Nursing Considerations for Mr. J.’s Visit to the E.R. Mr. J. is an 84 year old man who was admitted to the hospital for assessment after a fall. His physical assessment indicated multiple contusions to the face and shoulder‚ an unkept appearance and possible malnourished state. While a CAT scan and x-ray showed no fractures or bleeding‚ the fact that the patient had head trauma was most alarming. Traumatic injury to the head could lead to a hemorrhagic stroke or cerebrovascular accident‚ could
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Case Study‚ Chapter 28‚ Management of Patients With Structural‚ Infectious‚ and Inflammatory Cardiac Disorders 1. Ariane Waters‚ 21 years of age‚ is a female patient who is admitted to the hospital with the diagnosis of infective endocarditis. Ariane had her tongue and nose pierced 6 weeks ago. The drug screen is negative. She presents with tricuspid insufficiency murmur grade II‚ and a temperature of 104°F. The patient complains of extreme fatigue‚ and anorexia. The echocardiogram reveals vegetations
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NM5004 Nursing Management of Care Delivery and Therapeutic Interventions Summary Management of a Proposed Service Improvement Word Count: 1‚051 The following assignment will discuss a proposed service improvement. It will detail what the proposed improvement will be‚ why this is a significant improvement to current services. How the plan would be managed and implemented. The student has chosen to plan an improvement to physical health needs assessments for mental health
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Pain management is an essential part of nursing. And nurses have a responsibility to adequately manage the patients’ pain‚ but this doesn’t always mean the use of an analgesic. Effective pain management can be holistic in its approach. The important aspect is to have a control that is safe‚ practical‚ and realistic in the outpatient setting. We are our patients’ friend in the management of their pain. Without a doubt‚ uncontrolled pain can result in devastating effects. It’s important to remember
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“STANDARDS AND NURSING AUDIT: A TOOL FOR QUALITY MANAGEMENT” The discipline of Nursing is an art and science committed to professional excellence by providing highest quality care possible . Quality of care is determined by identifying the observable characteristics that depict desired and valued degree of excellence and the expected‚ observable variations. The quality of nursing care can be managed both by evaluating the degree of excellence of results of delivered care and by taking action
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Chapter 50: Nursing Management: Endocrine Problems Test Bank MULTIPLE CHOICE 1. A 45-year-old male patient with suspected acromegaly is seen at the clinic. To assist in making the diagnosis‚ which question should the nurse ask? a. “Have you had a recent head injury?” b. “Do you have to wear larger shoes now?” c. “Is there a family history of acromegaly?” d. “Are you experiencing tremors or anxiety?” ANS: B Acromegaly causes an enlargement of the hands and feet. Head injury and family history are
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activity and weight reduction. Aerobic exercise‚ weight reduction‚ smoking cessation‚ and moderate alcohol consumption will favorably affect HDL-C and lower LDL-C. After comparing these three aspects‚ it is easy to see that a diet focused on weight management‚ smoking cessation‚ and physical activity involving aerobic exercise will greatly lower Patient X’s risk factors for hypertension and
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Chapter 35: Nursing Management: Heart Failure Test Bank MULTIPLE CHOICE 1. While assessing a 68-year-old with ascites‚ the nurse also notes jugular venous distention (JVD) with the head of the patient’s bed elevated 45 degrees. The nurse knows this finding indicates a. decreased fluid volume. b. jugular vein atherosclerosis. c. increased right atrial pressure. d. incompetent jugular vein valves. ANS: C The jugular veins empty into the superior vena cava and then into the right atrium‚ so JVD with
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Chapter 40: Nursing Management: Nutritional Problems Test Bank MULTIPLE CHOICE 1. Which finding for a 19-year-old female who is a vegan may indicate the need for cobalamin supplementation? a. Paresthesias b. Ecchymoses c. Dry‚ scaly skin d. Gingival swelling ANS: A Cobalamin (vitamin B12) cannot be obtained from foods of plant origin‚ so the patient will be most at risk for signs of cobalamin deficiency‚ such as paresthesias‚ peripheral neuropathy‚ and anemia. The other symptoms listed are associated
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Chapter 38: Nursing Management: Vascular Disorders Test Bank MULTIPLE CHOICE 1. When discussing risk factor modification for a 63-year-old patient who has a 5-cm abdominal aortic aneurysm‚ the nurse will focus discharge teaching on which patient risk factor? a. Male gender b. Turner syndrome c. Abdominal trauma history d. Uncontrolled hypertension ANS: D All of the factors contribute to the patient’s risk‚ but only hypertension can potentially be modified to decrease the patient’s risk for further
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