Nursing Diagnosis: Impaired physical mobility related to ventilation-perfusion mismatch as evidenced by shortness of breath on ambulation and inability to ambulate more than 10 feet independently.
2. Registered nurses perform interventions based on the following actions: (MEATA)
Provide 2 RN interventions for each goal that you developed in #1. Provide a rationale for each intervention being performed by an RN.
m writing a capstone nursing paper for snhu and I’m having problems with the methodology
One SMART client-centered goal for each nursing diagnosis.
1. Risk for impaired skin integrity
2. Risk for infection
3. Impaired physical mobility
Mr. Davis’s physician has just wrote an order for him to receive 4 mg of Zofran IV x1 now, to help with all of the nausea he has been experiencing. Mr. Davis needs a peripheral IV placed since PRBCs are infusing through his single lumen PICC line. Answer the Following Questions: 3. Mr. Davis has a single lumen PICC Line, what is the rationale for the nursing inserting a peripheral IV to administer Zofran IV? 4. Once you have successfully placed Mr. Davis’s new peripheral IV, how will you prepare and administer Zofran IV? ( Use your drug handbook to look up the information on how this medication needs to be prepared and administered)
What position should an infant with hydrocephalus be in?
Previous Medical History: Hypertension.
Ht./Wt.: 5’8″/ 185 lbs.
Allergies: Iodine
Resuscitation: Full Code
Fall Risk: High
Language: English
Most recent vital signs were 99.9 Tympanic, Pulse 80 bpm and regular, Resp Rate 18 breaths/min, BP 140/80 mm Hg Right Arm, Lying, 93% SpO2 on Room Air.
Pain: 4/10, was medicated with prn oral pain medication for incisional pain.
Neurological: Alert and oriented x 4
Cardiac: S1 and S2 auscultation. TED hose and SCDs in use.
Respiratory: Diminished breath sounds to bases bilaterally. Weak ineffective cough noted.
Gastrointestinal: Bowel sounds hypoactive; client is tolerating a low sodium diet. Passing flatus.
Genitourinary: Up to the bathroom with minimal assistance
Musculoskeletal: Ambulates with 1-person standby assist
Integumentary: Skin dry and intact. Abdominal incision is approximated with staples/sutures. Abdominal binder in place.
Diagnostic Testing: This morning’s labs
| Lab Value | Normal Range | Result |
| WBC | 11 000 mm3 | |
| Hgb/Hct | 11g/dL and 33% |
Complete the following activities:
1.What would you include in a focused assessment of the client/patient. Identify expected versus unexpected findings for this post-operative client/patient.
We should always listen to the heart and the lungs.
2.Include 3 nursing interventions.
3. Include 2 orders you would anticipate from the HCP.
4.Complete patient/client teaching to prevent operative complications (hint see Table 16-4).
According to Tabbners’s Nursing Care: theory and practice
List each of the 17 steps and briefly describe how to use them:
How does Shoreline’s rate of Cesarean births for low- risk pregnancies compare to the nationa average of 31.9%?
A 13-year-old boy. presents to the emergency room by ambulance from a city park. An elderly couple noted his bizarre behavior and called 911. He arrives disoriented and complaining of double vision. He is noted by the triage nurse to have flushed skin and excessive salivation. His parents soon arrive and report that he has been more argumentative over the past month, with occasional erratic behavior and nonsensical speech. They question whether he may be hallucinating at times, because he occasionally reports seeing odd shapes and colors. He has been spending less time at home, hanging out with a new set of ‘unsavory” friends, and asking for more allowance money of late. Also, his grades have dropped significantly over the previous semester. His mother declares no known recent or recurrent illness, and he was given a “clean bill of health” by his family doctor 3 months prior. On physical examination, he has normal vital signs, except for slight tachycardia to 110 beats/min with an occasional irregular rhythm. He is disoriented and exhibits horizontal nystagmus.
-What is the most likely diagnosis?
-What are the potential complications related to the diagnosis?
-What important diagnostic tests should be considered?
list the six types of sensory receptors classified based on the type of stimulus they detect and describe the types of stimuli that each type can detect. Classify the three types of sensory receptors categorized based on their location; identify the origin of stimuli that activate them; and describe the nature of the stimuli that cause their excitation.
