Heloo my tutor The RN coming on shift had received bedside shift report at 7 pm and noted

Heloo my tutor The RN coming on shift had received bedside shift report at 7 pm and noted the patient sleeping, so the issue of patient assistance was not repeated. She checked on her again at 8 pm and administered the requested prn medication (morphine) for pain. She was busy with other patients and did not see the patient again until the patient fell at 9:51 pm.The patient reported that she did not recall having been instructed to ask for assistance, as she was very groggy from the anesthesia. She stated that she had pushed the nurse call button for assistance and “no one came.” There was no clerical support at the nursing station and the three staff members had been very busy with patients, so this statement could not be substantiated The risk manager found that the RN had not followed nursing policy for patient assessment 20 minutes after receiving pain medication, and had not done the recommended hourly rounding on the patient to assess for the need for elimination, pain, and patient comfort. The note in the chart indicated only that the patient requested pain medication, but did not provide specific nursing assessment details or comment that the patient had received the same dosage of morphine two hours earlier. Blood transfusion, know assessment for FVD, ABGs, Time out, malignant hyperthermia( know who is at risk, what type of questions you would ask to evaluate the risk, what to do if a client tells you they are at risk, clinical manifestations, and treatment. Patient education on atropine. Know how to take care of your client pre-op, post-op( drainage color and amounts), post-op positioning, incentive spirometer, the benefit of SCDs, ARDS, suctioning client’s with an ET, neurogenic shock, PAWP readings pre-load and after load, hypovolemic shock, and neurogenic shock.Sodium 135-145mEq 139 136  Potassium 3.5-5.5mEq 4.8 5.5  Chloride 95-105mEq 103 101  CO2 21-32mEq 29 27  Anion Gap 10-15mEq 7 8  Magnesium 1.5-2.5mEq x x  BUN 10-20 mg/dl 47 62  Creatinine 0.5-1.5 mg/dl 7.66 9.23  GFR >60 8 6  BNP <100 pg/dl X X  Glucose 70-99 mg/dl 99 90  HgbA1c <6 X X  Total Calcium 8.5-10.5 mg/dl X X  Total Protein 6.5-8.0 gm/dl 6.1 X  Albumin 3.5-5.0 gm/dl 3.7 X  AST 15-35U/L 9 X  ALT 30-65 U/L 7 X  LDH 100-190 U/L X X  Alk Phosphatase 25-85 U/L 117 X  Bilirubin-Total <1 mg/dl 1.0 X  Amylase/ Lipase 25-85 U/L<155 U/L X X  Phosphate 2.5-4.5 mg/dl X X  Other   X X  Coagulation ResultsChemistries Normal Range Admission Current Which way are values trending? ExplainPT/INR PT 10-15 sec INR <1.4 22.1/1.9 21.4/1.8  PTT/aPTT 60-70 sec/ 20-35 sec 45.8 X  b. Taking low-dose computed tomography scan to detect the early stage of lung cancer?c. Quitting smoking after diagnosis of chronic obstructive pulmonary disease?d. Removal of malignant lung cancer to reduce the pain from tumor?e. Participating in cancer rehabilitation programs in primary health care center after surgery?.b. The temporality of the exposure preceding the outcome is hard to determine.?c. The incidence rate of disease in the exposure group is compared directly to the incidence rate of disease in the unexposed group.?d. The exposure and outcomes are captured at the same time.?e. The participants are randomly allocated to exposure and nonexposure categories.?  Health Science Science Nursing Share QuestionEmailCopy link Comments (0)

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