An older male patient is admitted to the hospital with a diagnosis of pneumonia and an 8-yearhistory of Parkinson's disease. When transferring the patient from a wheelchair to the bed, anurse identifies that the patient has stiff joints and is walking with small, shuffling steps withinvoluntary accelerations. The patient states, "I'm afraid to leave the house because I havedifficulty maintaining my balance and I fell twice recently. I hold on to furniture and walls as I walkaround my house. Occasionally, I get a little light-headed when I stand up. really just sit aroundthe house all day because l get too tired and out of breath when I'm more active." Whencompleting a skin check, the nurse identifies in the sacral area several small (1 cm) shallow, red,shiny breaks in the patient's skin that are surrounded by erythema. The nurse also notes rhonchiin the left and right lung fields; heavy, moist cough; occasional expectoration of thick yellowsecretions; delayed capillary refill in the toes; respiratory rate of 28/minute and shallowrespirations at rest; and dyspnea on exertion. The patient's oxygen saturation is 88 percent onroom air and 95 percent with nasal oxygen at 2 L/minute. The primary healthcare provider orderspassive ROM exercises. Just before leaving the patient's room, the nurse decides to move thepatient up in bed.Case Study Questions1. Place in order of priority the following concerns identified by the nurse and explain thereasoning behind the equence identified.Risk for injury:Impaired walking:Ineffective airway clearance:2, What stage pressure ulcer is associated with several small (1 cm) shallow, red, and shinybreaks in the skin surrounded by erythema?3. What wound care/ pressure reduction intervention should be implemented or care ofthis patient? Name at least four. E. Identify six nursing interventions that the nurse should implement to reduce the risk ofthrombus formation,1.2.3.4.5.6.F. Identify seven nursing interventions that the nurse should implement when assisting with orproviding ROM exercises.1.2.3.4.5.6.7.G. Identify ten principles of body mechanics that the nurse should follow when moving a patientup in bed and explain their purposes.1.2.3.4.5.6.

1. Ineffective airway clearance Management of Ineffective airway clearance will be the first…

Answered: passive ROM exercises. Just before…

Phlebotomy Essentials

6th Edition

ISBN:9781451194524

Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)

Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)

Chapter1: Phlebotomy: Past And Present And The Healthcare Setting

Section: Chapter Questions

Problem 1SRQ

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HOLISTIC ASSESSMENT Instruction: Compare and contrast the different forms of holistic assessment through the following points: O Importance O Positioning of patient O Parts/ areas to be assessed O Special considerations in assessment
CASE BACKGROUNDMGMT Hospital Inc is a private concern that recently opened its doors to the public in the suburbs amidst heavy traffic. There are hardly any quiet nights. Sirens are a constant feature. However, once inside, there is just the hustle and bustle of hospital staff going back and forth. A hospitalreadmission is when a patient who is discharged from the hospital, is re-admitted again within a certain period of time. Hospital readmission rates for certain conditions are now considered an indicator of hospital quality, and also affect the cost of care adversely. For this reason, Centers forMedicare & Medicaid Services established the Hospital Readmissions Reduction Program (HRRP) which aims to improve quality of care for patients and reduce health care spending by applying payment penalties to hospitals that have more than expected readmission rates for certain conditions. Although diabetes is not yet included in the penalty measures, the program is regularly adding new…
"Providing physical comfort for the end of life patient" Establish and explain a minimum 3 SMART goals for providing physical comfort for the end of life patient.
Need slides see instructions too. The objective of this is to create a PowerPoint presentation focusing on a quality initiative in nursing. Quality Concepts to Choose From: 1. Changes in Skin Integrity Post-Acute Care: Pressure Ulcer/Injury 2. Catheter Associated Urinary Tract Infection (CAUTI) 3. Residents Experiencing One or More Falls with Major Injury 4. Clostridium difficile Infection (CDI) 5. Potentially Preventable 30-Day Post-Discharge Readmission 6. Pressure Ulcers That Are New or Worsened 7. Change in Self-Care for Medical Rehabilitation Patients 8. Change in Mobility Score for Medical Rehabilitation Patients • Presentation Requirements: • The presentation should consist of 7-10 slides (excluding the title slide and references). • Use evidence-based resources to explain the chosen clinical problem/quality initiative. • Slides should be engaging, minimally cluttered, and free from spelling errors. • Each presentation should address the following: •…
PHARMACOLOGY IN PRACTICE MANAGING NEEDS A nurse is caring for a client who has been administered heparin following the administration of a thrombolytic drug to prevent another thrombus from forming. What should the nurse monitor for in the client after the administration of heparin? 1. Internal bleeding 2. Difficulty in breathing 3. Excessive perspiration 4. Skin rash
FATIGUE CASE STUDY is a 34-year-old mother of two children: a 10-year-old and a lively 6-year-old. Her husband is very supportive. J. was diagnosed with colon cancer 4 years ago and was treated with resection, colostomy, and radiation treatments. Unfortunately an abdominal CT scan performed 1 year ago revealed liver metastases. Chemotherapy failed to help, and J. knows that her time is limited. She is determined to be at home for as long as possible. Problems with pain and nausea are under reasonable control. The clinician visits J. at home one afternoon. Her husband has taken the children out to a movie and J. begins by saying that she is feeling “exhausted.” She adds that she has not been sleeping at night or, rather, has to wake up to take her pain medication every 4 hours. WHAT ARE YOUR PHYSICAL FINDINGS? WHY DOES J HAVE FATIGUE? WHAT ARE THE INFLUENCING FACTORS? WHAT ARE YOUR NURSING PROBLEMS AND WHAT WOULD YOU DO TO HELP CORRECT J’S SIGNS OF FATIGUE? MEDS? INTERVENTIONS? WHAT…
Assessment Topic:- Discuss the role of the nurse in acute care using peer-reviewed literature to support your points.(1400 words) Instructions To write an appropriate introduction to the topic To critically read all six articles when reading to identify the critical points of each article. Remember to back up your discussion with NMBA codes and standards for practice; Use the synthesis matrix to assist in combining and developing these key points identified from the critical read of the article into themes To write an appropriate conclusion to the topic To provide In-text and end text reference of the article discussed in your essay using correct APA 7 formatting.
Activity Instructions: Using the coding techniques you have learned, carefully read through the case study and determine the most accurate diagnostic code(s). Remember to check the chapter-specific, subchapter-specific, and category-specific notations within the Tabular List. Remember to use required punctuation and placeholders as necessary to create a complete code meeting specificity guidelines. Then, determine the most accurate CPT and/or HCPCS procedure code(s) along with any modifier(s), if appropriate. Please list the Procedure and/or HCPCS code in the appropriate column and add any appropriate modifier(s) in the column directly adjacent to the procedure column titled for modifiers. Be sure to list the codes, one code per box, in the correct order, from top to bottom, and in the proper column. You may not need all of the spaces provided. Case Study: John is a 40-year-old white male who returns to the office because of increasing bouts of heartburn. At this point, eating anything…
Implementation (Take actions) How should the intervention or combination of interventions be performed, requested, communicated, taught, etc.? What are the priority interventions? (Mark with asterisk) Thank you so much!
Gm 4. Use an X for the nursing actions listed below that are Indicated (appropriate or necessary, Contraindicated (could be harmful) or Non-Essential (makes no difference or not necessary) for the client's care at this time. Only one selection can be made for each nursing action. Indicated Contraindicated Non-Essential Nursing Action Give AM meds as prescribed Perform a test for rebound tenderness Give toradol IM for phantom limb pain Place NGT to decompress Call lab results to HCP Perform a through abdominal assessment The client's breakfast tray is served. The client calls the nurse to the room because after eating sausage served on their tray, they state the pain to their abdomen is now a 9/10. They describe the pain as a burning, stabbing pain to their hypogastric area. The patient's breath has a foul odor and they state they are nauseated. The nurse calls the HCP. New orders received include lansoprazole 15 mg one PO daily, ondansetron 4 mg ODT q 4 H, CBC and H. Pylori lab test.…
NCLEX practice: A female patient is receiving furosemide (Lasix), 40 mg P.O. b.i.D. in the plan of care, the nurse should emphasize teaching the patient about the importance of consuming: A. Fresh, green vegetables B. Bananas and oranges C. Lean red meat D. Creamed corn
K ☐ 23 1 point 5 6 7 32:34 Time Remaining Return Next The nurse is caring for a patient who is withdrawing from heavy alcohol use and who is consequently combative and confused, despite the administration of benzodiazepines. The patient has a fractured hip that he suffered in a traumatic accident and is trying to get out of bed. What is the most appropriate action for the nurse to take? Obtain a physicians order to restrain the patient Order soft restraints from the storeroom. Leave the patient and get help Read the facility's policy on restraints. Previous Q Search A P Next 218PM

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passive ROM exercises. Just before leaving the patient's room, the nurse decides to move the patient up in bed. Case Study Questions