A 46 year old male (John Miller) presents to the ED via ambulance… A 46 year old male (J

A 46 year old male (John Miller) presents to the ED via ambulance… A 46 year old male (John Miller) presents to the ED via ambulance after sustaining a fall and head injury down a flight of 12 stairs. He presents to triage with a laceration to his forehead and guarding his left shoulder with a possible fracture. At triage is it noted that nurse he is confused to place and time. He was only opening his eyes when the nurse asked him to. He had power to all limbs. His pupils were equal, round and reactive. His blood pressure was slightly elevated, otherwise vital signs were within normal limits. The Emergency physician ordered a CT scan of the head for John. The scan results demonstrated a left subdural hematoma and requires admission to hospital. He has been transferred to the 6A – Neurology Unit and you have been assigned to his care. You arrive to his room and assist the porters in transferring him from the stretcher to bed.  1. Identify three nursing care priorities for John that you will address during your shift. Provide your rationale for why these are important to consider for John (safety, health teaching, nursing assessment, medication administration, etc) – 6 MARKS  2. Identify one nursing intervention that corresponds to each of the nursing priorities you selected and provide rationale for your choice of that intervention – 6 MARKS 3. What outcomes would you evaluate to know your interventions have been effective/not effective? 3 MARKS 4. The physician ordered Phenytoin for John. Describe the mechanism of action of the medication. Why was John prescribed phenytoin? What information would you provide John with to learn about this medication? 2 MARKS 5.  John is being discharged from the hospital. List three learning objectives you would include in client teaching for John and his family as part of his discharge planning? How will you evaluate this learning? 2 MARKS Health Science Science Nursing HEALTH SCI 4U1 Share QuestionEmailCopy link Comments (0)

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