Becky has been admitted to hospital she needs to be treated for diabetic ketoacitosis. Becky is withdrawn and has said she wants to go home, she says will be ok and that she doesn’t want the treatment. What is the nurses role?
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- Sally Conner is a 60-year-old who recently suffered a stroke at home. She has been moved into Real Nice Long Term Care facility for recovery. Her vital signs are normal but complains of intermittent mild headaches. She has left sided weakness in her arm and leg, and currently spends most of her time in bed. She suffered from CVA last month which has left her debilitated and dependent with self-care. She has difficulty with swallowing and requires assistance with feeding. You will assist her with brushing her teeth, provide a partial bed bath, help her change her gown, and change her bed while she is in it. Discussion Questions: If patient has weakness on left side, where should you best approach the patient and why?Sally Conner is a 60-year-old who recently suffered a stroke at home. She has been moved into Real Nice Long Term Care facility for recovery. Her vital signs are normal but complains of intermittent mild headaches. She has left sided weakness in her arm and leg, and currently spends most of her time in bed. She suffered from CVA last month which has left her debilitated and dependent with self-care. She has difficulty with swallowing and requires assistance with feeding. You will assist her with brushing her teeth, provide a partial bed bath, help her change her gown, and change her bed while she is in it. Question: If patient has weakness on the left side, where should you best approach the patient and why?Jason is a call center agent for nine months, Since, he is in an night shift schedule, his healthy lifestyle is affected. He often eats in the fast food chain and spends his entire day sleeping. Now, Jason loves eating processed foods such as: pizza, fried chicken, spaghetti, burger and starts gaining weight. Gina, his mother always reminds him to stop his unhealthy diet and need to change his lifestyle. One day, Gina noticed that Jason suddenly having trouble in walking, shortness of breath and having chest pain. She decided to bring him in the hospital and asked the condition of Jason to the doctor. The doctor said that Jason's condition may lead to heart failure. What do you think is the cause of Jason's condition? Does eating too much processed foods affect Jason's body? How? Justify your answer inside the box.
- How should the nurse educate the diabetic patient on foot care?A client being treated for rheumatoid arthritis has been prescribed a corticosteroid. How should the nurse best ensure this client's safety during treatment? O Educate the client about the difference between tolerance and dependence. O Ensure the client knows to taper down the dose if it is discontinued by the care provider. O Teach the client the signs and symptoms of gastrointestinal bleeding. O Educate the client about the need to avoid grapefruit and grapefruit juice during treatment.Twenty-six-year-old Wei isn’t feeling well. Wei uses he/him/his pronouns. He is more tired than usual, dragging through his workdays despite going to bed earlier and napping on the weekends. He doesn't have much of an appetite and has started losing weight. When he presses on the side of his neck he notices an unusual lump. Wei goes to his doctor, who performs a physical exam and determines that the lump is a swollen lymph node. Lymph nodes are part of the immune system, and they will often become enlarged when the body is fighting off an infection. Dr. Bouazizi thinks that the swollen lymph node and fatigue could be signs of a viral or bacterial infection, or indicate a type of cancer called lymphoma. However, an infection is a more likely cause, particularly in a young person like Wei. Dr. Bouazizi prescribes an antibiotic in case Wei has a bacterial infection and advises him to return in a few weeks if his lymph node does not shrink or if he is not feeling better. Wei returns a few…
- How can older adults avoid polypharmacy? What is the nurse’s role in preventing polypharmacySusan is a very slight 60year old woman of Japanese heritage with Down syndrome. She is post-menopausal and never has been very active as she uses a power wheelchair because of her foot problems which include bunions, uncut toe nails and uneven foot pads. She does not enjoy eating and it is always a struggle to get her to eat. Although she can feed herself, she will rarely finish a meal unless encouraged. Her favorite position to eat is lying on her bed watching television. After several bone fractures that resulted when she was transferred from a chair to bed, a bone-density test was done. It was discovered that she had significant bone loss in her hips and was given a diagnosis of osteoporosis. Her physician prescribed Tums™ and Fosamax™ to see whether it will prevent further bone loss and to perhaps rebuild some of the calcium lost. The oral medicine must be given on a daily basis in the morning, before any food is ingested and the individual must remain vertical until the liquid…Patient lives with her husband in a double storey house located 150kms from the nearest medical facilities. The bedrooms, toilet and shower are all upstair There is also a downstairs toilet Patient can transfer independently and is normally mobile with an altered gait and often needs to use a walking stick. However, states that she is currently not walking very much ‘my joints are too sore and stiff’ and needs help from her husband to climb up the stairs. She doesn’t drive so social connections are very limited Currently reports not being able to sleep properly and only managing 2-3 hours per night due to the pain in her joints She has a good appetite and states that she adheres to her diabetic diet Her husband does the housekeeping, but the patient is able to cook their meals. Is compliant with her prescribed medication but relies heavily on over the counter anti-inflammatory medications and bush remedies Relies on her husband to assist her with ADL’s due to her mobility Has…
- What extra care and paperwork do i need to put in place when working as a psychotherapeutic counsellor with a client who is a witness to child endangerment and going to be invloved in UK court proceedings?The pain management nurse speaks with the patient about how to avoid constipation after starting their prescribed opioid. The nurse knows the patient understands when he states which response? O I will start using bulk enemas I will start on a stool softener I will decrease my fluid intake I will decrease my exercisingSandy is taking an SSRI, but at a lower dose than her sister. She wants to know why the same dose is not used and whether she should take as much as her sister. What will you tell her? What are the risks of self-adjusting dosages of medications? What are the side effects of stopping these drugs cold turkey?
