Nursing CT chest-tumor LLL and 2 tumors LUL. Physical exams negative. BX LLL adenocarcinoma. LLL lobectomy: 1.2cm adenocarcinoma, visceral pleura & margin involved.
LUL wedge resection: 2.5cm adenocarcinoma, margin involved. 1 level 7 subcarinal & 2 level 4L lower paratracheal nodes negative.
What is the prognostic pathological stage group? any of these answers: IIIA IIB IIA IA3
Use an X (or drag and drop) to indicate which actions listed in the left column would be included in the plan of care for the patient.
| Nursing Actions | Relevant Nursing Actions |
| Prepare to administer atropine. | |
| Prepare to administer epinephrine. | |
| Reassure the patient that the TCP is temporary. | |
| Place both TCP pads on the chest over the heart. | |
| Provide analgesia as needed after the TCP is placed. | |
| Monitor vital signs and ECG. |
The nurse evaluates the effectiveness of actions. Which of the following findings indicate effectiveness? Select all that apply.
_____ 1. Blood pressure 122/84
_____ 2. ECG shows paced rhythm, rate 70 beats/min.
_____ 3. Patient states she will limit use of her left arm and shoulder.
_____ 4. The incision dressing has serosanguinous drainage visible.
_____ 5. The patient states she will change the pacemaker battery every 6 months.
_____ 6. The ECG shows occasional pacer spikes that are not followed by a QRS complex (failure to capture).
_____ 7. The patient states that she will remind HCPs about her pacemaker before undergoing an MRI test.
Cognitive Skill: Evaluate Outcomes
Hello, I am doing a nursing task and I do not understand what are the barriers and challenges that palliative care has. I would like help please, if you can list them or divide them even better.
Palliative care is specialized medical care for people living with a serious illness, such as cancer or heart failure. Patients in palliative care may receive medical care for their symptoms, or palliative care, along with treatment intended to cure their serious illness.
When staffers are well-informed about the program’s goals and objectives and what to expect from it, they’re more likely to be able to carry out its goals effectively.
In addition, if employees are given the opportunity to ask questions and receive feedback during training, they will be better prepared to fulfill their roles in the program.
up to date with the latest information and best practices.
Scenario: That afternoon, the patient is sent to the operating room and receives a dual-chamber rate-responsive pacemaker implanted via the left upper chest. The rate is set at 70 beats/minute.
Postoperatively, she is sent back to the telemetry unit. Vital signs: Blood pressure 122/84 mm Hg, pulse 70 beats/minute, respirations 18 breaths/minute, and temperature 98.4°F (36.9°C).
The ECG shows paced rhythm, rate 70 beats/minute.
The incision is covered with a light dressing.
The patient comments that she feels better with less fatigue. That evening, after dinner, the nurse reviews education about pacemakers with the patient and her spouse.
1. NGN Item Type: Matrix
Use an X for nursing actions listed below that are Indicated (necessary), Contraindicated (could be harmful), or Nonessential (not necessary). Only one selection can be made for each nursing action.
| Nursing Action | Indicated | Contraindicated | Nonessential |
| Encourage the patient to exercise the operative side after the pacemaker is inserted. | |||
| Check the patient’s ECG every 4 hours. | |||
| Instruct the patient to keep follow-up appointments for pacemaker checks. | |||
| Wash the incision site with soap and water twice a day. | |||
| Teach the patient to avoid the use of microwave ovens. | |||
| Instruct the patient to check her pulse and notify the HCP if the heart rate drops below 70 beats/minute. | |||
| Teach the patient to report any redness, drainage or swelling of the incision site. |
Case Study Suspecting Billy had influenza symptoms, Karen wra took him to the community health care clinic C Karen was called at work by a woman at the local day care center. She told pick up her son because he was not feeling well. Her son, 312-year-old Billy, h tired and achy when he woke up.
While at day care, his cheeks had become , warm to touch.
He did not want to play with his friends, and by the time Kare crying. Later that afternoon, Billy’s condition worsened. He had fever, chills, a runny nose, and a dry hacking cough.
Suspecting Billy had influenza, Karen wra took him to the community health care clinic,
1. Why did Billy’s presentation lead Karen to think he had influenza and no it important to medically evaluate and diagnose a potential influenza infection
2. Describe the pathophysiology of the influenza virus. Outline the propertie A antigens that allow them to exert their effects in the host. ing second ary bacterial one umonia! why is t
Discuss the entities that are currently mandating knowledge-based healthcare delivery. Describe why these organizations have influence on healthcare.
Professional organizations like the American Medical Association and the American Dental Association are also dedicated to the provision of knowledge-based healthcare services under their practice rubrics.
Develop a community service program relevant to your community You are required to choose a sect of the community you would like to base this project around (e.g. homeless shelter, religious or cultural group, disabled, etc.
In order to develop an effective plan, the program must identify a key issue which may be experienced by your community then provide suggestions to address these issues.
Your trainer will act as a community stakeholder whom you can consult throughout the development of this plan. Similarly, in the workforce, you will be consulting members of the community to develop, implement and evaluate your programs.
You will first need to conduct some research determine an outline of your plan by identifying your
problems,
vision,
mission,
objectives,
strategies
implementation possibilities
engagement
multifaceted needs (potentially requiring collaboration with other organizations or services)
You receive a call at the pediatrician’s office from a woman with a 6-month-old daughter who has been experiencing vomiting and diarrhea symptoms for the past 24 hours.
Her daughter has an axillary temperature of 99.2º F. The mother says that her child has been irritable and cannot keep anything down. She asks if she should bring her baby in for a visit or wait and see if the vomiting subsides.
How should the nurse respond?
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