 2 mg/1 mL.” The cartridgecontains 1.2 mL of hydromorphone. Which nursing action iscorrect?a. Give all the medication in the cartridge because itexpanded when it was mixed.b. Call the pharmacy and request the proper dose.c. Refuse to give the medication.d. Dispose of 0.2 mL correctly before administering the drug.
- the physician prescribes medicatiom m 75 mg intermusculart immediately. the medication label state medication m 100mcg/ ml. how many ml should the nurse prepare to admininster the correct dose?The patient says, I take a nitro tab and place it under my tongue when I have severe chest pain." You write: The patient states that he takes nitroglycerin medication for chest pain. A/Mr. H is a 52-year-old male who presents to the emergency department. His left leg is in a cast, and he states that 1 week ago he was in an automobile crash and broke his upper leg. Since that time, he has had difficulty “getting around” and has mostly been lying on the couch watching television. On the evening of admission he noticed a sudden onset of dyspnea and chest pain. He denies having orthopnea, cough, hemoptysis, or wheezing. He smoked two packs of cigarettes a day for 19 years but quit 3 years ago. The ABG analysis of Mr. H suggests uncompensated respiratory alkalosis with mild hypoxemia, with base excess of -1 in her arterial side, whereas -4 in her venous side. Part 1: Her actual arterial-venous oxygen content difference (Ca-vO2) is 5.31 mL/dL. (Normal range considered here is 3.5 to 5 mL/dL) Part 2: Patient's actual oxygen extraction ratio (O2ER) was 29%. (Say normal range is 20-28%) What is clinically happening to the patient?
- History of Present IllnessTwo hours prior to admission, at 4am, patient Jake was jogging along LacsonStreet when a group of bystanders had approached him and stabbed himmultiple times. He claims that he does not know these people. He tried todefend himself resulting to multiple injuries in his upper extremities where hehad 3 lacerations, cheeks where he had a laceration on the left, right chest andright upper abdominal quadrant. Medications: Tetanus Toxoid 0.5 ml/amp, give 1 ampule via deep IM, now at right deltoid ATS 3,000 IU/amp, give 1 ampule via deep IM, now, ANST at left deltoid Piperacillin Tazobactam 2.25 grams/vial, give 1 vial via IV drip to run for 3 hours Q8H Tramadol 50 mg/amp, give 1 ampule very slow IV push now then Q6 PRN for pain Omeprazole 40 mg/amp, give 1 ampule via IVTT ODHS Latest Vital Signs : Blood Pressure: 90/60 mmHg Heart Rate: 121 bpm Respiratory Rate: 26cpm Temperature: 37.3 ⁰C Pain Scale: 10/10 NURSING CARE PLANHow will you use the information to prepare for todays visit?Todays Visit: Chief Complaint "I am still recovering from my fall last monthI nend help with this question please SITUATION: Mr Chong was brought into Emergency Department (ED) last night by ambulance after collapsing at home. The ED Registered Nurse reported that Mr Chong was alert and orientated to person, time and place on admission. He has global aphasia, left gaze preference, right homonymous hemianopia (field cut), right facial droop, dysarthria, and right hemiplegia. CT angiography showed a left Middle Cerebral Artery (MCA) occlusion (Fig 1). 12-lead ECG showed Atrial Fibrillation (Fig 2). BACKGROUND Mr Chong has a past medical history of Coronary Artery Disease, Coronary Artery Bypass Grafting, Atrial Fibrillation and previous TIA (Transient Ischaemic Attack) three month ago. Mr Chong is retired and independent with activities of daily living. He speaks simple English. Mr Chong lives with his wife and two sons. ASSESSMENT His last Glasgow Coma Scale (GCS) is between 13-14 (disorientated and occasionally confused to time and place) and other vital…