Get Answer: Please Read Information Question Guide
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Structure your response with introduction, analysis, and conclusion.
Key Explanation
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Original Question
Q1 Please read the information about this complex patient carefully and respond to the remaining exam questions that relate to her. Patient Information: Jessica Fong is an active 30-year-old that was involved in a motor vehicle accident. She sustained a closed head injury, and a fractured right tibia and fibula, which required an ORIF (Open Reduction and Internal Fixation). Her other injury is a perforated bowel. She has had a laparotomy and loop ileostomy formation. After surgery she developed a paralytic ileus. Medical/Surgical Issues: • Closed head injury • # right tib/fib – ORIF now using a walking frame • NGT (Nasogastric tube) – for paralytic ileus • Loop ileostomy • Surgical abdominal wound Explain why a paralytic ileus requires an NGT insertion as part of its management. b) Why might a loop ileostomy be performed instead of a regular ileostomy? Provide an appropriate rationale for the insertion of the NGT in each case for each of the conditions listed below. • Stroke • Anorexia The Doctor has decided to go ahead with the NGT insertion. Whilst you are inserting the NGT, Jessica shows signs of respiratory distress. What could be the cause of this? What would be your priority nursing action/s when Jessica shows signs of respiratory distress during the NGT insertion? Several days later, after bowel sounds are present, the doctor asks for the NGT to be removed. Outline three (3) prioritized steps to ensure safe removal of the NGT Q2 Jessica has gone into urinary retention possibly due to bladder irritation from the surgery. The doctor has ordered an IDC to be inserted to drain the urine. Identify three (3) other indications (reasons) for insertion of an IDC b) You have just finished inserting Jessica’s IDC and have taped the catheter securely to the leg for comfort and safety. Identify three (3) other specific nursing interventions that are relevant to the care of Jessica’s IDC. Give a rationale for each nursing care action. Q3 Jessica’s SpO2 drops to 87% on room air (RA). The doctor has prescribed 6L/min of oxygen therapy . a) What device would you use to deliver this oxygen? b) List three (3) signs and symptoms of hypoxaemia. c) Given that oxygen is considered as a medication, what are the six (6) rights of oxygenation you would check before applying oxygen for Jessica? d) You have applied the oxygen therapy. Provide three (3) nursing interventions you may initiate at this time to promote oxygenation for Jessica. e) It is decided to continue oxygen therapy for Jessica. What are two (2) further nursing interventions you would initiate for long term oxygen therapy? Q4 In regard to Jessica’s stoma: a) Identify two (2) nursing, Allied Health or other, professionals that Jessica could be referred to regarding her current medical situation and describe how they could help. Q5 You are starting an afternoon shift and are allocated to care for Jessica. Describe briefly any assessments you would make regarding these below. Peristomal skin: Stoma: Stoma appliance / bag: Q6 Jessica is at risk of a number of complications arising from her stoma. List three (3) possible complications of stomas, and then identify one (1) cause and two (2) nursing/medical/surgical interventions for each complication. Q7 Jessica states she is experiencing some chest pain. What would be the first assessment you would make for this patient and why? You decide to perform an ECG on Jessica. How would you explain the procedure to Jessica? Use terms easily understood by Jessica and include any instructions you would give her. List three (3) interventions you may perform to improve the adherence of the electrodes and reduce the chance of artefact on the ECG reading. Q8 The doctor has requested a blood test to be completed for Jessica. Name the two (2) different venepuncture methods you could to complete this task. What are two (2) contraindications for applying a tourniquet to a limb? Q9 What does the term ‘musculoskeletal injury’ refer to? Q10 Give four (4) examples of common musculoskeletal conditions. Q11 What are the ten (10) most common skin disorders? Q12 What does ‘respiratory condition’ refer to? Q13 Give five (5) common causes of respiratory conditions. Q14 What is a gastrointestinal disorder? Q15 What eight (8) parts of the body are included in the term ‘gastrointestinal’? Q16 Give two (2) examples of ear disorders Q17 What is Meniere’s disease and what are its symptoms? Q18 Give four (4) examples of common eye disorders. Q19 What is a neurological disorder? Q20 Why are the symptoms of neurological disorders varied? Q21 What is an endocrine disorder? Q22 Give three (3) examples of common endocrine disorders. Q23 What is a urinary disorder? Q24 Which anatomical parts of the body are included in the urinary tract? Q25 What do we mean when we refer to reproductive disorders? Q25 What do we mean when we refer to reproductive disorders? Q27 What is the purpose of critical thinking? Q28 Give five (5) characteristics of critical thinking? Q29 What is the difference between critical and creative thinking? Q30 What is the difference between critical thinking and problem solving?
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