Client has developed atrial fibrillation. The hear rate is 142 beats/min. Which is the priority action for the nurse to take? select one
a) check bilateral capillary refill of the feet
b) instruct the client to take a deep breath and hold it
c) administer lidocaine 100 mg intravenously
d) assess level of consciousness and orientation
Client is diagnosed with a Clostridium difficile infection. Which action is most important for the nurse to take? select one
52 Nurse instructs a client about oral iron replacement. Which client statement indicates an understanding of the instructions?
You are assigned to administer medications to a client on the medical surgical floor. The client is 85 years old and has diabetes and high blood pressure and was admitted 2 days ago with difficulty speaking and swallowing. The provider wants to rule out if the client has had a stroke. The client’s allergies include penicillin and sulfa. The provider orders a swallowing study, an IV of normal saline at 30 mL/hr, NPO, HCTZ 25 mg po every day, and Humulin N insulin 15 U before breakfast. You as the student nurse prepare the medications and enter the client’s room. You introduce yourself to the client and explain that you are going to administer the client’s medications. You first prepare to administer the Humulin N at the IV port. The client asks why he is receiving the insulin in the IV when he states he always takes it in his abdomen at home. You stop and tell him you will check on this before you administer it. You hand him the HCTZ and tell him that this is his blood pressure pill. He takes it and swallows it with water. As soon as he swallows it he begins to cough and spits some of the water out but no pill is seen. You leave the client and state you will return after you check on the insulin. While you are checking on the insulin, the client calls out and requests you to come to his room. Upon entering the room, you notice the client has hives on his neck, arms, and hands. The client states he is itching and is still coughing since taking his BP pill. 1. Discuss the specific areas of the scope and science of nursing pharmacology that the student nurse failed to identify, assess, and evaluate in the given scenario. 2. What potential legal ramifications and client complications resulted from the student nurse’s actions? 3. What nursing pharmacology principles could have been implemented to provide safer client care?
The nurse cares for a client diagnosed with bacterial meningitis. Which observation requires an immediate action by the nurse?
a) client reports sensitivity to bright lights
b) apical heart rate is 100 beats/min
c) client reports pain with neck movement
d) Oral temperature 101.2 F (38.4 C)
20) The nurse provides cares for a client diagnosed with severe acute pancreatitis. Which finding does the nurse expect to observe during the assessment (Select all that apply.)
a) nausea and vomiting
b) white blood cell count 7,500 mm^3
c) serum calcium 5.8 mg/dL (1.45 mmo/L)
d) localized right quadrant abdominal pain
e) serum glyucose 148 mg/dL (8.21 mmo/L)
d) hyperactive bowel sounds
If you had to implement this proposed evidenced-based-practice change of lowering nurse to patient ratios so to improve patient outcome such as decrease falls, CLABSIs, HAIs, and lower mortality in your healthcare institution, how could you respond to the questions below?
1. Describe the anticipated barriers to the change process in your institution. Include the organization’s culture, anticipated reaction to change, and your leadership role for change.
2. What are the plans to overcome barriers?
3. Who are the colleagues you will include to facilitate change?
4. Identify the stakeholders for the change in practice you have chosen for your EB project
NURS 4312 Care of the Vulnerable Populations
Assignment: Case Study Voice Over PowerPoint Presentation
voice-over PowerPoint presentation. This final activity will bring together all of the concepts you have learned throughout this course.
Assignment Resources:
Primary:
Stanhope, M., & Lancaster, J. (2018). Foundations for Population Health in Community/Public Health Nursing (5th ed.). St. Louis, MO: Mosby.
Directions: You will be adding audio to your PowerPoint (PPT). Many laptops feature an integrated microphone, but you can also use a headset or headphones that have a microphone.
Grading Criteria: See Case Study Voice Over PowerPoint Presentation Grading Rubric
The nurse providing diabetic screening to South Texas community members who have not been diagnosed with diabetes and do not have signs of diabetes.
The nurse should consider diabetic screening for which of the following risk factors? (Select all that apply).
1. Familiarize yourself with the measures used to prevent the spread of infectious diseases
2. Know the importance of antibiotics in the management of the treatment of infectious diseases.
3. Send Reference Thanks
