Albuterol nebulizer for treatment

A 30-year-old man who is having an asthma attack presents to the emergency department with dyspnea, the use of accessory muscles to breathe, and audible wheezing. The man is receiving an albuterol nebulizer for treatment. For which complications should the nurse monitor this patient?

Taking bronchodilator by inhaler

 A patient who takes a bronchodilator by inhaler tells the nurse that she feels jittery and that her heart pounds after she takes the medication. The patient usually has two cups of coffee in the morning and is wondering if it’s the coffee or the medication that is causing these symptoms. How should the nurse respond?

Suspected abuse cases

Mandatory reporting requires the reporting of suspected abuse cases. List the types of abuse that a mandatory reporter would need to communicate to authorities.

Discriminatory safety officer

Assume that Benny and the health and safety officer are still in disagreement. The health and safety officer says that Benny is being rude and indignant, and Benny says the health and safety officer is being discriminatory in their decision making. What should happen next?

Criminalization of medical cases

Discuss the criminalization of medical case of RaDonda Vaught. Give your opinion if you think nurses should be charged with medical error and give one way this event can be prevented.

Emergency response planning

What role does innovation play in disaster/emergency response planning? What is the role of the  Doctor of Nursing Practice prepared nurse in disaster mitigation and response?

Administering a suspension to patients

What is a Suspension and what steps would you take before administering a Suspension to your patient? Based on the “Medications- Daily Orders- Tablets and Suspensions and required Feed displayed above” Write a care plan.

Infection at the G-tube insertion site

List five signs of infection at the G-tube insertion site  and five precautionary measures you, as the nurse, would take to prevent infection at the G-tube insertion site.  Thus describe how to care for the G-tube insertion site?

Obstructive pulmonary diagnosis

A 66-year-old female client with a diagnosis of chronic obstructive pulmonary disease (COPD) is admitted to the health care facility. The client gives a history of working in a factory for 35 years and that she thinks the chronic obstructive pulmonary disease was caused by inhaling the fumes from the machines she worked with. Her home is near a major highway that is always congested. The client appears well nourished, does not smoke, and only drinks a glass of wine on social occasions. She has recently retired and is hoping to spend time with her grandchildren. Her concern is that, for the past few days, she has been having difficulty breathing and that she has been coughing but it is nonproductive. She has also felt more tired than usual. At first, she thought it was a cold or the flu but became worried when her chest started to hurt each time, she took a deep breath. Vital Signs on admission: BP 126/82, HR 90, RR 26, Temp. 98°F (36.7°C), Pulse Ox 93%.

 

You are the nurse caring for this patient. On your mid-day rounds, you notice the following: Vital Signs: BP 100/76, HR110, RR30, Temp 101.3F, Pulse Ox 92%.

You determine that you need to call the physician and prepare an  Identify, Situation, Background, Assessment and Recommendation.(ISBAR) communication form.

Implementing enteral tube feedings

After initial placement verification using radiography, what action should the nurse take to verify placement before implementing enteral tube feedings? How will the nurse use this information to determine whether the feeding tube is in the stomach, intestines, or respiratory tract?