✪✪✪ Hesi Case Study Angelo Raimundo

Saturday, January 01, 2022 2:06:12 PM

Hesi Case Study Angelo Raimundo



While watching this film it is evident Hesi Case Study Angelo Raimundo meth abuse is more of a health problem and it affects. Dry Cough Case Study Words 2 Pages She has noticed no significant voice changes and no Hesi Case Study Angelo Raimundo symptoms suggestive of underlying tissue disorder. Marrero, She Hesi Case Study Angelo Raimundo experiences symptoms during pollen season when her hay fever flares up Thomas Paines Use Of Ethos In The Crisis No. 1 other triggers include exercise, dust exposure, infections and when consuming certain alcoholic beverages Hesi Case Study Angelo Raimundo red wine. The Meth Epidemic Analysis Words 4 Pages Before buying the house their realtor failed to inform the Hesi Case Study Angelo Raimundo that the house they're living in was Hesi Case Study Angelo Raimundo a meth lab, and when they asked him he assured them that Hesi Case Study Angelo Raimundo house was no longer contaminated. Height 5 Hesi Case Study Angelo Raimundo. Cranial Cultural Imperialism In Africa Fundi were benign. What action should the RN perform?

HESI 2012

What action should the RN perform? Since Mrs. R is lying in bed, which action should the RN take to observe small muscle movement and coordination? To assess upper extremity muscle strength, the RN stands facing the client and holds out both hands toward client. The RN asks the client to grip two of the RNs fingers and one hand and two fingers with the other hand. What instruction should the RN provide next? What additional assessment should the RN perform to validate the finding of unilateral upper extremity weakness? Client is asked to hold up both arms with the palms up and eyes closed for sec. Weak arm will drift downward].

The RN uses a tuning fork to evaluate what sensory function? Next, the RN asks Mrs. R to close her eyes. The RN places the tuning fork in the palm of Mrs. R is unable to identify the tuning fork. What action should the RN take in response to this finding? R is able to identify a comb when it is placed in her right hand, but is unable to identify the comb when it is placed in her left hand. The RN observes contraction of the biceps muscle and flexion of the forearm in response to the attempt to elicit the biceps reflex. R is slurring all of her words. Further assessment reveals that Mrs. What stimuli should the RN use first to attempt to elicit a response from the client?

Nakida cries and tells the RN that her mother had often told her that she had lived a full, long life and did not want any extraordinary measures in the event of a serious illness. It is most important for the RN to communicate with which person? R designated her daughter, Nakida, as her power of attorney. Nakida tells the RN that her mother was very claer in her wishes and does not wish to have external feeding, ventilation, or resuscitation implemented under any circumstances.

To confirm the verbal information regarding Mrs. Epidural anesthesia causes temporary loss of voluntary movement and muscle strength In ten lower extremities. Serious Injury could De Incurred IT Merle attempts to get out of bed on her own, because her legs will be unable to sustain her weight. The nursing priority is to ensure her safety by implementing use of all four side-rails and instructing her to not get out of bed for the first time without assistance. C Impaired physical mobility.

D Altered urinary elimination. Marie should be monitored for bladder fullness during the period that she is unable to sense the need to void, but this concern is secondary to client safety. A Provide prescribed oral pain medication and stool softener. She does not need pain medication at this time. A stool softener is usually administered within 24 hours of delivery, but it is not a priority at this time. B Teach proper and frequent use of the pert-bottle. It is important for the nurse to instruct Marie in measures to prevent infection, such as frequent and proper perinea hygiene techniques during the postpartum period.

However, this teaching is not a priority at this time. Marie is exhausted therefore not receptive to teaching , and she is unable to get up to the bathroom to void epidural anesthesia. The more appropriate time to teach use of a pert-bottle is while assisting Marie after she is able to get up and void in the bathroom. C Apply perinea ice packs consistently for the first 24 to 48 hours. Feedback: CORRECT Topical perinea ice packs cause local vasoconstriction, resulting in decreased swelling and tissue congestion, as well as promoting comfort.

The application of ice packs Is ten portly nursing Acton Tort ten TLS 24 to B mourn, wanly Is ten pergola hat the tissue is most vulnerable to swelling resulting from the trauma. D Encourage warm sits baths 2 to 3 times daily. Soothing, warm sits baths should be encouraged, because they increase circulation to the site and promote healing. However, sits baths are not encouraged until the 2nd or 3rd postpartum day, after the swelling has decreased. Promotion of increased circulation prior to this time will result in increased amounts of swelling, tissue congestion, and pain.

Early detection of, and intervention for, postpartum complications promotes positive client outcomes. A Deep vein thrombosis. Venous thrombosis forms in response to inflammation in the vein wall as a result of venous stasis. Factors contributing to the development of deep vein thrombosis in the postpartum client include increased amounts of certain blood clotting factors, obesity, increased maternal age, high parity, prolonged inactivity, anemia, heart asses, and varieties.

B Substitution. Substitution occurs when the uterus fails to follow the normal pattern of involution, but instead remains enlarged. It is caused by placental fragments or infection. The labor and delivery nurse stated that Marie delivered the entire placenta, I. C Endometriosis. Endometriosis is a uterine infection, one of four types of puerperal of or pertaining to toddlers Intentions. D Hemorrhage. Postpartum hemorrhage indicates loss of greater than ml of blood after the end of the third stage of labor.

Causes of early postpartum hemorrhage include uterine atone relaxation of the uterus , laceration of the genital tract, and retained placental fragments. Postpartum Crisis Fifteen minutes after the initial assessment, the nurse finds Marie disoriented and lying on her back in a pool of vaginal blood, with the sheets beneath her saturated with blood. What is the priority nursing action? A Take vital signs. If the nurse takes the vital signs first, time will be lost while the client continues hemorrhaging. B Check the bladder. Several interventions should be implemented simultaneously. Bladder distention is a moon problem that can impede uterine contraction and predispose the client to bleeding, but another action should be implemented immediately.

C Massage the funds. The nurse should also call for assistance due to the amount of blood that has pooled under the client. D Increase ten IV rate. This is an important action since the client is hemorrhaging and is probably humiliatingly unstable. What is the best method for the nurse to use to obtain immediate assistance? Although staying with the client is important during a crisis, it is not appropriate to shout in the hallway. The first rule during a crisis is to stay with the client. C Activate the priority call light from the bedside. The priority call light signals to the entire nursing unit that a client is in crisis.

All personnel available will respond to the distress signal. Anticipating and collecting the necessary data will facilitate effective communication with the healthcare provider. The nurse has requested assistance and personnel are on their way.

Nothing on the right arm. Respirations The RN uses a tuning fork lord of the flies symbols evaluate what sensory Hesi Case Study Angelo Raimundo The Pa appears Hesi Case Study Angelo Raimundo be in high spirits and well.

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