Hhiory and Fhoweal Labocatery Results Complete the diagram by draggin.pdf

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Hhiory and Fhoweal Labocatery Results Complete the diagram by dragging trom the choices area to specity which condition the client is most likely experiencing, two actions the nurse should take to address that condition, and two parameters the nurse should monitor to assess the clicht's progress. Client was brou bht to the eanergency department by her busband due to reports of screre fatgue. The ausband reperts that the client har been slecping ail the time for the past few weeks and has been a. fricult to arouse at fimes. The dicht has a history of sage 4 breast eintere. The clitat has i central venous acoess device (CVAD) that she bas been recoving chemotherapy tratments through for the past few manatos. The cient states she does have poor appetise with deeseasd flud intake and denies navees and vomating. The dient is aleit and oeiented but appears exremely drowsy, Client states oiruiness opon wandieng and walking. in meges - Temperifure 9 k - F (3re) - Heant tate 106 beasjmin - Reipicitanerate 18 treathermin - Bropd prasure 9olba thins Fe - Ruhir primatryeading 9636.

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Chapter 19: Nursing Management of Pregnancy at Risk: Pregnancy-Related Complications Case 1 Teresa is a 36-year-old primigravida who is expecting twins. She is 26 weeks pregnant. She stays after your “What to Expect with Twins” class to talk to you. Although Teresa is a nurse, she has many questions and concerns. Her twins are a result of years of trying to get pregnant and in vitro fertilization. She is nervous about whether she will have a vaginal delivery or a cesarean section. She is worried about having the babies prematurely. She wants you to tell her everything that could go wrong so she can be prepared 1. Why is Teresa’s pregnancy considered a high-risk pregnancy Incorrect answer. Teresa’s pregnancy is considered high risk pregnancy because most of IVF pregnancies require induced labor or caesarean section. Also, most babies conceived through IVF are born prematurely or with a low birth weight. Incorrect.. there is a higher incidence of preterm birth due to multiple gestation, IVF itself does not increase the risk factor IVF increases the risk of Down syndrome as well. Incorrect as IVF allows for early genetic testing. 2. Discuss potential pregnancy-related complications for Teresa. What else? Some of the potential pregnancy –related complications for Teresa are late miscarriage, She is 26 weeks pregnant.. this is no longer a complication. ovarian hyper stimulation syndrome, She is 26 weeks pregnant.. this is no longer a complication. This is for IVF not the pregnancy high blood pressure, pre-eclampsia, premature delivery, low birth weight, birth defects, Fetal not maternal and stress. 3. Discuss the potential risks to the babies. You only discuss problems of prematurity.. what else? The babies are at a higher risk of being born with breathing problems because mostly twins who are conceived through in vitro fertilization are born prematurely and therefore it means that their respiratory system and organs like lungs are not fully developed. They are also at risk of jaundice or sepsis. Case 2 Sarah is 19-year-old G1P0 at 36 weeks' gestation. Sarah has been followed weekly in the clinic for mild–moderate preeclampsia. At her clinic appointment today, Sarah’s blood pressure reading was 188/104. She is admitted to the antepartum unit for management of her worsening preeclampsia. You perform her admission assessment and note that her reflexes are brisk, her heart rate is 94, she complains of having an intense headache, and is seeing spots before her eyes. You perform an abdominal assessment and note that she has significant epigastric tenderness. (Learning Objective 5) 1. Develop a plan of care for the woman experiencing preeclampsia, eclampsia, and HELLP syndrome. this is a definition not a care plan The best way to treat Sarah for preeclampsia is to deliver the baby because at 36 weeks’ gestation, the baby is full grown and it will be safer to deliver the baby and avoid further complications. In some cases, this c ...

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1. Student uses MS Excel to calculate income tax expense or refund, taxable income, and total taxes using the full-cost method for transfer pricing. There are no errors. 2. Student uses MS Excel to calculate income tax expense or refund, taxable income, and total taxes using the variable-cost method for transfer pricing. There are no errors. 3. Student produces a thorough and detailed Word document that incorporates specific details from the MS Excel spreadsheet, a detailed recommendation based on those specific details as to how the organization should proceed is included, and the recommendation is justified with at least 3 examples from the week's resources and/or additional research in the Walden Library. 4. Writing exhibits strong evidence of thoughtful critical analysis and thinking; careful examination is made of assumptions and possible biases, with detailed supporting rationale. Writing synthesizes the classroom experiences and content; analyzes patterns or connections between theory and practice; and draws logical conclusions based on well-reasoned arguments. New questions are presented based on synthesis of ideas and input. 5. Writing is clear, logical, well-organized and appropriate. Work is free from spelling and grammar/syntax errors. Tone is professional and free from bias (i.e., sexism, racism). There are no errors. 6. Student effectively and directly integrates discussion/assignment content with relevant and compelling personal experiences, additional research, or current events from credible news sources. Specifically adds a new and/or different insight or perspective on the subject area(s) being discussed or treated in the assignment. 7. Student demonstrates full adherence to scholarly or credible reference requirements and adheres to APA style with respect to source attribution and references. There are no APA errors. CASE STUDY—BEWARE: One Emergency May Hide Another! A hospital submitted a report to the State Board of Nursing reporting that an RN had been terminated after the death of a patient following surgery for a tubal pregnancy. THE NURSE'S STORY—SALLY SIMMS, RN I had worked the medical-surgical units at the General Hospital ever since graduating from my nursing program 4 years before. This was the worst night, the worst shift, of my nursing career. I was assigned to care for eight patients that night, which is not an unusual number of patients, but they all were either fresh post-ops or so very sick. Four patients had just had surgery that day. One patient was on a dopamine drip to maintain his blood pressure, so he needed frequent monitoring. One patient was suspected to have meningitis, one patient had pneumonia, and a patient with suspected histoplasmosis completed my assignment. One of my post-op patients was Betty Smith, a young woman in her early thirties who had laparoscopic surgery late in the day. She had been transferred from the recovery room late in the evening shift and was very uncomfortable when I fi ...

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SBAR report to physician about a critical situation S Situation I am calling about <patient name and location>. The patient's code status is <code status> The problem I am calling about is ____________________________. I am afraid the patient is going to arrest. I have just assessed the patient personally: Vital signs are: Blood pressure _____/_____, Pulse ______, Respiration_____ and temperature ______ I am concerned about the: Blood pressure because it is over 200 or less than 100 or 30 mmHg below usual Pulse because it is over 140 or less than 50 Respiration because it is less than 5 or over 40. Temperature because it is less than 96 or over 104. B Background The patient's mental status is: Alert and oriented to person place and time. Confused and cooperative or non-cooperative Agitated or combative Lethargic but conversant and able to swallow Stuporous and not talking clearly and possibly not able to swallow Comatose. Eyes closed. Not responding to stimulation. The skin is: Warm and dry Pale Mottled Diaphoretic Extremities are cold Extremities are warm The patient is not or is on oxygen. The patient has been on ________ (l/min) or (%) oxygen for ______ minutes (hours) The oximeter is reading _______% The oximeter does not detect a good pulse and is giving erratic readings. A Assessment This is what I think the problem is: <say what you think is the problem> The problem seems to be cardiac infection neurologic respiratory _____ I am not sure what the problem is but the patient is deteriorating. The patient seems to be unstable and may get worse, we need to do something. R Recommendation I suggest or request that you <say what you would like to see done>. transfer the patient to critical care come to see the patient at this time. Talk to the patient or family about code status. Ask the on-call family practice resident to see the patient now. Ask for a consultant to see the patient now. Are any tests needed: Do you need any tests like CXR, ABG, EKG, CBC, or BMP? Others? If a change in treatment is ordered then ask: How often do you want vital signs? How long to you expect this problem will last? If the patient does not get better when would you want us to call again? This SBAR tool was developed by Kaiser Permanente. Please feel free to use and reproduce these materials in the spirit of patient safety, and please retain this footer in the spirit of appropriate recognition. Guidelines for Communicating with Physicians Using the SBAR Process 1. Use the following modalities according to physician preference, if known. Wait no longer than five minutes between attempts. 1. Direct page (if known) 2. Physician’s Call Service 3. During weekdays, the physician’s office directly 4. On weekends and after hours during the week, physician’s home phone 5. Cell phone Before as.

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