Question Answered step-by-step You are an RN working 7 AM to 3 PM on a 40 bed Geriatric Unit in an… You are an RN working 7 AM to 3 PM on a 40 bed Geriatric Unit in an urban hospital.  The unit 7A to 3P staff consists of a nurse manager, 7 RNs, 5 PCTs (Patient Care Technicians), and a unit secretary.  A geriatric nurse practitioner is assigned to this unit and the Geriatric clinic. Interns and residents make rounds and are available by page of on call.   You arrive and receive the following information in a report from the night nurse regarding your assignment. Becky Thomas, Age: 85 Admitting Diagnosis: Cellulitis Right lower legPast History: HTN, Osteoporosis, CABG x 3 (6 years ago), hysterectomy, CholecystectomyAlert and orientedOOB to chair with help – elevate lower legsDressing lower leg – change twice a day Surgical consult today for debridement and wound vacuum therapyIV saline LockAntibiotic Ancef 1 Gm IVPB q8h (8 am, 4 pm, 12 mn) discontinue this am2Gm Na dietBowel sounds x4Lungs clearVoiding – stress incontinenceBM last evening – hardRetired actress with pension and insurance, lives alone with cat  Antonio Banderos, Age: 57 (no beds elsewhere) Admitting Diagnosis: Renal colicPast Hx:  HTN, DM2, Hyperlipidemia, colonoscopy – polyps removedIV 5% D/W – KVO (keep vein open)NPOMorphine Sulfate 1 mg IV q1h prn pain 3 – 6 (0 – 10 scale)Morphine Sulfate 2 mg IV q1h prn pain 7 – 10Metformin 500mg BIDLast dose pain med 0600Voiding – strained – no stoneNo BM x2 daysBowel sounds positive x 4, Blood glucose 71Possible OR todayMarried, no kids, both him and wife employed, only speaks Spanish  Doris Day, Age: 95 Admitting Diagnosis: Contusion Right Shoulder (fall), hematoma right eye, ConfusionCT head without contrast no bleedPast Hx:  CHF, HTN, A-Fib, Osteoarthritis, Fx, Left radiusLung sounds rales on inspiration, clear with deep breathing and coughingO2 sats 91 room air, 95 with O2 2 L NCBowel sounds hyperactive – 1 loose stool this AMTaking liquids only – sore faceVoiding, some incontinenceShoulder with ice and rest on pillow, ice to face/eyePercocet 5/325 mg 1 PO for pain q 4 h 2- 10 (0-10 scale)Not OOB yet – PT consultLives with son and daughter-in-law at home Christine Nichols, Age: 64 Admitting Dx:  Abd pain, cholecystitisPast History:  High cholesterol, HTN, obesity, gastric bypassIV Saline Lock, IVPB AntibioticsLap cholecystectomy yesterdayBowel sounds hypoactive X4 – 1 soft BM yesterday AMVS stableMorphine 2mg IVP q6H PRN pain, recent dose at 0600Lives with sister, still sings at a retirement pub occasionally, no medical insurance In the grid below list patients in priority order across the top. Under each patient indicate the five priority interventions. Place an asterisk (*) next to items that only a nurse should do and (**) next to items delegated to the UAP; (***) next to the items delegated to the NUS; (****) next to the items delegated to all others (please specify).             Health Science Science Nursing NUR MISC Share QuestionEmailCopy link Comments (0)

Question Answered step-by-step You are an RN working 7 AM to 3 PM on a 40 bed Geriatric Unit in an… You are an RN working 7 AM to 3 PM on a 40 bed Geriatric Unit in an urban hospital.  The unit 7A to 3P staff consists of a nurse manager, 7 RNs, 5 PCTs (Patient Care Technicians), and a unit secretary.  A geriatric nurse practitioner is assigned to this unit and the Geriatric clinic. Interns and residents make rounds and are available by page of on call.   You arrive and receive the following information in a report from the night nurse regarding your assignment. Becky Thomas, Age: 85 Admitting Diagnosis: Cellulitis Right lower legPast History: HTN, Osteoporosis, CABG x 3 (6 years ago), hysterectomy, CholecystectomyAlert and orientedOOB to chair with help – elevate lower legsDressing lower leg – change twice a day Surgical consult today for debridement and wound vacuum therapyIV saline LockAntibiotic Ancef 1 Gm IVPB q8h (8 am, 4 pm, 12 mn) discontinue this am2Gm Na dietBowel sounds x4Lungs clearVoiding – stress incontinenceBM last evening – hardRetired actress with pension and insurance, lives alone with cat  Antonio Banderos, Age: 57 (no beds elsewhere) Admitting Diagnosis: Renal colicPast Hx:  HTN, DM2, Hyperlipidemia, colonoscopy – polyps removedIV 5% D/W – KVO (keep vein open)NPOMorphine Sulfate 1 mg IV q1h prn pain 3 – 6 (0 – 10 scale)Morphine Sulfate 2 mg IV q1h prn pain 7 – 10Metformin 500mg BIDLast dose pain med 0600Voiding – strained – no stoneNo BM x2 daysBowel sounds positive x 4, Blood glucose 71Possible OR todayMarried, no kids, both him and wife employed, only speaks Spanish  Doris Day, Age: 95 Admitting Diagnosis: Contusion Right Shoulder (fall), hematoma right eye, ConfusionCT head without contrast no bleedPast Hx:  CHF, HTN, A-Fib, Osteoarthritis, Fx, Left radiusLung sounds rales on inspiration, clear with deep breathing and coughingO2 sats 91 room air, 95 with O2 2 L NCBowel sounds hyperactive – 1 loose stool this AMTaking liquids only – sore faceVoiding, some incontinenceShoulder with ice and rest on pillow, ice to face/eyePercocet 5/325 mg 1 PO for pain q 4 h 2- 10 (0-10 scale)Not OOB yet – PT consultLives with son and daughter-in-law at home Christine Nichols, Age: 64 Admitting Dx:  Abd pain, cholecystitisPast History:  High cholesterol, HTN, obesity, gastric bypassIV Saline Lock, IVPB AntibioticsLap cholecystectomy yesterdayBowel sounds hypoactive X4 – 1 soft BM yesterday AMVS stableMorphine 2mg IVP q6H PRN pain, recent dose at 0600Lives with sister, still sings at a retirement pub occasionally, no medical insurance In the grid below list patients in priority order across the top. Under each patient indicate the five priority interventions. Place an asterisk (*) next to items that only a nurse should do and (**) next to items delegated to the UAP; (***) next to the items delegated to the NUS; (****) next to the items delegated to all others (please specify).             Health Science Science Nursing NUR MISC Share QuestionEmailCopy link Comments (0)