eas78

Your client has started eating breakfast and you haven't taken their blood sugar yet. What should you do? When would you give their insulin?

What are your thoughts regarding men in nursing?

Those indicators are: avoiding falls, avoiding pressure ulcers, avoiding using restraints, avoiding UTI from urinary catheters.

Those indicators are: avoiding falls, avoiding pressure ulcers, avoiding using restraints, avoiding UTI from urinary catheters.

How are you coping with your stress?

How did you manage your anxiety during clinical?

Available is Proventil syrup, 2 mg per tsp. How much will the nurse administer?

Daytonite...thanks so much.

DIAGNOSES - Impaired Physical Mobility R/T neurological impairment secondary to stroke AEB inability to move her left arm or leg. Impaired Physical Mobility is a physiological need that must be addressed first. - Impaired Verbal Communication R/T neurological impairment secondary to stroke AEB slurred speech. Communication is a safety issue and is sequenced second. OUTCOMES - The client will lift left arm and leg for 5 to 10 seconds within 24 to 48 hours after the stroke. - The patient will practice and implement speech therapy activities like singing, repeating lists, answering questions, and relearning the physical mechanisms of speech while at the same time using alternative methods of communication tomorrow. TESTS - The nurse will determine degree of mobility in relation to 0-4 scale, noting muscle strength and tone, joint mobility, balance, and endurance. The nurse will observe movement when client is unaware of observation to note any incongruency with reports of abilities. - The nurse will determine degree of speech activities in relation to 0-4 scale. The nurse will observe speech activities when client is unaware of observation to note any incongruency with reports of abilities.

1) DIAGNOSES - Impaired physical mobility, related to neurologic deficits 2nd CVA AEB inability to move left side - Impaired verbal communication, related to cerebral injury 2nd CVA AEB slurred speech OUTCOMES - The client will participate in exercises necessary to maintain muscle strength and tone. - The patient will practice and implement speech therapy activities while at the same time using alternative methods of communication.

Self care deficit related to Left-sided weakness 2nd to CVA AEB inability to purposefully move left arm or leg. Impaired verbal Communication related to loss of left facial/oral muscle tone and control 2nd to CVA AEB slurred speech.

She suffered a stroke and is now unable to move her left arm or leg. The stroke left her speech slurry. She has hypertension and is obese. She currently takes no prescription medications. Plan of Care: From the client story, identify two keystone issues (present state). The issues must be described in complete NANDA diagnostic statements. Provide a brief rationale as to why these two issues were identified as priorities. For each issue, identify at least one outcome and two tests to evaluate the stated outcome. Outcomes must be SMART (specific, measurable, achievable, realistic, and time-referenced).

physician? a. Blood pressure of 120/72 mm Hg in the semi-fowler's position b. Pulse of 110 beats/minute on awakening in the morning c. Blood pressure of 110/68 mm Hg in a high-fowler's position d. Pulse of 120 beats/minute after 30 minutes of aerobic exercise

This decision depends on the: a) Physician's order for the patient's activity b) Immediate needs of the patient c) Time of the patient's last bath d) Wishes of the patient

area on the skin over the sacrum unrelieved by pressure change? a. Risk for tissue integrity related to infrequent turning b. Risk for impaired skin integrity c. Impaired skin integrity related to tissue ischemia secondary to infrequent turning and positioning d. Impaired skin integrity related to the effects of level of consciousness