Chapter 20: Nursing Management: Postoperative Care Test Bank MULTIPLE CHOICE 1. On admission of a patient to the postanesthesia care unit (PACU)‚ the blood pressure (BP) is 122/72. Thirty minutes after admission‚ the BP falls to 114/62‚ with a pulse of 74 and warm‚ dry skin. Which action by the nurse is most appropriate? a. Increase the IV fluid rate. b. Continue to take vital signs every 15 minutes. c. Administer oxygen therapy at 100% per mask. d. Notify the anesthesia care provider (ACP) immediately
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The patient is a 39-year old male forklift driver who sustained a work-related injury to his lower right leg after it was crushed when he was knocked over by a forklift. As per OMNI entry‚ the patient is Permanent and Stationary as of 10/16/2015 with future medical care to include pain management medications‚ as well as durable medical equipment in forms of shoes and inserts. Per progress report dated 5/24/16‚ patient was prescribed with ibuprofen‚ Lyrica‚ Norco and Lidoderm patch. Based on the
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Nursing advocacy Introduction Nurses are bound to experience issues on a day-to-day basis where it becomes their ethical and moral obligation to provide advocacy for patients and their family. The concerns can be attributed to the unprecedented changes in the healthcare systems. The uncertainty results in new regulations being implemented‚ financial burdens on the patient and the trend of population rise. These challenges present an opportunity for the nurses to adopt a more responsible role of patient
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FLORIDA INTERNATIONAL UNIVERSITY COLLEGE OF HEALTH AND URBAN AFFAIRS SCHOOL OF NURSING CLINICAL WORKSHEET: NURSING PROCESS CARE PLAN STUDENT NAME DATE |Client Initials A.R |Culture/Ethnicity White |Support system Mother‚ Father | |Unit Telemetry Room/Bed 478D |Religion Catholic |
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Educational Preparation There is an ongoing debate about nurses trained at the Associates Degree level versus the baccalaureate degree level. In this paper‚ I will discuss some of the important differences between the two levels of education and try to determine if one is really better than the other. First of all‚ when considering the difference between the two types of degrees‚ it is important to recognize that at either level‚ a nurse must be able to pass the same NCLEX examination
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States about the use of electronic medical records (EMRs) in outpatient settings. More than $20 billion of the federal economic stimulus (the American Recovery and Reinvestment Act of 2009) is slated to assist physicians‚ hospitals‚ and other health care settings in adopting health information technology (Gill‚ 2009). The government wants to shift into the digital era and it is highly recommended that all hospitals become compliant by 2015 and has provided reimbursement incentives and an electronic
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Provision of formal care and support for informal care Provision of formal care. Italy has a strong tradition of care within the family‚ and this is probably the result of two concurrent circumstances. In fact‚ while some authors may argue that Italian people share a range of values which structures the preference for care solutions operated within the family‚ on the other hand‚ it is true that services in kind provided by the public sector are insufficient‚ thus they do not constitute a concrete
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Evidence Based Practice: Patient-centered Care 1 Evidence Based Practice: Patient-centered Care Evidence Based Practice: Patient-centered Care 2 Patient-centered Care In the definition of patient-centered care it states that we should recognize the patient as the source of control in providing compassionate and coordinated care based on respect for patient’s preferences‚ values‚ and needs(NAP‚ 2003). In this quantitative teaching strategy by Pamela Ironside‚ PhD‚ RN‚ FAAN
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Evidence based patient care becomes a life long approach to clinical decision making to improve clinical outcome‚ and includes use of best evidence clinical outcome values of patient and there families. The purpose is to help bedside nurses determine the strength of evidence on the bases of the research methods. Evidence based nursing care is informed by research finding use of research evidence in clinical practice is an expected standard of practice for nurses and healthcare organizations. It determines
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Teaching Plan: Tracheostomy Care for Patients and Family upon Home Discharge Patients who undergo a tracheostomy and their family must demonstrate understanding and performance of the following objectives: 1. The anatomical changes related to the procedure. 2. Management of a tracheostomy. 3. The importance of humidification and suctioning in maintaining airway patency. 4. Awareness of possible problems/complications in tracheostomy management. A normal breathing pattern draws air
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