Pharmacology and the Nursing Process, 8e
8th Edition
ISBN: 9780323358286
Author: Linda Lane Lilley PhD RN, Shelly Rainforth Collins PharmD, Julie S. Snyder MSN RN-BC
Publisher: Elsevier Science
expand_more
expand_more
format_list_bulleted
Question
Chapter 1, Problem 2NERQ
Summary Introduction
The nursing process is an organizational framework that enables nursing practices. It involves different steps to ensure patient care. It is a systemic process to plan and provide nursing care to a patient, who is in a potential health-related issue. The nursing process involves five steps for nursing a patient with potential health issues. These steps include assessment, nursing diagnosis, planning, implementation, and evaluation of a patient.
Expert Solution & Answer
Want to see the full answer?
Check out a sample textbook solution
Students have asked these similar questions
Identify multiple relevant and credible resources related to interventions that alleviate stress in school age patients in relation to hospitalisation and explain their significance as a nursing student
What are examples of key sources of fear and anxiety in school age patients related to hospitalization
Assessment
Nurses' Notes
Vital Signs
Nurses' Notes
1100:
The nurse should Target 1
to prevent Target 2
Client returns to unit from interventional radiology following chest tube
placement for pneumothorax. Client is alert and oriented x4. Client
reports pain as 3 on a scale of 0 to 10 and mainly located at the insertion
site. Vital signs obtained. Chest tube drainage system has 100 mL of
blood in drainage chamber. Intermittent tidaling noted in the water seal
chamber. Chest tube insertion site is dressed, dry, and intact. All chest
drainage system connections secured. Client assisted to a comfortable
position.
Target 1
apply a
nonocclusive
dressing
contact the
provider
place the
drainage tube in
sterile water
Target 2
tension
pneumothorax
infection
*
hemothorax
raise the drainage
hemorrhage
system above the
chest
1700:
Client reports shortness of breath and states, "I feel like the chest tube
may have moved."
Vigorous bubbling noted in the chest drainage systems water seal
chamber. All…
Chapter 1 Solutions
Pharmacology and the Nursing Process, 8e
Knowledge Booster
Similar questions
- This is an Individual assignment. The student will create a power point presentation thatidentifies the four (4) parts of each element of a Disaster Shelter. Be creative ex: voice over, arecorded zoom (must upload link to Blackboard) that discusses each element of your powerpoint.Part 1: Location: Needs Assessment of Logan Elementary School (consider thefollowing): Space Air flow Safety Security Supplies Electricity/Water/Food/SanitationPart 2: Interprofessional Team: Identifying roles of teams within shelter (consider thefollowing): Nurses’ role Social Worker Red Cross Volunteer organizations SpiritualPart 3: Triage - Placement of the community (people) within the shelter (consider thefollowing): Men/women/children/elderly/injured/families/pets Population at riskPart 4: Discharge considerations from shelter (consider the following): Home – do they have a place to return to? Financial support Resiliencyarrow_forwardThis is an Individual assignment. The student will create a power point presentation thatidentifies the four (4) parts of each element of a Disaster Shelter. Be creative ex: voice over, arecorded zoom (must upload link to Blackboard) that discusses each element of your powerpoint.Part 1: Location: Needs Assessment of Logan Elementary School (consider thefollowing): Space Air flow Safety Security Supplies Electricity/Water/Food/SanitationPart 2: Interprofessional Team: Identifying roles of teams within shelter (consider thefollowing): Nurses’ role Social Worker Red Cross Volunteer organizations SpiritualPart 3: Triage - Placement of the community (people) within the shelter (consider thefollowing): Men/women/children/elderly/injured/families/pets Population at riskPart 4: Discharge considerations from shelter (consider the following): Home – do they have a place to return to? Financial support Resiliencyarrow_forwardDaVita Dietitian Reference Manual Module 7- Adequacy of Hemodialysis CASE STUDIES Case 1 David was diagnosed with chronic kidney disease a year ago, and now needs hemodialysis. At his first treatment, the nurse hooks up the bloodlines to an access in David's chest. He tells her that he had surgery on his arm three months ago so it can be used for dialysis eventually. 1. What type of access does David have for the initial treatment? 2. Is David's arm access most likely a graft or fistula? 3. What possible reasons prevent use of a fistula or graft for the first dialysis treatment? Case 2 Ramon, a hemodialysis patient for six years, has lost 1.5 kg over the past six weeks. He denies nausea or vomiting, but does admit to eating less at meals and skipping dinner some days. Current dialysis prescription is: 3 1/2 hours (210 minutes), 3 times a week, ASAHI 1050S, APS dialyzer, dialysis flow rate 800 ml/min, blood flow rate 400 ml/min. Monthly bloodwork is as follows: Date K PO4 Pre-BUN…arrow_forward
- DaVita Dietitian Reference Manual Module 7 - Adequacy of Hemodialysis REVIEW QUESTIONS True False 1. 27 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. Urea Reduction Ratio is a more accurate measurement of dialysis adequacy than Urea Kinetic Modeling. A fistula is the preferred type of vascular access. In the formula Kt/V, the V represents volume of total body water in which urea is distributed. In the formula Kt/V, time is measured in 15-minute increments, so 220 minutes would be rounded off to the nearest quarter hour. The DaVita minimum goal for adequacy is a spKt/V≥ 1.0. A measured height and accurate dry weight are required to obtain an accurate Kt/V result. A very low post BUN result usually means the patient is not eating enough protein. KRU is a measure of residual urea clearance by the patient's kidney, requiring a 24-hour urine collection. The Kt/V Delivered (single pool) is the value used for determining adequacy and comparing outcomes in DaVita facilities. Catheters are…arrow_forwardDaVita Dietitian Reference Manual Module 7 - Adequacy of Hemodialysis Case 3 Beverly's monthly adequacy of dialysis results came back lower than usual. Her Kt/V is 1.13. Flow sheet data reveals the following: Prescribed BFR 400, patient ran BFR 325 during treatment Blood pressure dropped to 72/58 during treatment, so UFR was turned off. Dry weight 65 kg, pre dialysis weight 69 kg, post dialysis weight 66.5 kg 1. What are DaVita's goals for Kt/V? 2. What is your impression of why the Kt/V is low? 3. What additional information would help in determining why Beverly's adequacy results were below goal?arrow_forwardDaVita Dietitian Reference Manual Module 7-Adequacy of Hemodialysis DISCUSSION QUESTIONS Define the following abbreviations: • UKM • URR . . • Kt/V What are the minimum DaVita outcome goals for Kt/V and URR? How is the DaVita Quality Index calculated for Kt/V? Discuss effect of adequacy on: ⚫ Phosphorus . ⚫ Potassium • Hemoglobin • Appetite, intake and weight ⚫ Albumin . How is residual renal function measured? What term is used for residual clearance of urea? What are advantages and disadvantages of each dialysis access? Which dialyzes the least efficiently and why?arrow_forward
- Nutrition monitoring and evaluating ptarrow_forwardIs a blood pressure of 117/71 considered normal in an 11 month old male?arrow_forwardQuestion #1: Have there been any hospital mergers in Kern County,CA? If so, describe the hospital merger (describe only one merger-there are several). Here are some hints for your research: Tehachapi hospital AND Adventist Health; Memorial Hospital AND CHW/Dignity Health; Dignity Health AND Catholic Health Initiatives. Describe only one merger-there are several to choose from. Question #2: What happened to Westside District Hospital in Taft, CA? PLS PROVIDE REFERENCE TO BACK YOUR ANSWERS TO EACH.arrow_forward
- Nutrition Intervention Nutrition Monitoring & Evaluation Needed: Protein sources Amount to eat daily Protein and other foods high in phosphorus (I.e. cheese, legumes) Cooking method of protein sources Urine produced daily Dividing fluids throughout the day Types of fluid Acceptable fluids (Le. ginger ale) Fluids to avoid (I.e. dark colas) Food considered fluid (I.e. jello) Tips to reduce thirst How would you educate the pt?arrow_forwardWhy does a dietitian manager need to know about the importance of herbs in their scope of practice and how it can impact their work performance.arrow_forwardAs a nursing student with a tgrow and smart goal of being able to identify key sources of fear and anxiety in school age patients related to hospitalization. Meaningfully reflects on TGROWs and S.M.A.R.T. goals,offering specific examples of their use in conflict, growth, or discomfort.arrow_forward
arrow_back_ios
SEE MORE QUESTIONS
arrow_forward_ios
Recommended textbooks for you
Phlebotomy EssentialsNursingISBN:9781451194524Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)Publisher:JONES+BARTLETT PUBLISHERS, INC.
Gould's Pathophysiology for the Health Profession...NursingISBN:9780323414425Author:Robert J Hubert BSPublisher:Saunders
Fundamentals Of NursingNursingISBN:9781496362179Author:Taylor, Carol (carol R.), LYNN, Pamela (pamela Barbara), Bartlett, Jennifer L.Publisher:Wolters Kluwer,
Fundamentals of Nursing, 9eNursingISBN:9780323327404Author:Patricia A. Potter RN MSN PhD FAAN, Anne Griffin Perry RN EdD FAAN, Patricia Stockert RN BSN MS PhD, Amy Hall RN BSN MS PhD CNEPublisher:Elsevier Science
Study Guide for Gould's Pathophysiology for the H...NursingISBN:9780323414142Author:Hubert BS, Robert J; VanMeter PhD, Karin C.Publisher:Saunders
Issues and Ethics in the Helping Professions (Min...NursingISBN:9781337406291Author:Gerald Corey, Marianne Schneider Corey, Cindy CoreyPublisher:Cengage Learning
Phlebotomy Essentials
Nursing
ISBN:9781451194524
Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher:JONES+BARTLETT PUBLISHERS, INC.
Gould's Pathophysiology for the Health Profession...
Nursing
ISBN:9780323414425
Author:Robert J Hubert BS
Publisher:Saunders
Fundamentals Of Nursing
Nursing
ISBN:9781496362179
Author:Taylor, Carol (carol R.), LYNN, Pamela (pamela Barbara), Bartlett, Jennifer L.
Publisher:Wolters Kluwer,
Fundamentals of Nursing, 9e
Nursing
ISBN:9780323327404
Author:Patricia A. Potter RN MSN PhD FAAN, Anne Griffin Perry RN EdD FAAN, Patricia Stockert RN BSN MS PhD, Amy Hall RN BSN MS PhD CNE
Publisher:Elsevier Science
Study Guide for Gould's Pathophysiology for the H...
Nursing
ISBN:9780323414142
Author:Hubert BS, Robert J; VanMeter PhD, Karin C.
Publisher:Saunders
Issues and Ethics in the Helping Professions (Min...
Nursing
ISBN:9781337406291
Author:Gerald Corey, Marianne Schneider Corey, Cindy Corey
Publisher:Cengage Learning