George LeForte is gowned and ready for his cervical myelogram. What should you do to prepare for the injection procedure? How should Mr. LeForte be positioned for the contrast injection? What should you watch for as you monitor his condition after injection?
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George LeForte is gowned and ready for his cervical myelogram. What should you do to prepare for the injection procedure? How should Mr. LeForte be positioned for the contrast injection? What should you watch for as you monitor his condition after injection? What is your responsibility with regard to his spinal fluid specimens? What instruction should he receive for follow-up care?
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- If Russell is diagnosed with Parkinson’s disease and chooses not to pursue treatment, what is his prognosis?Ms. Mabel Zack is transferred to your rehabilitation facility after a cerebral vascular accident (stroke) 2 weeks ago. When you review her chart, it indicates she has right-sided hemiparesis, memory deficits, and dysphagia (difficulty swallowing). Before giving medication to a patient, what is the right that have to be observed and how do you implement it?According to your analysis of the case, what factors are contributing to the patient’s presenting signs and symptoms? Should she/he continue her/his current medication regimen? Why or why not? Which medications should be continued and which medications should be eliminated? What treatments or interventions do you anticipate being ordered for this client?
- Mr. Anwari, age 73, is brought to the physician’s office by his daughter, Lucy, who is a licensed practical nurse (LPN). She states her concerns about her father: During the past 2 months he has been found wandering in the neighborhood because he forgets where he lives. Neighbors see him, note that he appears confused, and bring him home. Lucy is worried that her father is showing signs of early Alzheimer’s disease.1. Describe the physical changes that occur in the cortex of the brain.2. Describe the stages of Alzheimer’s disease.3. Describe the physiological and psychological changes that occur during Alzheimer’s dementia.4. What are the functions of the frontal lobe of the cerebral cortex?5. What parts of the limbic system may be affected in Alzheimer’s disease?6. What would be the concerns of the family when a person is diagnosed with this disease?An elderly man presents himself to the ER. He has contractures and paralysis of his left hand and is aphasic. Upon questioning, he removes his left shoe and points to his big toe. The nurse is unable to gather additional information from him because of his difficulty in communicating. She asks if someone is accompanying him, He shakes his head. The nurse asks him how he came to the hospital, He shows her a driver's license. Subsequently the nurse leaves the room and returns a few minutes later to find that the patient has left the hospital having received no care. 1. What are the ethical implications in this situation? 2. What ethical principles are involved? 3. Should the nurse locate the patient and ensure that be is not endangering himself or others by driving? Would this be a breach of confidentiality? Autonomy? 4. How does the nurse express fidelity in this situation?An elderly man presents himself to the ER. He has contractures and paralysis of his let hand and is aphasic. Upon questioning, he removes his left shoe and points to his big toe. The nurse is unable to gather additional information from him because of his difficulty in communicating She asks if someone is accompanying him, He shakes his head. The nurse asks him how he came to the hospital. He shows her a driver's license. Subsequently the nurse leaves the room and returns a few minutes later to find that the patient has left the hospital having received no care. 1. What are the ethical implications in this situation? 2 What ethical principles are involved? 3. Should the nurse locate the patient and ensure that he is not endangering himself or others by driving? Would this be a breach of contidentiality? Autonomy? 4. How does the nurse express fidelity in this situation?
- Ms. Ibrahim, 72, fell in the hall and injured her right leg. She needs to be transported by wheelchair to the X-ray department. You are assigned to get her ready to go. Consider these questions to determine how you will safely move Ms. Ibrahim. How will you prepare Ms. Ibrahim for the transfer? What will you tell her? What clothing should she wear? How will you prepare the wheelchair? What safety preparation will you do? What comfort concerns will you consider? On which side of the bed will you position the wheelchair? Why? What assessments of Ms. Ibrahim are likely to be done before and after the transfer? Why? How will you position yourself as you prepare to transfer Ms. Ibrahim? How will you move to prevent injury to yourself?Rick Andrew, a 45-year-old male client who had a cerebral vascular accident 1 week ago, is admitted to the rehab unit. The neurological deficits include the following: right arm paralysis, right leg weakness, right-sided homonymous hemianopsia, dysphagia, and expressive aphasia. The RN needs to manage the nursing care for the client’s neurological deficits. What nursing management does the client need? Explain how to prevent shoulder subluxation from occurring.SITUATION: Mr Chong was brought into Emergency Department (ED) last night by ambulance after collapsing at home. The ED Registered Nurse reported that Mr Chong was alert and orientated to person, time and place on admission. He has global aphasia, left gaze preference, right homonymous hemianopia (field cut), right facial droop, dysarthria, and right hemiplegia. CT angiography showed a left Middle Cerebral Artery (MCA) occlusion (Fig 1). 12-lead ECG showed Atrial Fibrillation (Fig 2). BACKGROUND Mr Chong has a past medical history of Coronary Artery Disease, Coronary Artery Bypass Grafting, Atrial Fibrillation and previous TIA (Transient Ischaemic Attack) three month ago. Mr Chong is retired and independent with activities of daily living. He speaks simple English. Mr Chong lives with his wife and two sons. ASSESSMENT His last Glasgow Coma Scale (GCS) is between 13-14 (disorientated and occasionally confused to time and place) and other vital signs are within normal limits. His BGL:…
- SITUATION: Mr Chong was brought into Emergency Department (ED) last night by ambulance after collapsing at home. The ED Registered Nurse reported that Mr Chong was alert and orientated to person, time and place on admission. He has global aphasia, left gaze preference, right homonymous hemianopia (field cut), right facial droop, dysarthria, and right hemiplegia. CT angiography showed a left Middle Cerebral Artery (MCA) occlusion (Fig 1). 12-lead ECG showed Atrial Fibrillation (Fig 2). BACKGROUND Mr Chong has a past medical history of Coronary Artery Disease, Coronary Artery Bypass Grafting, Atrial Fibrillation and previous TIA (Transient Ischaemic Attack) three month ago. Mr Chong is retired and independent with activities of daily living. He speaks simple English. Mr Chong lives with his wife and two sons. ASSESSMENT His last Glasgow Coma Scale (GCS) is between 13-14 (disorientated and occasionally confused to time and place) and other vital signs are within normal limits. His BGL:…An elderly man presents himself to the ER. He has contractures and paralysis of his left hand and is aphasic. Upon questioning, he removes his left shoe and points to his big toe. The nurse is unable to gather additional information from him because of his difficulty in communicating She asks if someone is accompanying him. He shakes his head. The nurse asks him how he came to the hospital. He shows her a driver's license. Subsequently the nurse leaves the room and returns a few minutes later to find that the patient has left the hospital having received no care. QUESTION: What is the beneficent action?What are the nursing considerations for a patient undergoing a MRI scan?