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Teacher Uses Detector Assignment Help: How to Answer This Question

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My teacher uses AI detector Case studies give us an opportunity to practice clinical reasoning, critical thinking, and clinical judgement skills, while continuing to learn about various health conditions in a non-lecture format. Throughout this course, we will utilize EHRGo to work through case study worksheets with a simulated patient chart. The components of these case studies include an electronic medical record and a student worksheet. Follow the link to the EHRGo activity titled NRSG 3320: Hip Fracture. Click the “Overview & Resources” tab to review the activity. Download and save the first document under “Topic Resources”; it should be the only document with “Activity” typed in a gray box on the left. Follow the instructions within the Activity document. Save the completed document to your device and upload it here. The worksheet attached here shows the guidelines your faculty will follow for grading: EHRGo NRSG 3320 Hip Fracture Student Grading Guideline.docxDownload EHRGo NRSG 3320 Managing Breathing Complications-Student Grading Key.docx Please utilize APA format to cite any sources used to complete this assignment. This activity is intended to prepare students for the Next Generation NCLEX exam. It instructs the student to review an electronic record of a patient and answer critical thinking questions related to the care of the patient. The patient is an elderly female who fell at home. Friends found her on the floor the day after she fell. She had been unable to get up and had pain in her right hip. She was transported to the hospital, where it was determined she had a right displaced femoral neck fracture and that she required surgery. The student will need to use additional resources to research information found in the patient’s chart. These resources may include textbooks and/or online websites. Patient: Hilary Henderson General Hospital DOB: 06/12/1947 77 yo F Admit Date: 01/07/2025 20:44 MR#: MR56126 NKA, Fall Risk, Full Code Patient Info Henderson, Hilary 978-555-6305 (Home) 978-555-6305 (Mobile) Other Encounters 01/07/2025 20:44 General Hospital Joseph Martinez, MD Admitted Admit as inpatient after a fall at home. Will be scheduling surgery. Admit to inpatient unit Alerts 01/07/2025 20:44 NKA Active Adverse Reaction/Allergy 01/07/2025 20:44 Fall Risk Active Clinical Warning 01/07/2025 20:44 Full Code Active Advance Directive Prevention Problems Active Right hip arthroplasty (Posterolateral approach) s/p 01/08/2025 Joseph Martinez, MD Active Arthritis, both knees Chronic 01/08/2020 Joseph Martinez, MD Active Hypertension Chronic 01/08/1985 Joseph Martinez, MD Active Diabetes Mellitus, Type 2 Chronic 01/08/1980 Joseph Martinez, MD Vitals See More >> TPR B/P O2 01/08/2025 00:43 36.5 C 68 14 110/66 94 % PAIN 01/08/2025 00:43:56 2 GLUCOSE 01/08/2025 00:43 80 Orders See More >> Supplies/Devices Hemovac to right hip. Empty every 8 hours. DC drain on POD #1 in AM. Q8H Active 01/07/2025 21:15 Scheduled Meds Insulin, human Regular 100 UNT/ML Injectable Solution – Dose: Per sliding scale Alternate name: undefined AS DIRECTED PRN Active 01/07/2025 20:44 Care Initiate pathway for Hip Fracture AS DIRECTED Active 01/07/2025 20:44 Care Initiate hip precautions, posterolateral CONTINUOUS Active 01/07/2025 20:44 Scheduled Meds tramadol hydrochloride 50 MG Oral Tablet – Dose: 50 mg Alternate name: undefined PRN Q6H Active 01/07/2025 20:44 Meds See More >> Scheduled Meds Insulin, human Regular 100 UNT/ML Injectable Solution – Dose: Per sliding scale Alternate name: undefined Active AS DIRECTED PRN Scheduled Meds tramadol hydrochloride 50 MG Oral Tablet – Dose: 50 mg Alternate name: undefined Active PRN Q6H Scheduled Meds 1 ML Ketorolac Tromethamine 15 MG/ML Prefilled Syringe – Dose: 15 mg Alternate name: undefined Active Q6H Scheduled Meds Acetaminophen 325 MG Oral Tablet [Tylenol] – Dose: 650 mg Alternate name: undefined Active PRN Q4H Scheduled Meds Benadryl 25 MG Oral Capsule – Dose: 25 mg Alternate name: undefined Active PRN Q4H Notes 01/08/2025 20:53 Occupational Therapy Initial Evaluation & Treatment Plan Maneesh Kapoor, OT General Hospital 01/07/2025 21:43 History and Physical Joseph Martinez, MD General Hospital Knowledge Activity NRSG 3320: Hip Fracture Learning objectives Review potential complications of total hip arthroplasty. Apply nursing interventions to prevent post-operative complications. Recognize pain management indications and potential side effects. Discuss hip precautions education for the patient and family upon hospital discharge. Student instructions If you have questions about this activity, please contact your instructor for assistance. You will review the chart of Hilary Henderson to complete this activity. Your professor has provided you with a link to the NRSG 3320: Hip Fracture activity. Click on 2: Launch EHR to review the patient chart and begin this activity. Refer to the patient chart and any suggested resources to complete this activity. Document your answers directly on this activity document as you complete the activity. When you are finished, you will save this activity document to your device and upload this activity document with your answers to the assignment on Canvas. The activity Student name: _______________________________________ 1. Mrs. Henderson has arrived to the inpatient unit post-operatively for a right hip fracture with endoprosthesis repair. Complete the chart below by listing potential complications of this specific surgery and the prevention/interventions the nurse must implement in the plan of care. Potential Complications Nursing Interventions 2. After reviewing Ms. Henderson’s EHR, the nurse notes that the physician has ordered neurovascular checks for the patient. What is included in a neurovascular assessment and what method is used to complete each assessment component? Neurovascular Assessment Assessment Method 3. While completing a focused physical assessment, the nurse asks Ms. Henderson to state her full name and date of birth. The nurse also asks Ms. Henderson to state the day of the week, the year, her current location, and reason for being in the current location. The nurse understands that if Ms. Henderson is not able to answer the questions correctly could be indicative of which condition(s). Select all that apply. a. Hemorrhage b. Acute delirium c. Acute compartment syndrome d. Infection e. None of these apply. 4. Ms. Henderson states to the nurse “I feel nauseous and a little nervous.” What is the nurse’s initial action? a. Assess vital signs. b. Administer Prochlorperazine as ordered. c. Check blood glucose level. d. Notify physician. e. Hold insulin dose. Describe the rationale of this initial action: 5. Review the orders and provider notes in Hilary’s EHR. The nurse wanting to avoid a potential infection would question which order prescribed by the physician? 6. Ms. Henderson reports concern about becoming constipated and asks if her medications may cause constipation. After reviewing the medication list, the nurse correctly identifies the following opioid medications that may cause constipation: 7. At 1700, the nursing assistant reports the patient is alert and her blood glucose level is 50 mg/dl. The nurse will do which of the following. Select all that apply. a. Give glucagon subcutaneously. b. Give ?? cup of fruit juice. c. Notify healthcare provider of severe hypoglycemic reaction. d. Wait for dinner tray that is scheduled to arrive at 1800. e. Retest blood glucose level in 15 minutes after administering glucose. 8. The nurse notes that the patient is grimacing and guarding her right hip. The patient confirms that she is experiencing pain and rates it 5/10. Identify which medications are prescribed for pain and determine which level of pain each medication is prescribed to manage. Based on the patient’s pain rating, the nurse is likely to administer which medication? ________________________________ Pain Medication Level of Pain (Mild, Moderate, or Severe) 9. The patient explains to the nurse that one of her friends had the same surgery and developed pneumonia. The patient asks what she can do to avoid developing pneumonia. Review the patient’s orders inside the EHR and determine which order(s) will help to prevent pneumonia post-operatively. 10. The nurse is preparing patient and family education for hospital discharge for Ms. Henderson. What hip precautions should the nurse include in the education? Hip Precautions Submit your work Document your answers directly on this activity document as you complete the activity. When you are finished, save this activity document to your device and upload this activity document with your answers to the assignment in Canvas. References Wang, M., Liang, H., & Cui, L. (2021). Clinical practice of best practice nursing care standards for older adults with fragility hip fracture: A propensity score matched analysis. Applied Nursing Research 62. https://doi.org/10.1016/j.apnr.2021.151491 Centers for Disease Control and Prevention. (2016, September 20). Hip fractures among older adults. Centers for Disease Control and Prevention. Retrieved April 7, 2023, from https://www.cdc.gov/falls/hip-fractures.html

 
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