the orthopaedic ward from surgery theatre
Marita was transferred to the orthopaedic ward from surgery theatre, as she had fractured due to falling, last night at 10:30 pm. It is now the following morning and you are assigned to care for Marita. You assess Marita at 08:00 hours and your assessment findings are:
She is awake and alert. She is orientated to time, place & person. Her right eye is bruised and almost shut due to an extensive haematoma. She is quite teary & asks if she is going to be ugly due to the facial grazes and her other scars. She’s extremely worried she’ll never get full use of her right arm back. She is also very concerned that she won’t be able to pay for this as she’s not covered by Medicare.
There is blood staining the dressings on her leg. The right leg drain has about 70ml of frank blood in it. Her right arm is swollen and bruised. The fingers on her right hand are also swollen. She has good movement and normal sensation in the fingers of her right hand. The skin is the same colour as her left hand apart from some bruising.
The fingers to her right hand are cool to touch, and the capillary refill time is 3 seconds. Marita is complaining that the cast feels tight.
Her vital signs are: Temperature: 37.6C, Pulse: 115 & regular, Blood Pressure 92/58 mmHg, Respirations: 20 & shallow, Oxygen Saturation: 95% on 3LNP. She says it hurts to breathe.
She is complaining of a dry mouth and being thirsty. There is no record of her passing urine since her return from surgery. Marita can’t remember when she last used the toilet.
She did not eat much of her breakfast but drank some of the orange juice and half a cup of coffee. She said it hurt her face to eat and the coffee was cold and not real coffee. She has a PCA in place and says her pain is bearable at the moment if she doesn’t move too much or try to breathe deeply or cough.
Her PCA and IVT are connected to the cannula in her left arm. She has a litre of Normal Saline running at 40mls/hr.
1. Identify and justify three (3) important health issues that need to be address. Identify and explain the significance of the clinical cues you have used to prioritise your selection.
2. Provide one SMART Nursing goal with each for three health issues identified.
3. Provide two nursing interventions on the basis of current evidence-based literature and explanations of the actions to manage each of the health issues. GET YOUR QUALITY 100% CUSTOM RESEARCH PAPER TODAY
The nurse identifies anxiety and acute pain as priority problems.
The nurse identifies anxiety and acute pain as priority problems. The nurse selects a short-term goal and recognizes the need to discuss the plan of care with Ms. Fisher. After receiving prescriptions for the client, the nurse provides teaching about Ibuprofen, cold applications, and the use of the client’s heating pad at home.
1. What is the two important pieces of information the nurse must provide when teaching Ms. Fisher about Ibuprofen? GET YOUR QUALITY 100% CUSTOM RESEARCH PAPER TODAY
the purpose of the Declaration of Helsinki
In 250 words;
What is the purpose of the Declaration of Helsinki?
Discuss considerations when balancing risks, burdens, and benefits of medical research.
What is the goal of informed consent? GET YOUR QUALITY 100% CUSTOM RESEARCH PAPER TODAY
the medical ward with complaints of stabbing pain with each breath
Mr. F is admitted to the medical ward with complaints of stabbing pain with each breath. He is diagnosed with insufficient secretion of the pleural fluid. Which part of the lungs is responsible for its secretion? And explain its function?
a. Responsible part for secretion. [0.5 Mark]
b. Function explanation [1 Mark] EXCELLENT 100% CUSTOM ESSAY WRITING SERVICE
how competency and image enhancement address devaluation
Explain how competency and image enhancement address devaluation so that a person with a disability can take their rightful place in the community? DO MY PAPER AND GUARANTEE 5 STARS QUALITY
While working in the medical field
While working in the medical field you will undoubtedly need to communicate with patients that have roadblocks that might affect their ability to learn.
List at least four examples of factors that affect learning for patients and explain how you, as a medical assistant, would get past these roadblocks for your patients. GET YOUR QUALITY 100% CUSTOM RESEARCH PAPER TODAY
Identify the role of the primary care advanced practice nurse with regard to health policy and delivery of care?
Identify the role of the primary care advanced practice nurse with regard to health policy and delivery of care? GET YOUR QUALITY 100% CUSTOM RESEARCH PAPER TODAY
developing a plan of care for a patient in the cardiac unit
1. In developing a plan of care for a patient in the cardiac unit what critical thinking skills must be used?
• What are key characteristics of critical thinking?
• What are some of the nursing responsibilities?
2. A nursing student is assisting in getting an adolescent ready for an appendectomy to include the consent for treatment.
• What are ethical principles?
• Legally, who can give consent for medical treatment for this patient?
3. A geriatric nurse is completing the analysis portion of the nursing process following the assessment of a patient with dementia.
• Formulate a nursing diagnosis appropriate for this patient
• Explain the differences between a nursing diagnosis and a medical diagnosis WRITE MY ESSAY TODAY AT LESS THAN $15 AND BEST QUALITY
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