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1. What resources would you use to identify evidence based practices for prevention of complications during the perioperative period
2. Identify the evidence as well as the criteria used in evaluating the strength of the evidence for the practices identified.
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- 1.Coversyl 5mg, Doxepin 25mg daily, Atorvastatin 40mg daily . Provide the mechanism of action, side effects correct dosage and contraindications for each medication. Explain how this might affect Geraldine in the post-operative period 2.. Using the Roper-Logan Tierney Model, identify one (1) potential cultural/biopsychosocial issue/problem and discuss how this will affect the patient post-operatively or on discharge Incident: 72 yr old female Mrs Geraldine Berry sustained left fractured neck of femur (#NOF) and laceration to her head 5cm while walking her dog. Tripped on an uneven pathway. PMH: Hypertension and depression Current Medications: Coversyl 5mg Doxepin 25mg daily Atorvastatin 40mg daily SHx: Lives with elderly husband. Is the primary carer for elderly husband who has had a stroke previously and is mildly impaired. Attends church every Sunday and is responsible for arranging flowers for every Sunday service. She has started volunteering at the St Vincent De Paul’s Meals on…8. In the written word, outline information and nurse considerations for educating patients on the following topics: Cervical insufficiency Hydatidiform mole ABO and Rh incompatibilities6_.Suppose You are caring for a client who has been diagonsed with appendicitis . The nurse in charge asked you to assist in the preparaton of this client for surgery in the next four (4) hours. 1. Outline ten (10) of your nursing care management with rationale for this client. 2. The client returns from theater after having appendectomy done. Outline seven (7) immediate post-operative intervention for this client.?
- 7. Mrs J is prescribed oral prednisolone in a descending dose regimen. She is to take 60 mg once daily, reducing by 10 mg every 2 days until a dose of 10 mg is reached. She is then to take 10 mg for 7 days followed by 5 mg for 7 days and then stop. How many prednisolone 5 mg tablets would you need to supply to Mrs J to fulfil the full course of treatment?1. There are at least three AMD discussions between Justin's parents (or mother) and his physician. Describe each experience (location or situation, conversation) then identify the concerns his parents had and those the physician had with each discussion. 2. After viewing the discussions of AMDS with Justin's mother, identify (and provide an example) of at least three challenges of presenting AMDs to family members. 3. Identify the life sustaining treatments Tim's mother and Alex's parents implemented for their children. How did these parents consider their children's self- determination rights in their decisions regarding care? 4.Along with AMDs, what are other concerns a family must contend with when dealing with a family member with a terminal illness?9. What is the nursing care strategy for a constipation risk?
- 7. Describe and give examples of signs and symptoms. Description Sign Symptom 8. Enumerate and describe briefly the non-invasive techniques. Technique Description Examples1. To which type of adverse reaction can medication error be classified? 2. In the course of prescribing to dispensing, identify five possible causes of a medication error and give theapplicable preventive measures. 3. What are the steps taken when adverse reactions are found to occur?1.In not more than five(5) pages, discuss the role of nutrition in the management ofdyslipidemia and diabetes.Indicate how the nurse can facilitate the nutritionalinterventions.
- c. List of CLIA waived tests on campus ▪ FOBT test ▪ Urinalysis ▪ Pregnancy test ▪ Diabetic test . Strep A (throat cultures) 3. Discuss the following questions: Do you think it is important to have a list of available test kits? In addition to this, can POL use a test kit that does not appear in this list?2. A client with a family history of kidney stones has come to a healthcare facility for an annual health checkup. The client has had two previous experiences with renal colic. The client states, “I really don’t ever want to experience that kind of pain again.” a. What factors should the nurse include when teaching the client about kidney stones for those with a family history of the same?b. What general measures should the nurse suggest to prevent formation of kidney stones? 3. A client who had a bladder tumor recently underwent surgery for removal of the urinary bladder with creation of an ileal conduit. An appliance is fitted over the surgical stoma.a. The nurse would monitor the client for which possible complications? b. What measures should the nurse include when providing postoperative care for this client?2. You are a nurse in a medical-surgical hospital unit caring for a patient who had an open cholecystectomy 3 days earlier. Subsequently, the patient developed a paralytic ileus. Additional complications require continued postoperative antibiotic infusions. (Learning Objectives 2, 3, and 5) a. What nursing assessment finding could indicate the presence of a paralytic ileus? b. Which medical interventions could have contributed to the development of your patient’s paralytic ileus? c. How long would you expect the paralytic ileus to last? d. In what ways would you expect a paralytic ileus to resolve? e. List possible nursing diagnoses for this patient related to the surgical procedure and postoperative complications.