Nursing questions – answers needed by thursday.
Complete each plight consider utilizing collegiate formatting (MLA or APA); emblemd in Cambria or New Times Roman 12 aim font in ONE instrument. Citations exactd.
Case studies are plight inequitable. Your answers should consider the impost and your separation of the instruction in the plight consider... no generalized answers of all substance concerning the satisfied.
QUESTION 1: Healthpreservation Delivery and Evidenced –Based Nursing Practice
The registered encourage agoing in the cardiac preservation clinic is tasked delay tooling description advancement estimates. To disciprow the clinic staff, the encourage artfulnesss an in-service program to pass-in concepts of description advancement and evidence-inveterebuke custom. Additionally, the role of the plight director gain be interposed in the offerion. The encourage artfulnesss on using preservation of the resigned delay Congestive Nucleus Failure as a template, and prepares illustration clinical pathways, preservation maps, and multidisciplinary exercise artfulnesss. (Learning Objective 3)
a. Portray how clinical pathways are used to coordinate preservation of plightloads of resigneds.
b. What is the role of the plight director in evaluating a resigned’s movement?
c. What are examples of evidence-inveterebuke custom tools used for artfulnessning resigned preservation?
QUESTION 2: Community-Based Nursing Practice
Mrs. Johnson, a 67-year-old feminine resigned, has of-late been discharged from the hospital forthcoming an advance for COPD. She has a departed medical fact of a colon reexception united to intelligent diverticulitis. She familiar a surgical hurt taint that exacts daily wet to dry hurt packing and IV Zosyn. Mrs. Johnson was discharged delay abode oxygen. To direct her preservation at abode, abode preservation marks were appointed. (Learning Objective 5).
a. What would be implicated in setting up the principal abode preservation mark?
b. Portray the nursing imposts and directment that would befall during the mark.
QUESTION 3: Plight Study, Chapter 3, Critical Thinking, Divine Decision Making, and the Nursing Process
1. Mrs. Elle, 80 years of age, is a feminine resigned who is diagnosed delay end-stage cancer of the slight interior. She is floatingly receiving self-satisfoperation estimates simply in hospice. She has gangrene of her lawful sole and has a fact of diabetes inferior delay verbal commissioners. She is chaotic and the physician has immovserviceable that she is unserviceable to reach her own assured decisions. The hospice encourage, not realizing that the weekly apsubject-matter for CBC and renal mark had been discontinued, obtained the labs and sent them to the nearby laboratory for mannering. The monstrous lab results obtained behind that day biblical that the resigned demanded a race transfusion. The hospice encourage updated the resigned’s medical rule of counsellor who was distressed at the narration. The resigned’s wishes were to die peaceabundantly and to not possess to sustain an stripping of her lawful sole. But if the resigned obtain?}s the race transfusion, she may speed hanker ample to demand the stripping. The resigned’s physician had previously assured the medical rule of counsellor that the resigned would most lovely not be serviceserviceable to outdecisive the stripping. The resigned’s medical rule of counsellor had made the desire to intermit all labs so that the resigned would obtain?} self-satisfoperation estimates until she died. The resigned has no annoyance of failure of inhalation or trouble. (Learning Objective 4)
What divine fix exists?
Who are the stakeholders and what gains or losses do each possess?
What strategies should the hospice encourage obtain?} to dictate the divine fix?
Chapter 4, Vigor Information and Vigor Promotion
he fraternity vigor encourage is artfulnessning a vigor furtherance effortshop for a proud initiate PTSO (Parent-Teacher-Student Organization). The rare of topics was intimateed by the proud initiate’s registered encourage who has observed a progressive growth in scholar fleshiness. The two encourages possess collaborated to unfold this effortshop to prepare parents, scholars, and teachers delay instruction environing the significance of vigor furtherance. (Learning Objectives 6, 8, and 9)
a. Portray the significance of a nucleus on vigor furtherance.
b. According to the vigor furtherance copy familiar by Becker (1993), what indecent variables rule the segregation and use of vigor furtherance behaviors?
c. Describe indecent components of vigor furtherance.
QUESTION 5: Chapter 5, Adult Vigor and Nutritional Assessment
The registered encourage prepares to pass a nutritional impost on Mrs. Varner, a 52-year-old Caucasian feminine who portrays herself as “overmoment most of my adult existence.” The client states that her vigor is amiable. She efforts portio term as a receptionist and volunteers environing 10 hours per week in her habitation. The encourage obtains Mrs. Varner’s summit as 64 inches and her moment as 165 pounds. (Learning Objective 8)
a. What is the rationale for computing association bulk condemnation? What is Mrs. Varner’s BMI?
b. Calculate her notional association moment. What is your impost of her BMI and moment?
c. Inveterebuke on Mrs. Varner’s BMI and moment, the encourage estimates her waist boundary. Portray the suitable proceeding for this impost.
d. Mrs. Varner’s waist boundary is 38 inches. What is your impost?
e. What laboratory values would the encourage retrospect to evaluate Mrs. Varner’s protein smooths?
QUESTION 6: Chapter 6, Individual and Rise Homeostasis, Stress, and Adaptation
Mary Turner stepped on a nail 5 days ago and sustained a terebrebuke environing 1 inch penetrating. She behind a whileout-delay cleaned the area delay soap and steep and hydrogen peroxide, and applied triple antibiotic ointment to the predicament. Today she succeeds to the clinic delay annoyances of growthd asceticism and swelling in her sole. On impost, the encourage notes that the terebrebuke predicament is red and edematous, and has a abstinent quantity of yellowish parchage. (Learning Objective 9)
a. Portray the continuity of events that caused the topical inflammation seen in Mary’s sole.
b. What is the role of histamine and kinins in the aggravating manner?
c. Which of the five principal signs of inflammation does Mary offer?
d. Owing Mary’s waste befallred 5 days ago, the encourage should assess for what systemic property?
Chapter 7, Overview of Transcultural Nursing
The encourage director of an ambulatory preservation clinic has famed an growthd enumerebuke of marks by resigneds from irrelative estimateries and cultivations, including resigneds from Mexico and other Latin American estimateries. Concerned environing parley the demands of this culturally various population, the encourage director convenes a staff parley to examine this substitute in resigned demographics, and to inquiry the staff environing any tuition demands they possess united to the preservation of these resigneds. (Learning Objective 3)
a. What manoeuvre to eschew stereotyping clients from other cultivations should the encourage embrace in this parley?
b. Establish culturally easily-affected issues to be examiwant in the staff parley.
c. One technician on the staff complains that some resigneds never reach eye reach, and this reachs it up-hill for him to adequate his effort. How should the encourage answer?
QUESTION 8: Chapter 8, Overview of Genetics and Genomics in Nursing
Mr. Wayne is a 38-year-old man delay a symbolical rise fact of loud cholesterol smooths. His father died at age 42 from a bulkive nucleus invasion inferior to loud cholesterol and triglycerides, and two of his older siblings are floatingly preface medications to inferior their cholesterol smooths. Mr. Wayne reachs an Nursing Assignment to examine his occasion for hypercholesterolemia. The encourage recognizes that Mr. Wayne is at occasion for familial hypercholesterolemia owing this is an autosomal dominant inherited case. (Learning Objective 2)
a. Portray the exemplar of autosomal dominant hereditament.
b. Mr. Wayne asks what haphazard his progeny possess of unfolding familial hypercholesterolemia. How should the encourage answer?
c. Explain the phenomenon of penetrance observed in autosomal dominant hereditament.
QUESTION 9: Chapter 9, Constant Illness and Disability
Mr. Edwards is 20-year-old manly resigned who is admitted for matter of recurring pyelonephritis (consanguinity taint) and surgical matter of a urinary dispraise, which has decreased the urinary drift. Mr. Edwards has paraplegia; he is old from the waist down inferior to an automobile property when he was 16. He came by ambulance to the hospital, leaving his wheelchair and wheelchair urgency-relieving cushion at abode. According to the nursing fact, the resigned is a nonsmoker and he does not quaff alcohol or obtain?} any illicit drugs. (Learning Objective 5)
a. What nursing considerations should be made for Mr. Edwards united to his forfeiture?
b. What vigor furtherance and hinderance information does Mr. Edwards demand?
QUESTION 10: Chapter 10, Principles and Practices of Rehabilitation
You are assigned to preservation for David Ramsey, a 22-year-old manly resigned who sustained a tail waste inferior to substance thrown from a motorcycle. He did not mischief the spinal outline, but the computed tomography biblical a compression laceration at L-2 (lumbar area). David complains of critical inferior tail asceticism delay insensibility and tingling in the inferior extremities. You establish the forthcoming nursing diagnosis: Impaired Physical Mobility.
(Learning Objective 4)
a. What imposts are indicated inveterebuke on this nursing diagnosis?
b. List other main nursing diagnoses inveterebuke on David’s clinical offerion.
Chapter 11, Vigor Preservation of the Older Adult
The encourage agoing at the senior impenetrableihood notices Mrs. Jones, a 78-year-old, crying. The encourage approaches Mrs. Jones and asks if she demands acceleration. Mrs. Jones states “I am so chaotic. I had another property and my pants are all wet. It’s love I’m a baby. I never should possess succeed to the senior impenetrableihood.” (Learning Objectives 3 and 4)
a. What factors may be contributing to the urinary intemperance?
b. How should the encourage answer to Mrs. Jones?
Chapter 12, Asceticism Management
Mr. Rogers is 2 days postoperative of a thoracotomy for resistance of a pernicious bulk in his left chest. His asceticism is substance directd via an epidural catheter delay morphine (an opioid analgesic). As the encourage assumes preservation of Mr. Rogers, he is prepared and abundantly oriented, and states that his floating asceticism is 2 on a 1-to-10 layer. His living signs are 37.8 – 92 – 12, 138/82. (Learning Objective 6)
What are benefits of epidural versus systemic government of opioids?
b. The encourage warners Mr. Rogers’ respiratory status and living signs full 2 hours. What is the rationale for these repeated imposts?
c. The encourage warners Mr. Rogers for what other complications of epidural analgesia?
d. Mr. Rogers complains of a critical dissipation. What should the encourage do?
e. Mr. Rogers’ epidural morphine and decreased mobility growth his haphazards of constipation. What interventions should be interposed in his artfulness of preservation to minimize constipation?
Chapter 13, Liquescent and Electrolytes: Balance and Disturbance
Mrs. Dean is 75-year-old mother admitted to the hospital for a slight bowel obstacle. Her medical fact embraces hypertension. Mrs. Dean is NPO. She has a nasogastric (NG) tube to low consecutive suction. She has an IV of 0.9% NS at 83 mL/hr. Floating medications embrace furosemide 20 mg daily and hydromorphone 0.2 mg full 4 hours, as demanded for asceticism. The future electrolytes divulge serum potassium of 3.2 mEq/L. (Learning Objective 4)
a. What are feasible causes of a low potassium smooth?
b. What exercise should the encourage obtain?} in kindred to the serum potassium smooth?
c. What clinical manifestations capacity the encourage assess in Mrs. Dean?
Chapter 14, Appall and Multiple Organ Dysfunction Syndrome
Adam Smith, 77 years of age, is a manly resigned who was admitted from a nursing abode to the intensive preservation item delay septic appall inferior to urosepsis. The resigned has a Foley catheter in locate from the nursing abode delay sluggish greenish, yellow-colored urine delay sediments. The encourage removes the catheter behind obtaining a urine cultivation and replaces it delay a condom catheter decided to a parchage bag gone the resigned has a fact of urinary and bowel intemperance. The resigned is chaotic, afebrile, and hypotensive delay a race urgency of 82/44 mm Hg. His respiratory rebuke is 28 inhalations/min and the pulse oximeter balbutiation is at 88% extent air, so the physician appointed 2 to 4 L of oxygen per nasal cannula titrated to protect SaO2 senior than 90%. The resigned answered to 2 L of oxygen per nasal cannula delay a SaO2 of 92%. The resigned has diarrhea. His race glucose smooth is loud at 160 mg/dL. The colorless race estimate is 15,000 and the C-reactive protein, a marker for inflammation, is loud. The resigned is substance treated delay broad-spectrum antibiotics and norepinephrine (Levophed) opening at 2 mcg/min and titrated to protect systolic race urgency senior than 100 mm Hg. A subclavian triple lumen catheter was inserted and attested by chest x-ray for chasten locatement. An arterial row was located in the lawful radial artery to closely warner the resigned’s race urgency during the custom of the vasopressor therapy. (Learning Objectives 6 and 7)
a. What predisposed the resigned to unfold septic appall?
b. What germinative findings would intimate that the resigned’s septic appall is worsening from the aim of advance?
c. The norepinephrine energy is 16 mg in 250 mL of recognized sarow (NS). Explain how the encourage should direct the medication. What nursing implications are united to the custom of a vasoactive medication?
d. Explain why the agency of a vasoactive medication decreases as the septic appall worsens. What matter should the encourage apprehend to be obtained to acceleration the resigned?
Chapter 15, Oncology: Nursing Skill in Cancer Care
The oncology clinical encourage especialist (CNS) is asked to unfold a staff unfoldment program for registered encourages who gain be directing chemotherapeutic commissioners. Owing the encourages gain be directing a multiplicity of chemotherapeutic drugs to oncology resigneds, the CNS artfulnesss on offering an aggravateview of commissioners, classifications, and eespecial precautions united to the sure handling and government of these drugs. (Learning Objectives 6 and 8)
a. What does the CNS portray as the goals of chemotherapy?
b. How should the CNS answer to the forthcoming question: “Why do resigneds exact rounds of chemotherapeutic drugs, including irrelative drugs and varying intervals?”
c. In instruction environing the government of chemotherapeutic commissioners, what signs of extravasation should the encourage embrace?
d. What clinical manifestations of myelosuppression, inferior to chemotherapy government, should the CNS embrace in this program?
Chapter 16, End-of-Life Care
Joe Clark, 79 years of age, is a manly resigned who is receiving hospice preservation for his marginal illnesses that embrace lung cancer and constant preventive pulmonary sickness (COPD). He familiar bilateral pleural pouring (liquescent that accumulates in the pleural intervenience of each lung), which has implicated his lung expatiation. He states that he is narrow of inhalation and feels restless that the offer inhalation gain be his decisive. The resigned is admitted to the hospital for a thoracentesis (an invasive proceeding used to parch the liquescent from the pleural intervenience so the lung can unfold). The thoracentesis is substance used as a initiative estimate to succor the disself-satisfoperation he is experiencing. Low dose morphine is appointed to prepare alleviation from dyspnea or trouble. The resigned is prescribed Proventil (albuterol) inhaler 2 puffs per day, as demanded, and Flovent (fluticasone propionate) inhaler 2 puffs twice a day. The resigned has 2 L/min of oxygen appointed per nasal cannula as demanded for self-satisfaction. (Learning Objective 9)
a. What nursing estimates should the encourage use to direct the resigned’s dyspnea?
b. The resigned complains that he has no want and struggles to eat and inhalatione. What nursing estimates should the encourage tool to direct this physiologic acceptance to the marginal illnesses?
Chapter 17, Preoperative Nursing Management
The encourage in a gynecology clinic is completing preoperative instruction for a resigned scheduled for an abdominal hysterectomy offer week. The resigned states that she is floatingly preface 325 mg of aspirin daily for constant elbow asceticism, ahanker delay a multivitamin. The resigned has emblem 2 diabetes; she closely warners her race glucose smooths. Currently, she is preface an verbal hypoglycemic commissioner. The encourage advises her to ask the anesthesiologist whether she should obtain?} this medication the future of surgery. (Learning Objectives 2 and 4)
a. The encourage instructs the resigned to plug preface the aspirin. What is the rationale for this exercise?
b. Why is it main to assess the resigned for use of herbal products anterior to surgery?
c. The resigned asks how surgery could favor her race glucose; how should the encourage answer?
QUESTION 18: Chapter 18, Intraoperative Nursing Management
Pearl Richards, 69 years of age, is a feminine resigned who is in the exempt extent for a recaggravate of an abdominal aortic aneurysm. The resigned has a fact of hypertension inferior delay medications, osteoporosis, constant preventive pulmonary sickness, and has smoked two packs of cigarettes per day for 40 years. (Learning Objectives 2, 6, and 9)
a. What nursing interventions are started to subject the surgical occasion factors united to the resigned’s age?
b. Explain the role of the encourage in providing resigned surety estimates during the intraoperative space.
QUESTION 19: Chapter 19, Postoperative Nursing Management
1. Rita Schmidt, 74 years of age, is a feminine resigned who was admitted to the surgical item behind sustaining resistance of a exception of the colon for colorectal cancer. The resigned does not possess a colostomy. The resigned has divers slight abdominal incisions and a unclouded verbiage aggravate each predicament. The incisions are polite approximated and the staples are dry and sacred. There is a Jackson-Pratt parch sacred delay minimal serous sanguineous parchage offer. The resigned has a Salem sump tube united to low consecutive bastion suction that is parching a slight quantity of brown flowing. The resigned has no bowel sounds. The Foley catheter has a slight quantity of black amber-colored urine delayout sediments. The resigned has sequential compression design (SCD) in locate. The encourage achieves an impost and notes that the resigned’s inhalation sounds are decreased bilaterally in the bases and the resigned has inspiratory crackles. The resigned’s cardiac impost is delayin recognized limits. The resigned is receiving O2 at 2 L per nasal cannula delay a pulse oximetry balbutiation of 95%. The living signs embrace: race urgency, 100/50 mm Hg; nucleus rebuke 110 bpm; respiratory rebuke 16 inhalations/min; and the resigned is afebrile. The resigned is chaotic as to locate and term. (Learning Objectives 4 and 7)
a. Explain the impost parameters used to prepare clues to expose postoperative problems future and the interventions demanded.
b. What gerontological postoperative considerations should the encourage reach?
2. Mr. John Smith is admitted to the hospital for surgical incision and parchage (I&D) of an ulcer on his lawful calf, which resulted from a farm machinery property. The lawful calf has an area 3 cm × 2.5 cm, which is red, enthusiastic and impenetrable to reach, and edematous. (Learning Objective 5)
a. Explain the hurt beneficial manner according to the deportment of Mr. Smith’s hurt?
b. The surgeon appoints for wet-to-dry unproductive sarow verbiage twice a day delay iodoform gauze to the hurt, finished delay the wet-to-dry verbiage. Explain how to achieve this verbiage substitute
Fundamentals of Nursing Second Edition Theory, Concepts and Applications by Judith M. Wilkinson, Leslie S Treas .