Scenario: Maria Reyes, 67 years old, is seen at a health clinic with rapid short breaths accompanied by blood-streaked sputum, pleuritic chest pain, fever, and recurrent chills. The following questions will assist the nursing student in the assessment of this client suspected for pneumonia. 1.) What should the nurse note or observe when counting respirations? 2.)How is tactile fremitus assessed? 3.) Describe the method for checking diaphragmatic axcursion.

Scenario: Maria Reyes, 67 years old, is seen at a health clinic with rapid short breaths accompanied by blood-streaked sputum, pleuritic chest pain, fever, and recurrent chills. The following questions will assist the nursing student in the assessment of this client suspected for pneumonia. 1.) What should the nurse note or observe when counting respirations? 2.)How is tactile fremitus assessed? 3.) Describe the method for checking diaphragmatic axcursion.

Surgical Tech For Surgical Tech Pos Care

5th Edition

ISBN:9781337648868

Author:Association

Publisher:Association

Chapter7: Preventing Perioperative Disease Transmission

Section: Chapter Questions

Problem 7.2.5CS

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The following questions will assist the nursing student in the assessment of a client suspected for pneumonia. 1.) What should the nurse note or observe when counting respirations? 2.)How is tactile fremitus assessed? 3.) Describe the method for checking diaphragmatic axcursion. 4.) Describe the pattern of percussion to the anterior and posterior thorax. 5.) What is the characteristic tone when percussing normal lung tissue? 6.) Describe the different techniques in voice auscultation.
For each of the following Patient Profiles, determine the most appropriate triage category (red, yellow, green, or black), and why. patient profiles: 1. severe right leg pain - tells you his legs hurt - respirations : 26/min - radial pulse : present 2. patient pinned under large bench - moans weakly when you talk to her - respirations : 36/min - radial pulse : absent 3. chest pain, dyspnea, cardiac history - tells you shes having trouble in breathing - respirations : 18/min - radial pulse : present 4. dislocated shoulder-bleeding - tells you his shoulder hurt - respirations : 26/min - radial pulse : present 5. cyanotic -unconscious - respirations : begins breathing when you open the airway - radial pulse : present
For each of the following Patient Profiles, determine the most appropriate triage category (red, yellow, green, or black), and why. patient profiles: 1. Profuse bleeding from scalp wound. - talking to you - respirations : 20/min - radial pulse : present 2. Complaining of severe back pain and pelvic pain. - tells you her back hurts - respirations : 20/min - radial pulse : present 3. Nothing obvious problem, covered in debris. - unconsious - respirations : 8/min - radial pulse : present 4. amputation of left arm - talking to you, attempting to stop the bleeding - respirations : 25/min - radial pulse : present 5. impaled object, very pale and sweaty - tells you she feel sick - respirations : 27/min - radial pulse : present
For each of the following Patient Profiles, determine the most appropriate triage category (red, yellow, green, or black), and why. patient profiles: 1. C/O severe abdominal pain/Arm Lac - conscious - respirations : 16/min - radial pulse : present 2. asthma attack: audible wheezing - tells you his having an asthma attack - respirations : 28/min - radial pulse : present 3. pinned by beam now removed, no feelings in legs - tells you she can't feel her legs - respirations : 18/min - radial pulse : present 4. no obvious injuries - does not respond to commands - respirations : 16/min - radial pulse : present 5. multiple lacerations from glass - tells you he is going to throw up - respirations : 26/min - radial pulse : rapid and thready
For each of the following Patient Profiles, determine the most appropriate triage category (red, yellow, green, or black), and why. patient profiles: 1. Enucleated eye - crying, holding injured eye - respirations : 16/min - radial pulse : present 2. leg pinned by heavy beam, open femur fx, and tib-fib fx to other leg - tells you his leg is pinned - respirations : 24/min - radial pulse : present 3. fractured nose, profused bleeding - tells you his nose and neck hurts - respirations : 18/min - radial pulse : present 4. neck sharply angulated - unconsious - respirations : absent - radial pulse : absent 5. chest pain from blunt trauma, hurts with breathing - tells you it hurts when he breathe - respirations : 16/min - radial pulse : weak/present
For each of the following Patient Profiles, determine the most appropriate triage category (red, yellow, green, or black), and why. 4. amputation of left arm - talking to you, attempting to stop the bleeding - respirations : 25/min - radial pulse : present 5. impaled object, very pale and sweaty - tells you she feel sick - respirations : 27/min - radial pulse : present
Case Study: -An 18-year-old man with no significant past medical history presented to the emergencydepartment with a history of cough and shortness of breath with exertion, along withsubjective fevers, chills, and rigors. He was noted to be hypoxic (low oxygen saturation level)on examination. The chest X-ray showed bilateral infiltrates in a diffuse butterfly patterninvolving both central lung fields. The patient reported a history of IV drug use, with frequentsharing of needles.Diagnosis: PCP PneumoniaCase study presentation should include the following:1. Case2. Patient initials (Ex. 50-year-old man)3. History of the present illness (Symptoms and may include the physical exam of the patient)4. Chief Complaints (Ex. Morning stiffness in his joints for over a year)5. Diagnosis and Causative agent6. Pathophysiology7. Treatment and Management8. References
Patient B., 60 years old, was hospitalized with the diagnosis "Myocardial infarction". On examination: cold and cyanotic skin. Respiration is frequent, superficial, arterial pressure 90/60 mm Hg, pulse - 110 beats / min (normal 60-90 beats per minute). The patient is transferred to the intensive care unit. Questions: 6. Describe typical changes of gas parameters and pH in blood at this type of TPP? 7. List the signs of adaptive reactions available to the patient.
Scenario: Emily Campbell is a 48 year old female, she came to the Emergency Department with chest pain and some shortness of breath. She was conscious and ambulatory, and was accompanied by her 19 year old daugter. Presenting complaint: "Nurse, I just don't feel quite right. I've had pain on my chest and I've been feeling breathless." Question(s): 1.) What type of health history should the nurse be taking for Ms. Campbell? Elaborate why. 2.) What three vital questions do you need to ask in order to explore Ms. Campbell's symptoms? Explain the significance of each. 3.) Which part of the history assesment tool should you give focus on with regards to Ms. Campbell's case? Give at least 3 and explain.
The nurse is caring for a patient admitted with pancytopenia with complaints of dyspnea upon exertion. This symptom would be most directly related to which condition? 1. Pain 2. Thrombocytopenia 3. Anemia 4. Neutropenia
1.A nurse is caring for a client with suspected pertussis . What isolation precautions should be instituted? 2.Define neutropenia . List two (2) precautions that should be instituted for the client with neutropenia 3. A nurse is caring for a client with fluid overload. What respiratory findings should the nurse anticipate?
Scenario Description: Juan Ferguson 50-year-old man with long-term emphysema who has become dyspneic and has been brought to the Emergency Department by paramedics and now is admitted to your floor for admission. He arrives alert and anxious, wheezing and still dyspneic. An IV has been started. Oxygen is started. What is my client’s primary and possible secondary diagnosis? What signs and symptoms would I expect to see with primary and secondary diagnosis? What do I need to assess? What is my top three priority assessments for this client? (Airway, breathing, circulation) What is my focused assessment for this patient and any nursing interventions I may need? What are the signs/symptoms that my client may exhibit if their condition is worsening? Give one or two reasons you would want to contact the healthcare provider?