Get Answer: Nurse Caring Patient Question Guide

This question tests key academic concepts commonly covered in coursework.

What This Question Is About

This question relates to nurse caring patient and requires a structured academic response.

How to Approach This Question

Start by identifying the main issue, then apply relevant academic frameworks.

Key Explanation

This topic involves nurse caring patient. A strong answer should include explanation, application, and examples.

Original Question

It is 0700 and the nurse is caring for a 75 y/o patient admitted with infected diabetic ulcers on the left heel and left great toe. The patient has a history of HTN and Type 2 DM. He is scheduled for surgery to debride his foot ulcer and amputate his left great toe today at 1100. He has been NPO except for medications since midnight for surgery. Today’s labs drawn at 0600. WBC = 18,000 mm3 Platelets = 156,000 mm3 Hgb = 13.8 g/dl Hct = 41% Potassium = 2.6 mEq/L Glucose = 95 mg/dl Vital Signs at 0730 today: b/p 128/75 HR 65 respirations 16 temp 98.5 po The following is the patient’s MAR for 72 hours. Today’s date/time is November 20 at 0800 Image transcription text Name: John Doe MR# 0003487229 DOB: January 1, 1940 I Allergies: Morphine Start Stop Medication Scheduled 11/1… Show more Image transcription text Q4 hours as needed (PRN) for pain 11/17 Hydrocodone / Acetaminophen PRN Given 0830 Given 0600 7.5/325 2 tab… Show more 1. What additional assessment data and information would the nurse want to obtain for this patient? 2. Which medications would the nurse administer? Why? 3. Which medications would the nurse hold? Why? 4. Would the nurse need to contact the primary care provider for any reason? Explain. 5. What type of medication is Vancomycin? How many mL/hour will the nurse infuse this medication? Round to nearest whole number. 6. What will the nurse monitor for while administering IV Vancomycin? The patient returns from surgery at 1300. He is awake, alert, and cooperative. He is complaining of nausea and incisional pain in his left foot. 1. What assessment data would the nurse want to obtain at this time? 2. What pain medication would be best for the nurse to administer as per the MAR above? 3. Considering the patient complaints and the MAR above, what is the priority action for the nurse to take at this time? It is now 1700 and the patient is feeling is comfortable and requesting to eat dinner. He has orders to resume his diet. His accucheck is 204. 1. What insulin and how much will the nurse administer? The patient is now 3 days post-operative and the nurse is preparing to discharge this patient home. The patient will be discharged home on the following medications: Metoprolol 50 mg PO BID Lisinopril 10 mg PO daily Nateglinide 120 mg PO BID Insulin glargine 20 units SQ daily hydrocodone / acetaminophen 5mg/325 mg 1-2 tabs q6 hours as needed for pain. List 4 priority patient education instructions the nurse will discuss with the patient regarding his medications before discharge. 1. 2. 3. 4.

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