Nurse Caring Client Explained for Students (Easy Guide)
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What This Question Is About
This question relates to nurse caring client 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 client. A strong answer should include explanation, application, and examples.
Original Question
44. on 1/16 at 0800, the nurse is caring for a client with acute pancreatitis and reviewing progress notes as listed: Date Time Notes 1/15 0800 Vital signs are: T 37.4 degree HR 138 BP 80/48, pain is 9 on 0-10 scale, the client is restless M. Kappelman RN 1/15 1000 Discussed following lab value with A. smith MD: HCT is 27.6 %, Hgb is 7.6 g/dL (76 g/L), platelet count is 245,00 mm3, and INR is 0.8 M. Kappelman RN 1/15 1100 PRBC’s infused, no adverse reactions M. Kappelman RN Which finding indicates the desired outcome of the transfusion is obtained at this time? Pain is a 4 on 0-10 scale Hemoglobin (Hgb) is 12 g/dL Blood pressure is 110/80 mm Hg Platelet count is 144000 mm3 45. A client is admitted with abdominal pain. Based on the information found in the record below, what should the nurse request as “recommendation(s) for admission orders in the SBAR conversation with the health care provider? Select all that apply Admitted with severe abdominal pain radiating to the back, nausea, vomiting, and a fever, pain of 8/10. HR 122, Blood pressure 147/96 (113), respiration 22, temp 101.4 degrees Fahrenheit(38.5 degrees Celsius). sat= 92% on RA. history of diabetes mellitus type 2, admits to heavy alcohol use, hypertension and hemorrhoids. Admit to the medical floor. WBC 14, 000micro/L Glucose 322 mg/dL Hgb 6.8 g/dL Amylase 459 U/L Types and crossmatch for 2 units PRBC 02 at 2 L/NC PRN Regular insulin per sliding scale coverage Acetaminophen 1000mg PO every 6 hours PRN pain Surgical consultation 46. The following data related to an older client who is 2 hours postoperative after an esophagogastrostomy: Physical assessment Skin dry Urine output 20 ml/hr NG tube patent with 100 ml brown drainage/hr restless Vital signs -pulse: 128 beats/min -blood pressure: 88/50 mmHg -respiratory rate: 20 on ventilator -Cardiac output: 2.1 L/min -Oxygen saturation: 99% Physician orders -Normal saline at 75 ml/hr -Morphine sulfate 2mg IV push every 1 hr PRN pain -intake and output every hours -vital signs every hour -vancomycin(Vancocin) 1 g IV every 8 hr What action by the nurse best? Administer the prescribed pain medication Consult the surgeon about a different antibiotic Consult the surgeon about increased IV fluids Have respiratory therapy reduce the respiratory rate the
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