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- The nurse is caring for a patient admitted with pancytopenia with complaints of dyspnea upon exertion. This symptom would be most directly related to which condition? 1. Pain 2. Thrombocytopenia 3. Anemia 4. NeutropeniaFollowing assessment by the surgical team, it has been determined that Mr Johns has developed sepsis from a perforated bowel during his previous surgery Explain 4 possible signs and symptoms you would see with a patient who has developed sepsis. Minimum 2 sentences for each point.1. A 40year old market woman presents to your consulting room in the district with four days history of fever, right upper quadrant abdominal pain and a tinge of jaundice. Write a concise request to the radiology unit for your investigation of choice c.
- Mrs Romano has been transferred to the surgical ward from PACU. (Appendix 1 ISBAR handover PACU) 2. Returning from the PACU Mrs Roman has Peripheral IV therapy with a PCA (patient control analgesia) for analgesia, a surgical incision on the Right side of the upper abdomen and 3 laparoscopic wound sites, a Bello vac drain insitu with 100ml bright blood drainage. An IDC, O2 via a Hudson mask at 6L/m. TED stockings were applied pre-operatively and remain insitu. You are to explain the post-operative care you will provide on the return to ward from PACU under the following domains (easy and simple) (i) Vital Signs, including post-op observations (ii) 02 therapy (iii) pain management (iv) IVT monitoring and assessment (v) fluid status (vi) wound care (vii) positioning (viii) VTE (Venus thrombus e) prophylaxisMs kelsos a 55 year old woman underwent abdominal surgery for gallblader removal Ms kelsos surgery was successful and she is now. recovering in the surgical unit you are responsible for monitoring her postoperative vital signs and ensuring proper hygiene to prevent surgical site infections?.. A 3-year-old boy, Jessie Jarnes is admitted at 0700hrs for elective adenotonsillectomy on the morning of surgery. Apart from chronic symptoms relating to enlarged tonsils and adenoids he is generally fit, well, alert and communicative Medical history: He has had 2 previous anaesthetics at age of 2 and 3 years old for cautery of nose to treat epistaxis. His mother was instructed that Jessie be nil by mouth (NBM) from 12midnight, but he has had nothing since 1830 his last night. He has been taken to the playroom. where he plays Nintendo with Captain Starlight At 1045hrs Jessie's mother returns him to his room. He is drowsy, confused, cold, clammy, and sweaty. He lies curled up with severe abdominal pain. His mother rings the call bel for the nurse. Q1. What would be your next nursing actions? Q2 Explain the pathophysiological changes that causes the patient fo be cold. clammy, and Sweaty q3. identify and provide rationale for two (2) priority care for this patient?
- The patient is male, 50 years old. Chronic liver disease for 15 years. Sudden vomiting 400ml blood. Physical examination: chronic disease appearance, mild yellow discoloration of the sclera. The abdomen was soft without tenderness, the liver and ribs cannot be palpable, and the shifting dullness was positive. The most likely diagnosis is ( ) Biliary bleeding Duodenal ulcer bleeding Bleeding from gastric cancer Esophageal variceal bleeding Hemorrhagic gastritis A 62-year-old male, his back has been red and swelling for 1 week. At first it was a small piece of skin induration of about 3×2cm, with multiple pus spots, then the skin swelling area expanded, infiltrating edema appeared, local pain increased, the surface skin was purple-brown with area about 6×5cm, the body temperature was 39.2℃, and he had diabetes history for 10+ years. The following treatment measures are incorrect for this patient: Remove pus and inactivated tissue The incision line should exceed the edge of the…6)Elderly women who have been taking indomethacin for many years suddenly vomited about 300 ml of coffee like gastric content last night with upper abdominal pain.Which of the following is the most valuable for a clear diagnosis? A Emergency endoscopy B X-ray barium penetration C H2 blocker test treatment D Drinking water ultrasound E Gastric juice analysis1). You are working on the post anesthesia care unit and caring for a client 1 hour after bowel surgery. They rate their pain a 7 on a scale of one to ten at the incision site. The pain is described as a sharp, aching sensation. Your client has not eaten any food yet, and is slightly nauseated. She is currently on 2 liters of oxygen via nasal cannula and is saturating at 95%. You review the healthcare provider’s orders and find the following:Hydrocodone/Acetaminophen 5/325 PO every 4-6 hours PRN 2-5 mg Morphine sulfate IV every 1-2 hours PRNAcetaminophen 1,000 gram IV every 6 hours PRNValium 5-10 mg IV every 2 6 hours PRNa. Which medication is the best selection?b. In regards to the analgesic, what is your priority to assess? c. If you administered the medication at 09:05, at what time should you reassess the patient’s pain level? B). You reassess your client and find them difficult to arouse, pupils are pinpoint and non-reactive, and their oxygen saturation is 79% on the 2 liters…
- A nurse is administering a blood transfusion for a patient following surgery. During the transfusion, the patient dis-plays signs of dyspnea, dry cough, and pulmonary edema. What would be the nurse’s priority actions related to thesesymptoms?a. Slow or stop the infusion; monitor vital signs, notify thephysician, place the patient in upright position with feetdependent.b. Stop the transfusion immediately and keep the vein openwith normal saline, notify the physician stat, administerantihistamine parenterally as needed.c. Stop the transfusion immediately and keep the veinopen with normal saline, notify the physician, andtreat symptoms.d. Stop the infusion immediately, obtain a culture of thepatient’s blood, monitor vital signs, notify the physician,administer antibiotics stat.A 54-year-old male patient arrives in the emergency department complaining of severe chest pain that radiates to his mid-back along with dyspnea. He is morbidly obese, has smoked two packs of cigarettes a day for the past 20 years, and has two immediate family members who have died of heart disease. 1. Will surgical intervention be necessary, and if so, what procedure? 2. What does the ED physician suspect is causing the patient’s symptoms? 3. What tests should the ED physician order? 4. What procedure is typically attempted before surgery, where is that procedure performed, and by what type of physician specialist?A child diagnosed with strep throat 3 days ago enters the clinic crying hysterically. The parent tells the practical nurse (PN) that the child screams in pain even with a light touch. The child is short of breath and anxious. Which manifestations warrant immediate intervention by the PN? A Red, hot, and swollen joints. B Pulse oximetry of 88% 02 saturation. C Slightly raised rash with ragged edges. D Heart rate 110 beats/minute.
