Laryngeal cancer

The nurse is taking a health history on a patient with suspected laryngeal cancer. Discuss common or concerning symptoms of the neck that the nurse should focus on for this patient.

Role of Nurse Managers in Nursing Practice

Role of Nurse Managers in Nursing Practice

Read the following case study:

A nurse has an order to complete a procedure on a patient. After reading the procedure, the nurse notices that it is not best practice and it has not been updated for 6 years. The nurse takes this issue to the nurse leader (charge nurse) and the nurse manager (unit manager).

Question to Answer

A-M

What would you do as a nurse leader if your policy or procedure conflicts with the most recent evidence? Describe your response to this nurse.

Why is it important to update policies and procedures? What are the risks if they are outdated?

What is your role as a nurse leader in assuring policies or procedures are up to date?

N-Z

What would you do as a nurse manager if your policy or procedure conflicts with the most recent evidence? Describe your response to this nurse.

Why is it important to update policies and procedures? What are the risks if they are outdated?

What is your role as a nurse manager in assuring policies or procedures are up to date?

Intravascular coagulation (DIC)

What is disseminated intravascular coagulation (DIC) and how does it develop? What factors contribute to the development of DIC?

Thrombotic thrombocytopenic purpura (TTP)

What is the pathophysiology of thrombotic thrombocytopenic purpura (TTP)?

Hypercoagulable state and venous thrombosis

The APRN assesses the patient and notes there is a decreased right posterior tibial pulse with cyanosis of the entire foot. The APRN recognizes this probably represents arterial thrombus formation. How does someone who is receiving heparin develop arterial and venous thrombosis?

Heparin-induced thrombocytopenia (HIT)

What is the underlying pathophysiology of heparin-induced thrombocytopenia?

Chronic kidney disease

Why do patients with chronic kidney disease (CKD) develop ACD?

Anaemia of chronic disease (ACD)

What is anaemia of chronic disease (ACD) and how does it develop?

Iron deficiency anaemia

Discuss iron deficiency anaemia and how the patient’s menstrual bleeding contributed to the diagnosis.
How does pernicious anaemia develop?
How does pernicious anaemia cause the neurological manifestations that are often seen in patients with PA?

endometriosis and female fertility

Explain how endometriosis may affect female fertility