A client came to the emergency department with complaints of weakness, difficulty in breathing, productive cough, and pain in the chest. On interviewing the client, the nurse finds that the client is an industrial worker with expose to asbestos. His family health history shows two deaths due to lung cancer. Discuss critically what should the nurse emphasize during the physical examination of this client.
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- The nurse is completing the admission assessment for a patient scheduled for cataract surgery in the outpatient center. Because the patient is over the age of 70 and has several chronic conditions, including hypertension and congestive heart failure, the nurse focuses on completing a thorough medication history. a. What questions should the nurse include in the medication history? b. The patient states that she stopped taking one of her medications due to cost, since her health insurance would not reimburse for the medication. What are other reasons that older adults may be noncompliant with ordered medications? c. How does aging affect drug absorption, metabolism, distribution, and excretion?Dr. Falcone is an emergency department physician who has just called the OR desk concerning a patient. He tells the charge nurse, “we have a 23-year old male patient status post MVA, no airbag deploy, moderate facial injuries, bruising and swelling about the left eye, diplopia and enophthalmos. CT confirmes left orbital floor fracture. Hell be up in 10 minutes.” If the fracture isn’t stable after being reduced, what instrument tray should the CST have available?Case A comatose patient had formerly expressed a desire to have her respirator turned off if she ever required one. Her parents do not want to turn it off, but her husband does. The parents present their arguments to the administrator, chief of the medical staff, and director of nursing. Answer the following questions in a 2-3 page response: What are the legal facts of the case? What is the ethical dilemma? What standard of care is required? What are the risks to the healthcare organization if turning off the respirator? If not turning off the respirator? What options does the healthcare organization have to resolve this dilemma? What precautions should healthcare organizations take to prevent this type of ethical dilemma in the future?
- The nurse is completing the admission assessment for a patient scheduled for cataract surgery in the outpatient center. Having cataract can be common during old age. Because the patient is over the age of 70 and has several chronic conditions, including hypertension and congestive heart failure, the nurse focuses on completing a thorough medication history. What questions should the nurse include in the medication history? Discuss.A 55-year-old male patient is admitted to the emergency department complaining of severe chest pain and dyspnea. The client is restless and frightened. Upon admission, the physician ordered oxygen by nasal cannula at 4L per minute, a 12-lead electrocardiogram (ECG), chest x-ray, troponin, creatinine phosphokinase, and isoenzymes blood levels. Which action should the nurse take first? Select one: a. Take the blood specimens. b. Administer the oxygen to the client. c. Obtain the 12-lead ECG. d. Call for portable radiology to obtain the chest x-ray.An older client is having photocoagulation for macular degeneration. Which intervention should the nurse implement during the postprocedure care in the outpatient surgical unit? A. Arrange food on the plate in clockwise order B. Apply bilateral eye patches while sleeping C. Verbally identify self when entering the room D. Use a white board to communicate ideas
- A 55-year-old patient presents to the emergency department with acute shortness of breath, wheezing, and coughing. The patient has a history of chronic obstructive pulmonary disease (COPD) and reports not having used their prescribed inhaler as regularly as advised. Which of the following actions is the priority for the nurse to take?A) Instruct the patient to resume regular use of their inhaler as prescribed.B) Administer oxygen therapy and prepare to administer bronchodilators as prescribed.C) Educate the patient about the importance of quitting smoking immediately.D) Schedule the patient for a pulmonary function test (PFT) to reassess their COPD.The nurse is caring for a patient a toddler in the pediatric unit who is about to receive stitches for an abrasion to his upper arm. They both are concerned about the procedure being painful. What can the nurse tell both the parent and child that will alleviate the fears of pain? A. We will ask the parents to leave the room so the child will quiet down. B. We will apply topical lidocaine on the affected area prior to procedure, so he will not any pain during the procedure. C. We will administer inhaled gases for anesthesia, prior to procedure, so he will not any pain during the procedure. D. Ask the parents to stay the room and hold the child’s hand so the child will quiet down. 2. The nurse is reviewing types of anesthesia with newly student nurses during their clinical rotation. The students are correct when they state which type(s) of anesthesia is/are administered using lidocaine? (Select all that apply.) Which ones are included in balanced anesthesia? Select all that apply.…You are working the night shift on a medical-surgical unit. You assignment includes a 19 year old woman admitted early this morning. She has sustained burns over 30% of her body surface area, with partial-thickness burns on her legs and back. Instructions Briefly discuss the following:. The client was sleeping when the fire started and managed to make her way out of the house through thick smoke. You are concerned about possible smoke inhalation. What assessment finding would corroborate this concern?