Concept explainers
To determine:
Listing the priority order of first five interventions?
Case summary:
A 56-year-old school teacher named Mr.Coburn walk-in the health center with hyperthermia, dizziness, and nausea. He is having breathing difficulty while coughing. He was admitted to the hospital with vital signs of RR 22 and easy, pulse 122 and regular, BP 88/50 RA, tympanic temperature 380C (100.4oF), SpO2 92%. A nurse entering his room monitored electronic blood pressure machine is alarmed with a cuff on right arm showing 72 systolic and no diastolic reading. Mr.Coburn turned on his right side and his respirations are labored.
![Check Mark](/static/check-mark.png)
Explanation of Solution
Since Mr.Coburn diastolic blood pressure is null and he is having a high temperature, the nurse should immediately do the following interventions to aid him.
The first five interventions should be the following.
- 1. First, the nurse should call Mr.Coburn’s name or touching him to assess his level of consciousness.
- 2. Next, find Mr.Coburn’s respiratory rate and try to get an assessment of his ventilation effort.
- 3. Move the patient with his head elevated on the bed.
- 4. Obtain a blood pressure of the patient since his vital signs are low.
- 5. Also get an apical pulse to check for dysrhythmias.
Want to see more full solutions like this?
Chapter 30 Solutions
Fundamentals of Nursing - With Gray Morris Calculate With Confidence
- The client is a 77-year-old man admitted to the hospital with chronic obstructive pulmonary disease (COPD). He smoked two packs of cigarettes per day for more than 50 years and states he quit smoking 10 years ago. He also has a history of hyperlipidemia. 0800 The 77-year-old male client has a productive cough with thick, green secretions. Heart sounds are muffled. Breath sounds are diminished bilaterally with inspiratory and expiratory wheezes noted. The client denies pain, rating his pain a 0 on a 0-to-10 pain scale. He reports dyspnea (difficulty breathing). His chest is barrel shaped. The client ate only 25% of his breakfast today. Vital signs: temperature 98.4° F (36.9° C), pulse 96 beats/minute and regular, respirations 24 breaths/minute and labored, BP 140/74 mmHg, oxygen saturation 90% at rest on 2 L of oxygen via nasal cannula. 0700 Chest x-ray: Increased density in the right lower lobe.arrow_forwardidentify 4 risk management tools that can be used to make management decisions. describe each tool and how its use can help with decision-making.arrow_forwarddevelop contents for brochure based on the health teaching plan COGNITIVE The patient will understand the myths and cultural stigma surrounding tuberculosis and its implications. Affective The patient will communicate feelings and worries about stigma in a safe atmosphere. Regardless of cultural differences, the patient will be more motivated to adhere to the treatment plan. Psychomotor The patient will engage in wearing a mask in public to prevent TB spread and lessen the stigma. 1. Cultural stigma and beliefs around tuberculosis 2. Differentiating between facts and misconceptions 3. The impact of stigma on mental and physical health. A.1. Managing stigma A.2. Overcoming the fear of stereotypes. A.3. Sharing of personal experiences. B.1. Treatment adherence despite stigma. B.2. The long-term advantages of seeking care. Ways for presenting mask application to people avoiding stigma. Lecture with visuals Group discussion and Q&A Role-playing and storytelling. Motivational…arrow_forward
- is a nurse a leader in healthcare or a futurist?arrow_forwardwhat is your definition of a nurse?arrow_forwardDevelop a culturally sensitive health teaching plan specifically about cultural stigma about the case A patient with tuberculosis (TB), suffers from persistent coughing, weight loss, night sweats, and exhaustion. His significant problem is the cultural stigma that comes with his condition, which has led to a fear of discrimination in his society. This concern has a significant effect on his compliance to seek medical interventions. Provide Cognitive, Affective, Psychomotor and Independent, Delendent, And Collaborationarrow_forward
- Briefly explain the 6 domain of interprofessional collaboration: Role clarification, Team functioning, Interprofessional communication, Patient/client/family/community-centered care, Interprofessional conflict resolution, Collaborative leadership. Provide a specific events that nursing student would observe in a clinical setting for each domain.arrow_forwardBriefly explain the 6 domain of interprofessional collaboration: Role clarification, Team functioning, Interprofessional communication, Patient/client/family/community-centered care, Interprofessional conflict resolution, Collaborative leadership. Provide a specific event that nursing student would encounter in a clinical setting for each domain.arrow_forwardhow can we fix abnormal vital signs?arrow_forward
- 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:SaundersFundamentals 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 ScienceStudy Guide for Gould's Pathophysiology for the H...NursingISBN:9780323414142Author:Hubert BS, Robert J; VanMeter PhD, Karin C.Publisher:SaundersIssues and Ethics in the Helping Professions (Min...NursingISBN:9781337406291Author:Gerald Corey, Marianne Schneider Corey, Cindy CoreyPublisher:Cengage Learning
![Text book image](https://www.bartleby.com/isbn_cover_images/9781451194524/9781451194524_smallCoverImage.gif)
![Text book image](https://www.bartleby.com/isbn_cover_images/9780323414425/9780323414425_smallCoverImage.gif)
![Text book image](https://www.bartleby.com/isbn_cover_images/9781496362179/9781496362179_smallCoverImage.jpg)
![Text book image](https://www.bartleby.com/isbn_cover_images/9780323327404/9780323327404_smallCoverImage.gif)
![Text book image](https://www.bartleby.com/isbn_cover_images/9780323414142/9780323414142_smallCoverImage.gif)
![Text book image](https://www.bartleby.com/isbn_cover_images/9781337406291/9781337406291_smallCoverImage.gif)