evolve case study- hypertension

psu_213, BSN, RN · Apr 2, 2015

We are going to need a bit more details on what the question is asking. Who are Mark's presenting signs and symptoms? His PMH? Why he needs surgery? Etc...

Whatever the background info it, tell us what you think about the situation, and in what order you would place these interventions. Then we can go on from there.

blondy2061h, MSN, RN · Apr 2, 2015

Sense, you make it not.

Many of us are willing to help students. But ya gotta give us more than that to work with.

MelissaEmbury · Apr 2, 2015

ok he has high blood pressure he came in with severe back pain and becomes pale. he is take to the triage nurse. he got a ct scan and needs immediate surgery. his wife is in surgery as well so she cant sign a consent.

blondy2061h, MSN, RN · Apr 2, 2015

Is English your first language?

KelRN215, BSN, RN · Apr 2, 2015

ok he has high blood pressure he came in with severe back pain and becomes pale. he is take to the triage nurse. he got a ct scan and needs immediate surgery. his wife is in surgery as well so she cant sign a consent.

Still need more details. If surgery is that emergent there's no time to waste tracking down the next to next of kin.

roser13, ASN, RN · Apr 2, 2015

ok he has high blood pressure he came in with severe back pain and becomes pale. he is take to the triage nurse. he got a ct scan and needs immediate surgery. his wife is in surgery as well so she cant sign a consent.

You forgot the most important thing: your initial thoughts on the issue. It's of no help to you whatsoever if we just give you the answers right off the bat.

jadelpn, LPN, EMT-B · Apr 2, 2015

And think about a whole patient approach. Can this patient consent to his own procedure? Because if not, there may not be a procedure. Why would you involve his family--you would need consent for that as well. And you need some sort of initial report on the patient--but I am not sure from the OR....as apparently he has not been to the OR as of yet.

If you have more details you care not to share--use your resources, do not take all this on yourself, you need to figure out who if anyone can make decisions for this patient if the patient can not, and most of the time facility policy decides who to go to with this. Usually the house supervisor.

witmcg · Oct 2, 2017

The answer for the HESI case study question is:

1. Notify Marks children and family.

2. Call report to the operating room staff.

3. Get the surgical consent form signed.

4. Consult a social worker.

Sour Lemon · Oct 2, 2017

The answer for the HESI case study question is:
1. Notify Marks children and family.
2. Call report to the operating room staff.
3. Get the surgical consent form signed.
4. Consult a social worker.

It's been over two years since the OP asked for help. Hopefully, she's figured it out by now.