Identify if the client findings in the lower extremities are more likely to be found in a client with peripheral arterial disease or peripheral venous disease. Select one option in each row. Peripheral Arterial Disease Peripheral Venous Disease Capillary refill Pain Skin color Pedal pulses Skin temperature Edema
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Peripheral Arterial Disease
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Peripheral Venous Disease
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Capillary refill
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Pain
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Skin color
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Pedal pulses
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Skin temperature
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Edema
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- Describe priority assessment for a post-operative patient with orthopedic surgery on the lower extremities. General Intergumentary Cardiovascular Neurovascular MusculoskeletalCase Study 1 -Acute Coronary Syndrome – Had a heart attack last year. June is a 70-year old female who will be entering your Phase II Cardiac Rehab. class today. Her medical history is as follows: Cardiac History: Anterior MI (heart attack) with PTCA & stent placement to the left circumflex artery on 8/18/21. Other medical history: Hyperlipidemia, smoker- quit 5 years ago. Medications- Lipitor- cholesterol medication, Coumadin- a blood thinner, Enteric coated aspirin- also prevents clotting, Toprol – Betablocker med for Blood Pressure control, Nitroglycerin as needed for chest pain Graded Exercise Test: Not available 1. Do a google search to look up the medications June takes, and notice their effects. Which of these drug side effects may affect June’s exercise prescription from what you can find? 2. Write an exercise prescription for June. Use your FITT principle to help you but make sure you state any precautions or considerations you for June, since she is an ACS…73-year-old male, post-op day 1, status post-carotid endarterectomy on the surgical unit, demonstrating signs of stroke. Suggest two interdisciplinary team members to assist with caring for the patient and provide a rationale for the importance of including them in the care of this patient.
- Question: Make a nursing care plan for heart failure: Past health history: constipation for the last 7 days accompanied by difficulty of breathing (DOB) and Abdominal pain. Present Health history: chief complaint of Abdominal pain. Prior to admission, facial edema and bipedal edema was notice during physical assessment. Laboratory: Temperature 36°c, Pulse Rate -127, Respiratory Rate- 22,Blood Pressure -120/90,URIC ACID :10.20 mg/dL,CREATININE :1.33 mg/dL Clinical impressions: Kidney failure Laboratory ultrasound report impressions: 1.enlarges liver(but no pqrenchymal disease or lesion) 2.partial and mild(grade 1)acute medical renal disease right kidney 3.pleural effusion: right henitrox volume=850 cc.Reflection paper on Gestational HypertensionNeed help with questions 1-3
- Question: Describe the preoperative and postoperative nursing care for a patient undergoing abdominal surgery.Case Study 5 – Stroke Ms. Campbell is 84 years old and had a stroke (ischemic) last year. She has thankfully recovered well after some weakness in her left leg and some trouble with her left hand. She has seen both Physical and Occupational Therapists and they have released her for more general conditioning and she wishes to join your facility. Her physician approved the exercise recommendation from the PT/OT department. She continues to take a daily aspirin, and is on a blood pressure medication called Lisonopril daily. She completed a graded exercise test but is still concerned about her weakness, slow gait, and wishes to get back to doing her usual activities of daily living around the house on her own vs. her adult children coming to help so often. Her heart rate = 76 at rest and Blood Pressure = 142/78 What sort of exercise will you focus on for Ms. Campbell? What precautions and considerations will you need to be aware of with her since she had a stroke? Read through the…MEDICATIONS Factors to Assess Questions and Approaches What medications are you taking that the primary care provider prescribed for you? What over-the-counter medications, natural, or herbal supplements are you taking on a regular basis? Do you use nonmedicinal drugs (e.g., alcohol, caffeine, home remedies)? How often do you use them? What is the reason for taking the medication? What medications have you taken during the past year and for what reasons? Is there anything else you have tried to alleviate your symptoms? Previous and current drug use At what times do you take your medications? Is there any special way your medication has to be prepared (e.g., crushing and mixing with applesauce)? Do you have any special method for remembering to take your medications? Medication schedule Response to medications Have the medications had the expected effects? Have you ever experienced any adverse or unexpected reactions to the medications? Is there a family history of this type of reaction…
- Nursing questions Mrs. X is a 78 year old woman at ABC Aged Care. Over the past month, there has been a gradual decline in her health and ability to care for herself. Mobility has drastically declined and as a result she has started using a 4 wheel walker, something she is not accustomed to using. Mrs. X has been admitted to the Ward after sustaining a right neck of femur fracture after an un-witnessed fall this morning. She speaks very limited English and prefers to speak Mandarin. She also has difficulty hearing. Currently she is on strict bed rest while she awaits her operation. She has had a urinary catheter inserted and it is draining small amounts of concentrated urine. She is nil by mouth in preparation for her surgery this afternoon. Question: Identify what are the 3 key nursing priorities from the care plan.Pressure Injuries Mr.Jones an 84 yr.old man, was admitted to the nursing homework you work as a PT Aide He has the early stages of Alzheimer's disease and suffers from diabetes. Mr.Jones wears protective briefs at night, but not during the day. He has occasional bowel and bladder accidents. He recently started falling when he walks and has started physical therapy treatment. The PT supervisor ask you to transport Mr.Jones back and forth to therapy. The facility's rules require him to ride in a wheelchair. A nurse aide will help you transfer him between the wheelchair and bed. Questions 1. What risk factors does Mr.Jones have for developing Pressure injuries (name at least four)? 2.What situations should you immediately report to the nursing staff on your PT supervisor ( name at least three)?Nursing: 25 medications with details logged, I need the chart filled out with these categories listed below (If 25 is too many as many as you can would be great!) To Do: Medication Names (generic) Class Action Reason for Administration Common Adverse Effects Pre-administration Assessment Post-administration Evaluation Nursing Considerations Ignore the category "Date Administered". Thank you!