State the assessment for the patient’s neurovascular status, including the phenomenon of compartment syndrome. 9. Describe and demonstrate range-of-motion exercises and explain their purpose. 10. Identify complications caused by inactivity. er 11. Relate appropriate body mechanics to the techniques for turning, moving, and lifting the patient. 12. Discuss the use of the continuous passive motion machines. 13. Discuss the nursing process and how it relates to patient ons, and mobility. prone,

We engage in a variety of interactions with people every day whether at work or elsewhere. We build opinions based on their verbal and nonverbal contact during interactions. According to Riley (2017), “When our verbal message does not match our posture, tone of voice, body language, or facial expression, client or coworkers decode the disparate information as two dissimilar messages.” (p.87).

Once when I arrived to work ten minutes late during a shift change.

My colleague casually asked me the reason for being late. Even though I was late because I had left late from home, I explained that it was because of the heavy traffic on the way.

My facial expressions did not seem to go along with what I was saying, and I could not maintain eye contact. She was rolling her eyes, though, so it appeared as though she could tell that my spoken message and body language were not coordinated.

Our vocal communication can be planned; however, our nonverbal communication can reveal concealed facts. By analyzing a person’s body language or the manner they transmit a message, we can ascertain whether they are telling us the truth (Riley, J.B, 2017).

2. Discrepancies between you and the external world:
We occasionally come across circumstances with which we disagree. However, we keep moving forward, accepting the discrepancies.

For instance, in nursing, documentation is critical; however, keeping the paperwork up to date takes away time from bedside nursing.

Additionally, the workload can be excessive, sometimes compromising patient care quality.

A nurse must care for sick people, so she should spend more time at the bedside rather than documenting. I understand that documentation is essential, but it can be planned more straightforwardly, taking less time and leaving more time to provide patient-centered care.

3. Discrepancies between you and the client:
Making others aware of their behavior’s destructiveness and lack of productivity is the first step in confrontation. The second is offering suggestions for how they may conduct themselves more constructively or productively. At the same time, we know some people tend to argue when challenged.

As a result, we do not want to discuss their behaviors. People encounter problems because of their misdirected actions/behavior; at this moment, we might regret not discussing the destructive behavior before (J.B. Riley, 2017).
According to Riley (2017), confrontation can be done in such a way that the other person does not feel offended and will also appreciate your opinion.
If I would have a dispute with my client at any time, I would first listen to what my client has to say, then clarify the problematic behavior and explain why I believe this behavior is the issue—additionally making a polite request to change the behavior and making a respectful suggestion in a way that the client is not offended.

Finally, I would encourage the client to change their behavior by emphasizing the positive consequences of changing or the negative implications (J.B. Riley, 2017)

Reference

Riley, J.B. (2017). Communication in Nursing: Learning confrontation skills. (8th Ed.). Elsevier.

Lisa in Labor: An At-Risk Labor and Birth Case Study. On October 1st of the current year, L.G., a 16-year-old Caucasian female who is a G4 P0030, presents at a local hospital in labor. She reports that her due date is “the beginning of September of this year.” Based on her last menstrual period, her EDD is October 15th.

Coming to the labor and delivery unit alone, she states that she does not have any family or support. Upon further questioning, she states that a friend “gave me a ride and dropped me off here.” L.G. reveals during her admission assessment that she has had no prenatal care during this pregnancy. She reports that she’s been in labor at home for the past few hours but that the contractions got “too hard for me to breathe through them” so she came to the hospital.

A vaginal exam reveals that her cervix is 6 cm dilated, 80% effaced and her fetus is at the -2 station. Her amniotic membranes are intact and bulging and the fetal presenting part cannot be palpated. Her vital signs reveal BP 170/92, P 80, R 16, and T 98.8 degrees Fahrenheit. After you (the nurse) perform Leopold’s maneuvers, you place the fetal heart toco on the left upper quadrant of the patient’s abdomen.

Her uterine contraction pattern shows she is having contractions every 2-3 minutes lasting between 50 and 60 seconds. When you palpate the fundus during contractions, her fundus palpates firm.

Answer the following questions:

• What stage of labor is L.G. experiencing?
• What are six additional questions that you would ask L.G. in order to complete her admission assessment, including questions regarding her prenatal health history and factors that take her psychosocial, emotional support, and cultural factors into consideration? Write and discuss why you chose these questions.
• In addition to the foregoing assessment, list two additional laboratory and diagnostic tests that are routinely drawn and performed when a laboring woman is admitted to the Labor and Delivery unit.

Case Study Continued:

Since you are monitoring fetal heart tones in the upper left quadrant of L.G.’s abdomen, you suspect that the fetus is mal-positioned. A quick ultrasound scan confirms that the fetal head is not vertex in the mother’s pelvis. Further, L.G.’s amniotic membranes ruptured spontaneously during a uterine contraction, the fetal heart rate dropped from its baseline of 130-140 bpm to 90 bpm and you immediately see that the fetus’s umbilical cord has prolapsed.

Answer the following questions:

• What initial nursing interventions would you perform to improve maternal and fetal outcomes given the prolapsed cord?
• Why is a prolapsed cord an obstetrical emergency?
• Given the obstetrical emergency, what is the safest method of L.G.’s fetus and why?

Examine the importance of professional associations in nursing. Choose a professional nursing organization that relates to a specialty area of interest. In a 750‐1,000-word paper, provide a detailed overview of the organization and its advantages for members. Include the following: Describe the organization and its significance to nurses in the specialty area. Include its purpose, mission, and vision. Describe the overall benefits, or “perks,” of being a member.