How could you clarify your own work role when you are implementing

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Question Answered step-by-step How could you clarify your own work role when you are implementingan individualised plan and the role you play in the plan.How would you seek appropriate support for aspects not within the scope of your knowledge,skills and job role? Health Science Science Nursing CHCCCS 015 Share QuestionEmailCopy link Comments (0)

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Question Answered step-by-step Mr. X is a 64-year-old male admitted to the unit with acute myocardialinfarction (AMI) after emergent left (L)-sided heart catheterization/percutaneous coronary intervention (PCI). Past history includes type 2 diabetes mellitus, heart failure, hypertension, and osteoarthritis. Home medications include furosemide (Lasix), digoxin (Lanoxin), captopril (Capoten), carvedilol (Coreg), Byetta (exenatide), metformin (Glucophage), and ibuprofen (Motrin).Clinical AssessmentTwenty-four hours after admission to the unit, Mr. X is alert; oriented to person, place, and time; and pain free. His only complaint is shortness of breath and swelling in his ankles, feet, and hands. Physical assessment reveals bilateral breath sounds with basilar crackles; dressing at catheter site; right femoral clean, dry, and intact; peripheral pulses 2+ bilaterally; and 2+ edema noted in lower extremities. Mr. X has a body mass index (BMI) of 35 kg/m2 and weighs 100 kg. IV fluids have been discontinued, and saline lock is in place in preparation for transfer to the telemetry unit.Diagnostic ProceduresAdmission diagnostic studies: Electrocardiogram (ECG) with ST segment elevation in V1-V4; elevated cardiac enzymes; electrolytes and glucose within normal limits; blood urea nitrogen (BUN), 26 mg/dL; serum creatinine, 1.8 mg/dL; cholesterol, 250 mg/dL; and serum B-type natriuretic peptide (BNP), 300 pg/mL. Current vital signs are as follows: blood pressure of 138/80 mm Hg, heart rate of 108 beats/min (sinus tachycardia), respiratory rate of 28 breaths/min, temperature of 99° F, and O2 saturation of 92% on oxygen at 2 L per nasal cannula. Urine output for the past 6 hours is 100 mL. The health care provider is notified of Mr. X's urine output, and repeat diagnostic studies are ordered that reveal the following: BUN, 56 mg/dL; serum creatinine, 5.6 mg/dL; and potassium, 5.8 mEq/L.Medical DiagnosisAcute anteroseptal myocardial infarctionSTEMI (ST elevation myocardial infarction)Contrast-induced nephropathy (CIN) QUESTIONSWhat major outcomes do you expect to achieve for this patient?What problems or risks must be managed to achieve these outcomes?What interventions must be initiated to monitor, prevent, manage, or eliminate the problems and risks identified?. What interventions should be initiated to promote optimal functioning, safety, and well-being of the patient?What possible learning needs would you anticipate for this patient?What cultural and age-related factors may have a bearing on the patient's plan of care? Health Science Science Nursing ENGL 2307 Share QuestionEmailCopy link Comments (0)
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Question Answered step-by-step Provide a summary of the statistical data you are using. please include referencesWhat is the health status of the community you surveyed?What are the demographic statistics?What are the leading causes of death?What chronic diseases have been identified in the community? Health Science Science Nursing NURSING 362 Share QuestionEmailCopy link Comments (0)