Concept explainers
To discuss:
The information about the post-operative instructions needs to be clearly communicated to Mr. R?
Case summary:
The nursing student on the level II ICU is assigned to care for a middle-aged male patient Mr. R. The patient has a history of long-term resident in the hospital due to his extensive medical history like, paraplegia, several surgeries, gunshot wounds, and bilateral amputations. During his stay in the hospital the staffs know him for his manipulative difficult behavior. The student nurse cared for him after a post-operative surgery for urinary diversion. The patient is assigned at NPO for the next two to three days and the patient is hungry and demand food and fluids from the student nurse. The student really do not know much why the patient is kept under NPO after surgery. The student explains that his bowel is affected by anesthesia and cannot intake food. The patient is not happy with the explanation and sits with a lunch tray by demanding to other nurses when the student nurse returned from the lunch break.
To discuss:
In what way, the patient’s past history have influence the nursing student ation’s?
Case summary:
The nursing student on the level II ICU is assigned to care for a middle-aged male patient Mr. R. The patient has a history of long-term resident in the hospital due to his extensive medical history like, paraplegia, several surgeries, gunshot wounds, and bilateral amputations. During his stay in the hospital the staffs know him for his manipulative difficult behavior. The student nurse cared for him after a post-operative surgery for urinary diversion. The patient is assigned at NPO for the next two to three days and the patient is hungry and demand food and fluids from the student nurse. The student really do not know much why the patient is kept under NPO after surgery. The student explains that his bowel is affected by anesthesia and cannot intake food. The patient is not happy with the explanation and sits with a lunch tray by demanding to other nurses when the student nurse returned from the lunch break.
To discuss:
Whether if you are a nursing student would Mr. R’s past history have influenced you? Why or why not?
Case summary:
The nursing student on the level II ICU is assigned to care for a middle-aged male patient Mr. R. The patient has a history of long-term resident in the hospital due to his extensive medical history like, paraplegia, several surgeries, gunshot wounds, and bilateral amputations. During his stay in the hospital the staffs know him for his manipulative difficult behavior. The student nurse cared for him after a post-operative surgery for urinary diversion. The patient is assigned at NPO for the next two to three days and the patient is hungry and demand food and fluids from the student nurse. The student really do not know much why the patient is kept under NPO after surgery. The student explains that his bowel is affected by anesthesia and cannot intake food. The patient is not happy with the explanation and sits with a lunch tray by demanding to other nurses when the student nurse returned from the lunch break.
To discuss:
How to involve Mr. R as a partner in coordinating his care by minimizing his frustration?
Case summary:
The nursing student on the level II ICU is assigned to care for a middle-aged male patient Mr. R. The patient has a history of long-term resident in the hospital due to his extensive medical history like, paraplegia, several surgeries, gunshot wounds, and bilateral amputations. During his stay in the hospital the staffs know him for his manipulative difficult behavior. The student nurse cared for him after a post-operative surgery for urinary diversion. The patient is assigned at NPO for the next two to three days and the patient is hungry and demand food and fluids from the student nurse. The student really do not know much why the patient is kept under NPO after surgery. The student explains that his bowel is affected by anesthesia and cannot intake food. The patient is not happy with the explanation and sits with a lunch tray by demanding to other nurses when the student nurse returned from the lunch break.
To discuss:
How could the nursing student provide emotional support?
Case summary:
The nursing student on the level II ICU is assigned to care for a middle-aged male patient Mr. R. The patient has a history of long-term resident in the hospital due to his extensive medical history like, paraplegia, several surgeries, gunshot wounds, and bilateral amputations. During his stay in the hospital the staffs know him for his manipulative difficult behavior. The student nurse cared for him after a post-operative surgery for urinary diversion. The patient is assigned at NPO for the next two to three days and the patient is hungry and demand food and fluids from the student nurse. The student really do not know much why the patient is kept under NPO after surgery. The student explains that his bowel is affected by anesthesia and cannot intake food. The patient is not happy with the explanation and sits with a lunch tray by demanding to other nurses when the student nurse returned from the lunch break.

Want to see the full answer?
Check out a sample textbook solution
- a. Define neoplasm b. Differentiate between benign and malignant tumours c. Describe the molecular basis of cancerarrow_forwarddifferentiate the extra heart sounds S3,S4, murmurs and gallopsarrow_forward• Define shock and list types of shock • Discuss pathogenesis of septic shock. • Enumerate the stages of shock. • Define oedema and describe the pathophysiologic mechanisms of oedema with examples.arrow_forward
- Discuss Hypertension under the following headings: Definition Diagnosis Non-pharmacological intervention Drugs Classification Management of a Hypertensive emergencyarrow_forwardExplain how the answer could be 2 or 1.8 WITHOUT changing the questionarrow_forwardoverview of the neurological system, cranial nerves and what part of the body it innervatesarrow_forward
- differentiate structure and function of the peripheral vascular system. what are the normal and abnormal findings of the peripheral arterioles and peripheral venous systemarrow_forwardAn overview of the skin, hair and nails epidermal appendages normal and abnormal findingsarrow_forwarddifferentiate the twelve cranial nerves and how to test themarrow_forward
- What are the nursing interventions for patients with GI problems ? What is the priority ?arrow_forwardAdult Nutrition Assessment Date of consultation: 3/2/25 Reason for Nutrition Assessment: Mrs. Clover was referred to the RD from the ER physician; patient experiencing weight loss, SOB & Edema Nutrition Assessment Data 69 YOF Ht 157 cm, Wt 53 kg. BMI 21.7 Usual wt 55 kg Heart: slight physiologic murmur; lungs: clear; extremities: 3+ edema to bilateral lower legs; elevated BP, abdomen: soft, nontender, active bowel sounds; neurologic: unremarkable; skin: diminished skin tugor. Biochemical Data BUN 72, Creatinine 4.6, Calcium 7.2, Phosphorus 7.3, glucose 105, BNP 720, Albumin 2.0, Na 125, K 3.3, CI 93. Hgb 11.5, Hct 33.2, ALT 29, AST 36, Alkaline phosphatase 120, other relevant labs pending result. Medications Include inhalers, Cymbalta, Neurontin, Seroquel, and topiramate, prilosec, solumedrol, rocephin, zithromax, NaCl 0.45%+50 MEQ sodium bicarbonate @100 ml/hr. No history of herbal supplements. Since her pneumonia diagnosis several days ago, she has felt too weak to prepare meals, she…arrow_forwardAssuming you are a community health nurse, choose a community of your own and perform practically the following and report your findings: a. Community Assessment b. Community Diagnosisarrow_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





