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1. Search for a case scenario related to the Rheumatic heart disease. (Pre-Gestational Conditions)
2. Develop a plan of care by utilizing the official template on the Nursing Care Plan (NCP)
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- Note:- CASE 3: A 15-year-old girl who is a victim of physical and sexual abuse is brought to the health carefacility by her mother for a physical examination. She appears scared, tense, and nervous. She requeststhat the nurse not examine certain parts of her body and asks whether her mother could be presentduring the examination. a. Describe actions the nurse should take during the physical examination to make the clientmore comfortable while collecting the required assessment data.b. What questions must the nurse consider to facilitate analysis of data and identification ofareas where additional physical examination data are needed?. Answer1. An elderly client had recent surgery and is on bed rest. When planning care for the client, which nursing intervention is included in the care plan? a. Daily assessment of the wound site b. Foot and ankle range-of-motion(ROM) exercises c. Wound cleaning with hydrogen peroxide d. Coughing and deep breathing in the prone position1. A school nurse at a High school is tracking the care of a 15-year-old student with asthma who is part of the School's homeless services program. Write a nursing care plan with 4-5 priority nursing diagnoses.
- Diagnosis = Dx. Congestive Heart Failure (CHF). Care Plan: (Must have in your care plan) Refer to Chapter 4 1. (3) problems - related to your potential problems/risks 2. (1) goal/outcome - what is the goal for the resident or patient. 3. (2) nursing interventions - what are the actions or steps that will be taken to accomplish this goal Example: Below - Each problem must have one goal & 1 to 2 nursing interventions. Diagnosis/DX. CHF Problems Outcomes/Goals Nursing Interventions (3) (1) (2) 1. SOB r/t CHF will be f/f SOB will keep HOB up @ least 45 degrees Monitor v/s q shift 2. 3.Category: Management of Care During the endorsement, which of the following clients should the on-duty nurse assess first? A. The 58-year-old client who was admitted 2 days ago with heart failure, blood pressure of 126/76 mm Hg, and a respiratory rate of 22 breaths/minute. B. The 89-year-old client with end-stage right-sided heart failure, blood pressure of 78/50 mm Hg, and a "do not resuscitate" order. C. The 62-year-old client who was admitted 1 day ago with thrombophlebitis and is receiving L.V. heparin. D. The 75-year-old client who was admitted 1 hour ago with new-onset atrial fibrillation and is receiving L.V. diltiazem (Cardizem).1. What is the Ballard scoring system? 2. Describe the physical characteristics of a preterm infant. 3. Explain the manifestations of respiratory distress of the preterm infant. 4. How is sepsis treated in the preterm infant? 5. List the signs and symptoms of cold stress. 6. When an infant is given intravenous calcium gluconate, what should the nurse closely monitor? 7. Summarize the nursing goals in caring for the preterm newborn.
- 1- Nurse Katriz is planning a client education program for sickle cell disease (SCD); what topics should be included in the plan of care? A. Aerobic exercise to improve oxygenation B. Fluid restraint to 1 qt (1 L)/day C. A high-iron, high-protein diet D. Proper hand washing and infection avoidance 2- Sickle cell disease (SCD) primarily affects: A. children of African descent and Hispanics of Caribbean ancestry. B. children of Middle-Eastern and Indian descent. C. children of Asian descent. D. both African descent and Hispanics of Caribbean ancestry and Middle-Eastern and Indian descent.1. To palpate for presence of inguinal hernia in a male client, the nurse needs to instruct the client to: a.Take a deep breath and hold for a moment b.Bear down or cough out c.Flex the hips and knee d.Exhale forcibly and hold for a moment 2. A client has just had an inguinal herniorrhaphy. Which of the following instructions would be MOST appropriate to include in his discharge plan? a.Maintain a high Fowler’s position while resting. b.Turning, coughing and deep breathing every 2 hours. c.Applying a truss before the client ambulates. d.Applying an ice bag to the scrotum. 3. Mr. Diaz a 50-year-old taxi driver was admitted to the medical- surgical unit with rectal bleeding and severe rectal pain. He was diagnosed with hemorrhoids for which he will be treated medically. This treatment will MOST likely include which of the following? a.A high fiber diet. b.A drink of one glass of water with each meal. c.A daily laxative regimen d.A well-balanced diet with cooked vegetables and fruits.…3. The first step before performing bed bath to a bedridden client is: a. Prepare the equipment b. Validate the plan of care c. Assess the client d. Check the medical diagnosis 4. Which type of evaluation occurs continuously throughout the teaching and learning process? a. Summative b. Informative c. Retrospective d. Formative 5. When making decision about the effectiveness of a nursing intervention, the nurse: a. Search information in social media b. Uses evidence-based nursing practice c. Tests and compares its effect to groups of clients d. Consults senior nurse or faculty for advice 6. Which of the following intervention healthy psychosocial response? a. Making referrals to the physician. b. Staying with an anxious client. c. Advising client the best action to do. d. Administration of medication.
- A nurse is reviewing the medical records of 4 clients. The nurse should identify which of the following clients as requiring follow-up care? a. a client who received a Mantoux test 48 hr ago and has an induration b. a client who is scheduled for a colonoscopy and is taking sodium phosphate c. a client who is taking warfarin and has an INR 1.8 d. a client who is taking bumetanide and has a potassium level of 3.6 mEq/L Give typing answer with explanation and conclusion1. Learning about the effects of the illness does what for the nurse and the patient? a. Gives them the basis to establish a trusting relationship b. Gives them each a better understanding of the other c. Gives them the ability to communicate better d. Gives them the opportunity to create a complete and congruent picture of the problem ANSWER: RATIONALE: 2. What occurs during the termination phase of an interview? a. Plan for follow-up care b. Address topics that have not yet been addressed Assess the patient's mental status d. Let the patient know you understood all he or she has told you ANSWER: RATIONALE: с. 3. How would the nursing instructor explain the goal of guided questioning to his or her students? a. Obtaining complete data from the patient b. Facilitating the patient's fullest communication c. Developing a basis for accurate nursing diagnoses d. Creating an opportunity for the early generation of a plan ANSWER: RATIONALE: 4. "How many steps can you climb before you get…Explain 3 assessments you would do as an Enrolled nurse with a patient that has CVA. You may need to include the wife.