Q: A 73-year-old male complain with severe chest pain, irradiating to the left arm and jaw. The patient…
A: According to the question, the patient is presented with symptoms of severe chest pain which is…
Q: Post Operation Ms. Lalchan had laparoscopic hernia repair surgery done under general anaesthetics…
A: Hernia It is a protrusion of an organ or tissue outside its normal body or through an abnormal…
Q: A female patient who is having a myocardial infarction com-plains of pain that is situated in her…
A: Any abnormal condition that hinders optimum body functioning is considered a disease. The organ of…
Q: Identify the correct Anesthesia code assignment for each of the following surgical procedures. 1.…
A: CPT codes also called Current Procedural Terminology codes are a way to label medical procedures in…
Q: A 20-year-old man, height 5.8 ft and weight 65 kg, with no past medical history presented to a…
A: The number of drops (gtt) supplied to the patient per minute is used to describe the rate of an…
Q: Question 1 Identify and justify with evidence two risk factors that may have contributed to Mr…
A: Left Middle Cerebral Artery (MCA) It is the largest branch of the internal carotid artery, and…
Q: Mrs. Reyes, 71 yearsold, while doing household chores has fallen her front steps. She had a large…
A: Condition of the patient:- HR 125 which is above the normal limits (between 60-100 beats per min.)…
Q: Pick the best imaging/diagnostic procedure to rule out hemorrhagic stroke: Lumbar Puncture CT scan…
A: Hemorrhagic stroke or brain bleeding or hemorrhagic cerebrovascular disease or brain hemorrhage…
Q: Which pulse should the nurse palpate during rapid assessment of an unconscious adult? O a. Carotid O…
A: Question is related to emergency care of patients. Patient is unconscious adult. When unconscious…
Q: Post Operation Ms. Lalchan had laparoscopic hernia repair surgery done under general anaesthetics…
A: The female is present with Strangulated hernia which is a dangerous and life-threatening condition.…
Q: The physician accidentally entered an order into the computer to request a cardiology consultation…
A: Physician order is one of the most common way of delegating health care team for providing…
Q: You are asked to speak with an athlete that just passed out for no apparent reason. What history…
A: Fainting or syncope is defined as the loss of consciousness followed by regaining consciousness. It…
Q: 3. Is 3% Sodium Chloride infusion recommended to be infused via peripheral line? Please provide…
A: 3% sodium chloride is a hypertonic solution which has omolarity of 900 mOsm/L. It is a life saving…
Q: An aneurysm which is symmetrical along the long axis of an artery is called a ___. saccular…
A: Bulging out or ballooning of arterial wall results into aneurysum.A ruptured aneurysm can result in…
Q: Give 4 causes of crystal formation in a synovial fluid. V. Name the tests and storage of the 3…
A: Synovial fluid, also known as joint fluid, is a thick liquid located between your joints.
Q: Mr. Doe complains of pain and somewhat restless already. Identify 3 priority nursing diagnosis…
A: Mr. Doe goes to post anaesthesia care unit . In PACU he is extubated and begins to awaken from…
Q: What is Tritanopia and what difficulty would a patient experience who has this
A: Tritanopia is often referred to as color blindness with a special a condition in vision which…
Q: Which putse should the nurse palpate during rapid assessment of an unconscious adult? O a. Carotid O…
A: Palpation of artery is an important procedure which helps in determining the pulse of the patients…
Q: Molly Carpenter, a 44-year-old female client,is admitted with an embolic stroke, and the…
A: Trans-esophageal echocardiography (TEE) is an advanced diagnostic test that provides a clear picture…
Q: Local anesthesia can be achieved by injecting ______________ into the epidural space. Lidocaine…
A: Lidocaine is used as epidural anaesthesia.
Q: A 26-year-old male was returning from a neighborhood store with a six-pack of beer. He attempted to…
A: Immobility It is a modified state of mobility characterized by restricted movement due to loss of…
Q: Vital signs monitors give medical personnel an indication about the patient's condition and enable…
A: Nursing care is the field of clinical practice of administration of drug ,patient counselling and…
Q: Mrs. Smith is now hospitalized, having become ill during the flu season. She was initially diagnosed…
A: A do-not-resuscitate order is a medical order legally signed by a physician at the request of…
Q: A 62-year-old male stroke patient was brought to the Emergency Department with weakness on one side…
A: Cerebrovascular accident It is an ischemic stroke or brain attack, characterized by sudden loss of…
Q: hydrocephalus
A: Introduction:- Hydrocephalus comes from the Greek words: “Hydro” meaning water and “cephalus”…
Q: MATCHING: COMMON ABBREVIATIONS 1. A. single-photon emission computed tomography angio 2. CAT (or CT)…
A: Biological techniques are processes or methods for studying living organisms. For biological…
Q: Which of the following would be used to identify client's with myocardial infarction
A: Heart is the pumping organ of body which help in plumping of blood to various organs and tissues…
Q: Physiological system involved Specific mechanism How drug alters that mechanism to provide relief
A: 1) main system to be involved is nervous system And other physiological system having their centres…
Q: Mr. Wright is recovering from abdominal surgery. When thenurse assists him to walk, she observes…
A: Pain is considered to be a complex phenomenon that affects the person both physically and…
Q: Post Operation Ms. Lalchan had laparoscopic hernia repair surgery done under general anaesthetics…
A: Hernia It is a protrusion of an organ or tissue outside its normal body or through an abnormal…
Q: Situation: A 64-year-old man comes to the emergency department with acute chest pain. He is holding…
A: If the patient reports pain ,the nurse takes immediate action. When a patient experiencesangina, the…
Q: John, an overweight 49-year-old man with history of diabetes and hypertension is playing soccer.…
A: Some risk factors in this patient are : Diabetes Hypertension Overweight Clinical presentation:…
Q: Explain the medical danger from ingesting excess aspirin
A: Aspirin is actually an acetylsalicylic acid, a common pain reliever, also known as an analgesic. In…
Mrs. Reyes, 71 years old, while doing household chores has fallen her front steps. She had a large bruise on her right temple and her right face and is brought to the emergency department by ambulance. Upon assessment her vital signs are HR 125; BP 110/76; RR 16; T 37.6°C; and pain 4/10.
Document a brief neurologic exam on this patient.
Step by step
Solved in 2 steps
- Mrs. Reyes, 71 yearsold, while doing household chores has fallen her front steps. She had a large bruise on her right temple and her right face and is brought to the emergency. Upon assessment her vital signs are HR 125; BP 110/76; RR 16; T 37.6C ; pain 4/10 Question: document a brief NEUROLOGIC exam on the patientDr. Falcone is an emergency department physician who has just called the OR desk concerning a patient. He tells the charge nurse, “we have a 23-year old male patient status post MVA, no airbag deploy, moderate facial injuries, bruising and swelling about the left eye, diplopia and enophthalmos. CT confirmes left orbital floor fracture. Hell be up in 10 minutes.” If the fracture isn’t stable after being reduced, what instrument tray should the CST have available?A 20-year-old man, height 5.8 ft and weight 65 kg, with no past medical history presented to a primary stroke center with sudden left sided weakness and imbalance followed by decreased level of consciousness. Head CT scan showed no hemorrhage, no acute ischemic changes, and a hyper-dense basilar artery. The CT angiography shoed a mid-basilar occlusion. Physician order to start 3% Sodium Chloride 1 Liter with the dose of 1ml/kg/hr via peripheral line. The available preparations of Sodium Chloride at the Hospital Pharmacy are: 1. 0.9% Sodium Chloride 1L 2. Sodium Chloride 50mEq/20ml vial Activity: 1. Determine how many mL of 0.9% Sodium Chloride and Sodium Chloride 50 mEq/20ml are needed to make 3% Sodium Chloride 1 liter. Show your computation. 2. What will be the rate of infusion (ml/hr) to be given to the patient. 3. Is 3% Sodium Chloride infusion recommended to be infused via peripheral line? Please provide reference for your answer. Can you help me answer #2, please
- Ben, 59 is an employee who works in a post office. He is 5ft. Tall and weighs 150 pounds. His vital signs are the following : T 36.3°C; HR 94;BP 135/85; pain level 0. At the clinic, he presents himself with a major complaint of "just not feeling well" Dusting ascultation, you hear a heart murmur. How would you identify Ben's heart murmur?Description Mr. Santos , a 52 year old overweight smoker and IT consultant suddenly felt intense chest pain characterized as heaviness over the chest and radiating to the left arm. He was brought to the emergency room. In the emergency room, he divulged that he had been having chest pains whenever he walked or went up the stairs. Upon physical examination, Mr. Santos was hypotensive. ECG revealed myocardial infarction with arrhythmias. 1. What factors present in Mr. Santos could have contributed to development of acute MI? 2. What is the term for the chest pains that Mr. Santos experienced during exercise? What is the pathophysiology of this? 3..Aside from ECG, what other diagnostic and laboratory work-ups need to be done to arrive at a diagnosis of acute MI? 4. What are the causes of MI? 5. Explain the pathologic processes that occur in Acute MI. 6. What drugs will probably be given to Mr. Santos? 7. Give some recommendations to prevent acute MI.Mr. Cardia has been admitted to your ward and care is assigned to you. Information from the history you have taken includes reporting 4 days of anorexia, nausea, vomiting, and occasional diarrhoea before he sought medical attention. His wife says he'd started falling asleep frequently, looked pale, and mentioned seeing yellow spots. Current medications: 0.25 mg of digoxin once a day and 20 mg of frusemide twice a day for heart failure. Vital signs: BP 110/60 P 46 RR 26 T 36.5 What may the signs and symptoms indicate? (two words)
- 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:…A 55-year-old army captain was admitted to the ward for a general checkup. History revealed that during his service, he lost both lower legs to a landmine. As the clinical instructor, you expect the student nurse to report pulsations in all of the following sites, EXCEPT: femoral carotid popliteal radial
- Mr. Reddy is a 62 yo presenting to ED at 1500hrs. He was preparing the gas cylinder for a Sunday BBQ when it suddenly exploded while he was trying to connect the hose. Family standing by tried to extinguish the fire with their hands and tried to remove his clothing. Burns 30% TBSA – Face, hands, bilateral lower limbs. Complaints of severe pain and burning 10/10. Past Medical History: Hypertension, Type II DM Regular medications – Candesartan 8mg, Glimepiride 4mg, Metformin 500mg and Pravastatin 20mg. Fully vaccinated against COVID. Airway. - Patent, superficial burns to right side of face Breathing. - Spontaneous, RR-22mt, SPO2-92% RA, air-entry equal Circulation- Lower limb odema, cap refill 3 seconds, bilateral dorsal pedis pulses weak. BP- 88/50 mmHg, HR- 127/mt, sinus tachycardia, Disability - GCS-15 E4V5M6, PEARL- 3mm, Exposure - Temperature 35.9 deg Celsius. Full thickness burns to right lower limb and right arm, partial thickness burns to left lower limb, bilateral hands.…Ms. Hall has an order for hydromorphone (Dilaudid), 2 mg,intravenously, q 4 hours PRN pain. The nurse notes thataccording to Ms. Hall’s chart, she is allergic to Dilaudid. Theorder for medication was signed by Dr. Long. What would bethe correct procedure for the nurse to follow in this situation?a. Administer the medication; the doctor is responsible formedication administration.b. Call Dr. Long and ask that she change the medication.c. Ask the supervisor to administer the medication.d. Ask the pharmacist to provide a medication to take theplace of Dilaudid.Mr. Henry is a 50-year-old male who presents to the office for headaches. he has a known history of sinus infections when the seasons change, high blood pressure and depression. his medications include Lopressor 50mg, daily and Claritin 10mg daily. he has a family history significant for aneurysms and depression. His vitals are BP 196/86 right arm seated, HR 87 regular, RR 13, Temp 98 oral. What is a NANDA approved diagnosis you could give her?