Week 7 iHuman Assessment_McBerty

Category: Reduction of Risk Potential A 57-year-old patient with a recent history of severe left leg pain and diagnosed with acute arterial occlusion is postoperative following an emergency embolectomy. Six hours after the procedure, the nurse is unable to detect pulses in the patient’s left foot using a Doppler ultrasound. The nurse informs the surgical team of the potential need for further intervention. When discussing the situation with the patient, who expresses a desire to refuse any additional surgical procedures, what should the nurse prioritize as the initial response? A. Explain the risks of not having the surgery B. Notifying the physician immediately C. Notifying the nursing supervisor D. Recording the client’s refusal in the nurses’ notes

CASE STUDY - SHOCKYou and your partner are dispatched for a report of an unresponsive 77-year-old male in asenior’s apartment complex. The time of the call is 08:36 am.Upon arrival, a home health aide greets you at the apartment door and informs you thepatient is in the bedroom. As she leads you towards the bedroom, the aide begins to tellyou she arrived for work about an hour ago and found the patient in his bed. “He normallyis awake when I get here, but today I found him still in his bed. I thought he was onlywanting to sleep in so I decided I would give him a little time, but he didn’t respond when Itried to wake him a few minutes ago.”She tells you she routinely visits Mr. Oliveira twice a week to help with cleaning andcooking. She says, “The last time I saw him was 3 days ago and he was sick at the time. Ithought he might have come down with a bad cold because he was coughing a lot and Itried to encourage him to see his physician.”As you approach the patient’s bedside, you observe…

ntshell YouTube pr PSI Online - One st... ati. Question: 5 of 15 Post-Assessment Assignment Enter your answer (1000 characters remaining) PREVIOUS Time Remaining: 07:33:06 Pause Remaining: 08:20:00 CLOSE to facilitate the grieving process when caring for this client? A nurse is caring for a client who has recently been diagnosed with a terminal illness. What communication strategies should the nurse implement PAUSE FLAG CONTINUE 68°F C

PATIENT ASSIGNMENT: RB is a 63-year-old male admitted to the nursing unit yesterday with acute exacerbation of chronic obstructive pulmonary disease (COPD). He has a history of HTN. He has NKDA, is a full code, and is on a low-salt diet. His Braden score is 22 and his activity is as tolerated. He is married with three grown children and four grandchildren. He works full-time as a CPA in an accounting firm. INITIAL ASSESSMENT: 0700: VS: T 38.9 C (102 F), BP 142/84, P 78 and regular, R 22 and labored, O2 saturation 93% on 2 L O2 per NC. Denies pain. A&Ox4, DOE, wheezes, and crackles are audible on auscultation, productive cough, and greenish sputum. Complaint of chest tightness. The apical pulse is 80 bpm. The abdomen is soft and non-tender with BS x 4. Urine is clear and light yellow. MAE. Pedal pulses are 1+ bilaterally. Capillary refill >3 seconds. RB has a 20-gauge saline lock in his left hand. He becomes winded with any activity and requires short breaks while completing…

Situation: It is the 5th day of the nurse deployed by the DOH under the Registered Nurses for Health Enhancement and Local Service (RN HEALS) Program. The nurse supervisor assists the registered nurse trainees in selecting the appropriate second level assessment among the families in Bgy. Purita, Baba, Sta. Rosa. Mrs. Ligaya verbalized "I know that getting vaccinated protects my son's health. At 6-months-old, for me my son has completed his immunization, we will just spend our money for food than transportation to this health center." Second level assessment shows: Inability to recognize the problem Inability to make decisions with respect to taking appropriate health action Inability to provide adequate nursing care to the sick, disabled, dependent or vulnerable/at risk member of the family Inability to provide a home and environment conducive to health maintenance and personal development