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Original Question

Hello Tutor, Can you please help me. (ICU rotation) I’m stuck in writing this nursing care plan about Motor Vehicle Accident of a 22 year old female jump off a moving car running approximately 40 mph while fighting with a girlfriend. Suffered traumatic Intracranial hemorrhage contusion on Right temporal bone and Right mastoid region per CT scan result. Now wears neck brace. Name: _______________________________________ Date ________________________________ Assessment findings (Only abnormal and critical assessment findings) 1. Pain 2. Headache 3. Neck Fracture Nursing Interventions which relate to Assessment Findings (Basic Care & Comfort/Safety & Infection Control) 1. 2. 3. Risk Factors (Health Promotion & Maintenance/Reduction of Risk Potential) 1. Seizure 2. DVT 3. Bleeding Medications (include dosage, why are they on this medication). The meds listed here must be the 3 Medications used for Med Templates 1. Morphine 2 mg = 1mL, IV push Q4hr, PRN: sever pain scale 7-10 out of 10 2. Hydrocodone-acetaminophen 7.5 mg-325 m/15 mL oral solution, PRN: moderate pain scale 4-6 out of 10 3. Odansetron 4 mg = 2mL, IV push, Q4hr, PRN: nausea/vomiting Psychosocial Concerns which relate back to the Assessment findings. 1. 2. 3. Specific Patient / Family Teaching related to Assessment findings (Health Promotion & Maintenance / Safety & Infection Control / Management of Care). 1. Report headache/dizziness to Provider 2. Make sure to follow up on ortho for neck fracture 3. Labs & Diagnostics relate back to the Assessment findings. (Only abnormal findings – Also list reference range) 1. WBC Increase 16.3 2. Neutro Auto Increase 84.2 3. Chloride Level Increase 112 What labs, if any, were discussed with / or explained to the patient / family? 1. 2. 3. Potential & Actual Complications from treatments/procedures 1. 2. 3. What follow up visits will be required upon discharge? 1. 2. 3. Write 4 Diagnosis pertaining to your patient (in order of the highest priority first) 1. 2. 3.

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