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Original Question
Image transcription text Keola Akana is a 70-year-old ISBAR ISBAR male with a history of heart Primary provider added digoxin to medication regimen three failure. He was admitted to the medical-surgical unit early on Patient: Keola Akana Age: December 4 (7… Show more **** Im trying to answere the following question*** thanks – What are the nutritional implications for a patient with hypokalemia? – What key assessment findings would you expect to see? – What are your primary nursing interventions? – What are the signs and symptoms of digoxin toxicity? – How would the nurse assess for these symptoms? Please include how you would assess each body system. – How would the nurse provide family-centered care for an elderly patient? – What should be done by you the nursing students and the nurse you are shadowing to care for this patient? -Read the to show the correct and incorrect assessment according to proper interventions • Would you call the doctor after slides, Why? • What orders would you expect from the provider? • What are your concerns? – What teaching would you give to the patient about the new orders you would expect? – What would be the proper steps to take if the arm band was incorrect and the medication was due? • The wife calls you on the phone and wants a full update on her husband’s status. She tells you she does everything for him and is very distraught. – The wife is worried that maybe she messed up his medication dosages. What do you tell her? What questions would you ask? – “Today you cared for a 70-year-old male with a history of heart failure, admitted for medication adjustment, monitoring and cardiac rehabilitation. Let’s talk about his presenting symptoms and his care.” Let’s talk about her presenting symptoms and his care.” Given the history presented and your assessment findings, what did you feel was wrong with the patient (main problems)? – How did you decide what to report and to whom? – What was the urgency level? – Was there an organized manner in which you reported it? – What immediate independent actions could you do to manage the situation? – Did this situation require immediate attention or could it wait for routine assessment and reporting? – What needs would you anticipate in this situation? – What could you do or how would you prepare for those needs? Ø How would you access resources? – What was the rationale/reasoning behind your actions? – What are the primary areas of focus as you continue to manage this patient? – After self-reflecting and debriefing, how would you manage this patient in the future?
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