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- Case 1: The Cold Colonel You are called upon to visit the ailing Col. Lemon. Before you see him, you speak with three witnesses who were with him when he fell ill. Witness statements: I Ms. Magenta: “Col. Lemon has been hot-blooded for as long as I've known him. But I noticed that he couldn't seem to keep warm. He kept complaining about being cold..." I Mr. Olive: “Just between you and me, I've noticed that the old chap has put on quite a bit of weight lately." I Professor Purple: “The colonel and I used to go on major expeditions together. Now he just doesn't seem to have the energy to do much of anything."The patient says, I take a nitro tab and place it under my tongue when I have severe chest pain." You write: The patient states that he takes nitroglycerin medication for chest pain. A/A visiting nurse is performing a family assessment of ayoung couple caring for their newborn who was diagnosedwith cerebral palsy. The nurse notes that the mother’s hairand clothing are unkempt, the house is untidy, and themother states that she is “so busy with the baby that I don’thave time to do anything else.” What would be the priorityintervention for this family?a. Arrange to have the infant removed from the home.b. Inform other members of the family of the situation. c. Increase the number of visits by the visiting nurse.d. Notify the care provider and recommend respite care forthe mother.
- A nurse is explaining to a patient the anticipated effect of the application of cold to an injured area. What response indi-cates that the patient understands the explanation? a. “I can expect to have more discomfort in the area wherethe cold is applied.”b. “I should expect more drainage from the incision after theice has been in place.”c. “I should see less swelling and redness with the coldtreatment.”d. “My incision may bleed more when the ice is firstapplied.”If you have a friend or family member working at a high risk of a silicosis exposure-related industry, what would be your advice to them? (provide at least THREE points with elaboration).A medication order reads: “Hydromorphone, 2 mg IV every 3to 4 hours PRN pain.” The prefilled cartridge is available witha label reading “Hydromorphone 2 mg/1 mL.” The cartridgecontains 1.2 mL of hydromorphone. Which nursing action iscorrect?a. Give all the medication in the cartridge because itexpanded when it was mixed.b. Call the pharmacy and request the proper dose.c. Refuse to give the medication.d. Dispose of 0.2 mL correctly before administering the drug.
- Mr. Cardia has been admitted to your ward and care is assigned to you. Information from the history you have taken includes reporting 4 days of anorexia, nausea, vomiting, and occasional diarrhoea before he sought medical attention. His wife says he'd started falling asleep frequently, looked pale, and mentioned seeing yellow spots. Current medications: 0.25 mg of digoxin once a day and 20 mg of frusemide twice a day for heart failure. Vital signs: BP 110/60 P 46 RR 26 T 36.5 What may the signs and symptoms indicate? (two words)I nend help with this question please SITUATION: Mr Chong was brought into Emergency Department (ED) last night by ambulance after collapsing at home. The ED Registered Nurse reported that Mr Chong was alert and orientated to person, time and place on admission. He has global aphasia, left gaze preference, right homonymous hemianopia (field cut), right facial droop, dysarthria, and right hemiplegia. CT angiography showed a left Middle Cerebral Artery (MCA) occlusion (Fig 1). 12-lead ECG showed Atrial Fibrillation (Fig 2). BACKGROUND Mr Chong has a past medical history of Coronary Artery Disease, Coronary Artery Bypass Grafting, Atrial Fibrillation and previous TIA (Transient Ischaemic Attack) three month ago. Mr Chong is retired and independent with activities of daily living. He speaks simple English. Mr Chong lives with his wife and two sons. ASSESSMENT His last Glasgow Coma Scale (GCS) is between 13-14 (disorientated and occasionally confused to time and place) and other vital…Identify five (5) drugs that a registered paramedic CANNOT administer.
- Which type of precautions should the nurse implement for the client diagnosed with septic meningitis? O a. Contact precaution O b. Standard precaution O C. Droplet precaution O d. Airbone precautionMr. Avery had a stroke. He has hemiplegia, receptive aphasia, and dysphagia. Explain how you will plan to perform the care measures listed below. : 1.Dressing and undressing him 2.Assisting him with food and fluids 3.Performing a safety check of the room Direct the question no need to write them all only what is importantWhen the nurse is talking with a client who is experiencing "lightening." the client would most likely state which of the following? a. "lcan breathe easier now." b. I don't have to urinate as often now." c. My lower back pain is gone now. d. My feet are more swollen than before."