Rick Andrew, a 45-year-old male client who had a cerebral vascular accident 1 week ago, is admitted to the rehab unit. The neurological deficits include the following: right arm paralysis, right leg weakness, right-sided homonymous hemianopsia, dysphagia, and expressive aphasia. The RN needs to manage the nursing care for the client’s neurological deficits. What nursing management does the client need? Explain how to prevent shoulder subluxation from occurring.
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Rick Andrew, a 45-year-old male client who had a cerebral vascular accident 1 week ago, is admitted to the rehab unit. The neurological deficits include the following: right arm paralysis, right leg weakness, right-sided homonymous hemianopsia, dysphagia, and expressive aphasia. The RN needs to manage the nursing care for the client’s neurological deficits.
- What nursing management does the client need?
- Explain how to prevent shoulder subluxation from occurring.
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- An elderly man presents himself to the ER. He has contractures and paralysis of his let hand and is aphasic. Upon questioning, he removes his left shoe and points to his big toe. The nurse is unable to gather additional information from him because of his difficulty in communicating She asks if someone is accompanying him, He shakes his head. The nurse asks him how he came to the hospital. He shows her a driver's license. Subsequently the nurse leaves the room and returns a few minutes later to find that the patient has left the hospital having received no care. 1. What are the ethical implications in this situation? 2 What ethical principles are involved? 3. Should the nurse locate the patient and ensure that he is not endangering himself or others by driving? Would this be a breach of contidentiality? Autonomy? 4. How does the nurse express fidelity in this situation?An elderly man presents himself to the ER. He has contractures and paralysis of his left hand and is aphasic. Upon questioning, he removes his left shoe and points to his big toe. The nurse is unable to gather additional information from him because of his difficulty in communicating She asks if someone is accompanying him. He shakes his head. The nurse asks him how he came to the hospital. He shows her a driver's license. Subsequently the nurse leaves the room and returns a few minutes later to find that the patient has left the hospital having received no care. QUESTION: What is the beneficent action?Marilyn Hughes is a 45-year-old female client admitted to the post-anesthesia care unit following a repair of a left mid-shaft tibia-fibula fracture. She returned from surgery with a below the knee ace bandage and splint dressing in place. Neurovascular checks are in a normal range. You are the post-anesthesia care unit (PACU) RN assigned to care for this client. The post-operative course proceeds smoothly until the client begins complaining of increasing pain in the left lower extremity. The RN assesses the client's left leg and notes that the client is complaining of sensations of “pins and needles” in the left lower extremity and complains of “tightness”. The RN assesses localized edema in the left foot and visible lower left extremity and notes capillary refill of greater than three seconds noted in the left foot and less than three seconds noted in the right foot. The RN communicates the findings to the surgeon, who assesses the client and determines the need to return to the OR…
- Marilyn Hughes is a 45-year-old female client admitted to the post-anesthesia care unit following a repair of a left mid-shaft tibia-fibula fracture. She returned from surgery with a below the knee ace bandage and splint dressing in place. Neurovascular checks are in a normal range. You are the post-anesthesia care unit (PACU) RN assigned to care for this client. The post-operative course proceeds smoothly until the client begins complaining of increasing pain in the left lower extremity. The RN assesses the client's left leg and notes that the client is complaining of sensations of “pins and needles” in the left lower extremity and complains of “tightness”. The RN assesses localized edema in the left foot and visible lower left extremity and notes capillary refill of greater than three seconds noted in the left foot and less than three seconds noted in the right foot. The RN communicates the findings to the surgeon, who assesses the client and determines the need to return to the OR…The significant other of a client diagnosed with myasthenia gravis is crying and shares with the nurse that they just don’t know what to do. Which response would be the best action by the nurse? 1. Discuss the Myasthenia Foundation with the significant other. 2. Refer the client to a local myasthenia gravis support group. 3. Ask the significant other if he or she would like to talk to a counselor. 4. Sit down and allow the significant other to ventilate his or her feelings to the nurse.An elderly man presents himself to the ER. He has contractures and paralysis of his left hand and is aphasic. Upon questioning, he removes his left shoe and points to his big toe. The nurse is unable to gather additional information from him because of his difficulty in communicating. She asks if someone is accompanying him, He shakes his head. The nurse asks him how he came to the hospital, He shows her a driver's license. Subsequently the nurse leaves the room and returns a few minutes later to find that the patient has left the hospital having received no care. 1. What are the ethical implications in this situation? 2. What ethical principles are involved? 3. Should the nurse locate the patient and ensure that be is not endangering himself or others by driving? Would this be a breach of confidentiality? Autonomy? 4. How does the nurse express fidelity in this situation?
- A client is hospitalized for treatment of myasthenic crisis and is concerned about what may have caused this illness. The client's states I just had a little case of the sniffles and a bit of a sore throat and warm! Suddenly I couldn't get out of the bed or do anything. Which response is best for the nurse to provide this clientMr. Anwari, age 73, is brought to the physician’s office by his daughter, Lucy, who is a licensed practical nurse (LPN). She states her concerns about her father: During the past 2 months he has been found wandering in the neighborhood because he forgets where he lives. Neighbors see him, note that he appears confused, and bring him home. Lucy is worried that her father is showing signs of early Alzheimer’s disease.1. Describe the physical changes that occur in the cortex of the brain.2. Describe the stages of Alzheimer’s disease.3. Describe the physiological and psychological changes that occur during Alzheimer’s dementia.4. What are the functions of the frontal lobe of the cerebral cortex?5. What parts of the limbic system may be affected in Alzheimer’s disease?6. What would be the concerns of the family when a person is diagnosed with this disease?The patlent is an active 47 year old father of 3 and he has suffered an ischemic stroke that has resulted in R sided hemiplegia, some difficulty with swallowing, and some expressive aphasia. He teaches math at the high school and coaches little league. What is an ischemic stroke? What are the presenting symptoms? How is it diagnosed? What assessment of the home and the patient's support system should be completed? What accommodations may help this patient adjust to the diagnosis and remain safe? What kinds of reactions to this diagnosis should the nurse anticipate? How should the nurse address these concerns? MAR Ds Engish u MacBoc F2 F3 000 F4
- The nurse is completing the admission assessment of a 3-year-old who is admitted with bacterial meningitis and hydrocephalus. Which assessment finding is evidence that the child experiencing increased intracranial pressure (ICP).The nurse is discharging a patient home after surgery for trigeminal neuralgia. What advice should the nurse provide to this patient in order to reduce the risk of injury? Avoid rubbing the eye on the affected side of the face. Use over-the-counter antibiotic eye drops for at least 14 days. Avoid watching television or using a computer for more than 1 hour at a time. Rinse the eye on the affected side with normal saline daily for 1 week.What are the essential things/key points a nurse must know about Spinal Cord Injuries as well as about caring for a patient with the said injury/injuries? Thank you