Question Answered step-by-step describe how the nurse can use the abcdef mnemonic device to ascertainserious illness or trauma in the preoperative patient Health Science Science Nursing NURS FUNDAMENTA Share QuestionEmailCopy link Comments (0)

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Question Answered step-by-step describe how the nurse can use the abcdef mnemonic device to ascertainserious illness or trauma in the preoperative patient Health Science Science Nursing NURS FUNDAMENTA Share QuestionEmailCopy link Comments (0)

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Identify at least 6 (six) different errors in the following case note which could be a problem if used as evidence in legal proceedings:16/8 Pt slept well until 0430 when they were found on the floor b/side the bed. On-call RN notified. RN assessed pt for injuries. Pt settled and slept well for the rest of the night. Seems alert this am. Good b/fast eaten.Nurse Kim. Note: Pt to be seen by Dr re. bruises on legs and arms this morning.
Question Answered step-by-step 1. What are Rosa's risk factors for developing pre-eclampsia?2. Why did the nurse ask Rosa about headaches, blurred vision, and RUQ pain?3. What signs and symptoms prompted Rosa's physician to consult with the maternal-fetal specialist and arrange for a transfer to a tertiary care center? Using this information:Rosa Garcia is a 25-year-old married Mexican immigrant who is pregnant with her first child. Rosa's family practice physician has been caring for her since her first prenatal visit at 114/7 weeks' gestation. During the initial prenatal visit, the following data were obtained:Vital signs: temperature: 98.6°F (37.0°C); pulse: 78 beats/min; respirations: 20 breaths/min; blood pressure: 110/70; weight: 146 lb (66.4 kg)A complete physical examination was performed with normal findings, and prenatal labs including a thyroid-stimulating hormone level (TSH; because of a positive family history for hypothyroidism) were drawn. During the interview, the nurse inquired about any other family medical problems. Rosa reported that both her sister and her mother had experienced pre-eclampsia during pregnancy.An ultrasound was ordered for pregnancy dating because Rosa had experienced irregular menstrual periods since discontinuing oral contraceptives.Rosa kept her regular prenatal appointments every 4 weeks and the pregnancy progressed uneventfully until 4 months later, when she presented to the office with increased blood pressure and swollen legs. Rosa had noticed an increased swelling that extended up to the knees of both legs. She denied hand or facial swelling, headaches, visual problems, or RUQ pain. Her sister, a chiropractor, had been checking her blood pressure and noted it to be as high as 160 to 170/100 to 110 mm Hg. At this prenatal visit, the following data were obtained:Blood pressure: 144/96 (sitting). Repeat on left side: 140/90. Weight: 172.5 lb (78.4 kg)Urine dipstick reading: 1 +Physical examination: General—in no acute distress; abdomen: nontender fundus at 28-11.8 in. (30 cm) above the symphysis pubis; FHR 150 bpm; cardiovascular: 1 + pedal edema; neurological: reflexes 3 + with no clonus.Assessment: Pre-eclampsia without severe features.The following laboratory tests were ordered: CBC with platelet count, liver enzyme determination (AST, ALT, LDH), alkaline phosphatase (ALP), prothrombin time (PT), a chemistry panel (electrolytes: Na+, K+, Cl-, HCO3-, Ca2+, Mg2+), blood urea nitrogen (BUN), creatinine (Cr), uric acid, and a 24-hour urine collection for protein and creatinine clearance. A sonogram (ultrasound) was also ordered to monitor the status of the fetus.Rosa was instructed to go home, rest on her left side as much as possible, and call the nurse if she experienced increased edema, headaches, visual disturbances, or RUQ pain. She was told to continue with fetal kick counts and twice daily blood pressure monitoring, record all findings and symptoms, and return to the office in 1 week.On her next office visit 8 days later, Rosa reported that she had been adhering to frequent rest periods at home and had noticed that her leg edema was improved. She exclaimed: "I can see my ankle bones again!" Her sister had continued to monitor the blood pressure. According to the blood pressure log, Rosa's systolic blood pressure measurements had been in the 160s and the diastolic measurements were in the 80 to 90 range. Rosa denied headaches, visual disturbances, or abdominal pain and remarked that the fetus had been active. At this visit, the following data were obtained:Blood pressure: 160/98 (sitting); 162/100 (left side); weight: 160 lb (72.7 kg); fundal height: 27 cm; FHR: 150 to 170 bpm; reflexes: 3 to 4 + with no clonus; urinary protein: 4 + (2,000 + mg/dL) on dipstickAssessment: Pre-eclampsia with severe features at 294/7 weeks' gestational ageAt this point, Rosa's physician consulted with a maternal fetal medicine specialist, who advised transferring Rosa to a tertiary care center 50 miles away. Rosa was promptly transferred to the tertiary care center and admitted to the obstetric service. Health Science Science Nursing NURS 4131 Share QuestionEmailCopy link Comments (0)
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Question Answered step-by-step Provide an example of physiological data and the instrument that... Provide an example of physiological data and the instrument that can be used to collect that data.which of the following are true regarding level of significance (alpha level)? (Select all that apply)a. The level of significance is set before the study begins.b. The level of statistical significance is often indicated by a p value. c The level of significance (alpha level) is the probability of making a Type I error.d. The minimum level of significance acceptable for most research is 0.05. 3.  collection of the data from each participant in the same or similar manner is known as:consistency RecidivismRepetitionData Saturation 4. Which data collection method would most accurately capture the hand hygiene behaviors of staff in a long-term care facility?Concealment of the researcher without intervention in hand hygiene behaviorsAsking staff about their hand hygiene behaviorsEmailing a survey to the facility's staffPlacing trained observers in hallways and the nursing station  4. What are some of the elements of informed consent? (Select all that apply)a. Overall purpose of the studyb. Outcomes of the studyc. Potential benefitsd. Participant withdrawalBe Awalver of rights in case of injury Health Science Science Nursing NSG 410 Share QuestionEmailCopy link Comments (0)
Question Answered step-by-step STAFFINGAfter completing the peer-reviewed articles from the last 5 years, please work together to make a Pro and Con list related to staffing ratios. You should have a minimum of three items for Pro (in favor of)-Staffing Ratios and three items for Con (against) staffing ratios. Please include your position on the topic and pose at least one question/topic Health Science Science Nursing NURS 4370 Share QuestionEmailCopy link Comments (0)