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Quizlet Chapter 1 introduction to medical-surgical nursing practice
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JR was brought to the rehabilitation center for the purpose of regaining lower extremity balance and strength. Patient was sent to the hospital after a severe car accident. JR was presented with temperature 96.5, blood pressure 106/59, pulse 90, respirations 20, oxygen saturation levels 96%, PERRLA OU, no JVD, motor strength 4/5 bilaterally. Slight abnormal levels, sodium presented as 134, hemoglobin as 12.4, and hematocrit 36.9. Patient showed abrasions over forearm and knees noted. Wound type incision located left side of spinal, thoracic and lumbar. Weight bearing status is full, and patient can stand up with assistance.
List all Current Medications (Add to table as necessary). Complete detailed medication forms per instructor discretion.
Medication Dose and Route Times given Medication Dose and Route Times given
Docusate Sodium 100 mg bid
Acetaminophen 650 mg PO 2 tab 325 mg q4h
Almacone MALOX LIQ 1 PO PRN q4h
Bisacodyl 10 mg 2-tab x 5 mg PRN daily
Pathophysiology
Lewis’ Medical-surgical nursing is your first reference. You may supplement
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Mechanism of injury includes flexion, hyperextension, flexion-rotation, compression and extension-rotation. Flexion-rotation is the most unstable because of all the ligamentous structures that stabilize the spine are torn. Skeletal level of injury is the vertebral level where there is most damage to vertebral bones and ligaments. The level of injury includes the cervical, thoracic, lumbar or sacral. Cervical and lumbar injuries are the most common because they involve the greatest movement and flexibility. The degree of injury results complete or incomplete, meaning either total loss of sensory and motor function below level of injury or mixed levels of tracts intact. It all depends on the level of injury that reflects nerve tract damage (Lewis et al., 2014,
A complete blood count was done for this patient upon admission in order to give a baseline to help guide his care. The blood count was also done to show how his hematological system was affected by the trauma that he suffered in the motor vehicle accident he was in. If the patient was hemodynamically unstable, he may have needed blood transfusions to bring his blood counts up. White blood cells could help to tell is the patient has an infection in his surgical wound. The patient also underwent surgery to correct the injury to his spine, causing more blood to be lost in the process. The platelet, hemoglobin, and hematocrit counts could help to show in the future if the patient is suffering from internal bleeding after the surgery he had.
What is the purpose of each of the medications the patient is on? Why is this patient receiving them?
The patient is a 45 year old male who was in a car accident that
For this assignment I was able to interview Regina Bowman RN, BSN. Her current position is that of the Director of Medical Surgical Nursing. Her position places her over top of seven nursing units between two facilities. Regina graduated from the Mercer Medical School of Nursing in 1979 with her diploma in nursing. The Mercer medical school of nursing is still in operation although it has been renamed the Capital Health School of Nursing. Her return to school started after graduation. She enrolled at Mercer County Community College to obtain her Associates. Secondly she attended La Salle University and received her Bachelor’s in Nursing in 2003. Lastly she is currently enrolled at the Thomas Edison State University, and has a prospective graduation of 2011 with her Masters Degree in Nursing. Regina has work in many clinical jobs, both in and out the hospital. Initially she began her nursing carrier as a medical surgical nurse shortly after graduation. After she gained experience she worked in the emergency room only to return to med-surge as an assistant manager. Subsequently the unit in which she worked closed and Regina was placed in an outpatient setting managing hospital owned physician groups. This position leads to her return as the manager of 7 East a general medical unit. This position eventually gave her the opportunity to hold her current position as a hospital director.
Overall, I retain three goals for this clinical day: Safely and efficently administer medication, enhance my nursing/CNA skills, and determine how to implement infection control into a health care setting. This week reflects my assigned time to administer medication in a health care setting for the first time, with a resident who retains nearly twenty medications. I except this experience will be a great learning experience, but it will also subsist slightly stressful. With the assistance of my FOR, my goal is to administer all of my resident 's medications without complications. To ensure that medication safety, I will perform the six medication rights and three checks prior to administration. Along with medication administration, a goal
A registered nurse (RN) is someone that went through a university or college and studied nursing; and then passed the national licensing exam to obtain a license to practice nursing. The degree earned by an RN at the need of the program is deemed a professional nursing degree. The RN top nursing staff and they usually works independently. On the hand, an LPN only earns a practical nursing degree after completion of the program. LPNs are mostly recognized only in USA and Canada; they are also named as License Vocational Nurse (LVN) in the state of California and Texas. LPN work under the supervisor of an RN or a physician.
Focusing on pursuing a career you like is important because statistics show fifty-two percent of Americans are unhappy going to work every day because they chose a career they didn’t have an interest in. My ideal job is in the medical field because I’ve always had a passion in helping people. I want to specialize in nurse anesthesia because of the important role they have in society. Nurse anesthesia interests me because of the tasks they do, the advanced education path they must take, and the history behind the profession.
“Code Blue”, that the last thing anyone wants to here at the beginning or end of a shift, or for that matter at any time during their shift. With the development of rapids response teams (RRTs), acute care nurses and ancillary departments have a resource available to their disposal when need in uncertain situations. Many times nurses struggle to maintain a patient deteriorating in front of them all the while make a multitude of calls to the physician for orders or concerns. Having a set of “expert” eyes assisting you in these times helps alleviate stress and encourages collaboration amongst staff. (Parker, 2014)
“We can’t turn away from a patient’s pain just because it’s difficult” (chapman, 2015, p. 88). I know the path of least resistance is taking a path of ignorance. Easy, is to ignore or neglect the true pain patients experience in times of crisis. As caregivers I believe we all want to heal others or we wouldn’t be in the field of nursing, but there are only handfuls willing to be present during the healing process because sharing one’s pain hurts. As a surgical nurse, I find being genuinely present takes hard work on my behalf, not only mentally but emotionally. On a unit where patient’s needs and conditions are changing at astonishing rates, being present requires mental strength in order slow down enough to recognize the value presence
There are many who believe that the next shortage will be worse and the demand for nurses will increase. There will be more jobs available especially with the baby boomer nurses retiring. Wood believes that when nurses retire, the next shortage could be even worse than the previous shortage. According to Wood this would lead to an “intellectual drain of institutional and professional nursing knowledge” (Wood, 2011, para 15). Staiger agrees as well that a shortage of nurses is expected again when nurses retire and since the economy will be more stable full-time nurses will go back to being part-time (Huston, 2017). Huston expects for the supply of nurses to grow minimally in the next couple of years and for a large number of nurses
I have been a registered nurse for the past six years. I started my nursing career in a long-term care facility where I worked for a year and half . I always wanted to challenge myself so l left long-term care and went to work in the intensive care unit for four years where I saw how people with diabetes are suffering when the disease in not managed well. I am currently working in post anesthesia care unit(PACU) where I recover many patients with diabetes complications post-surgery. I am committed in the innovation in order to provide an effective care for the people suffering from diabetes. For many years the disease has been killing people and introduction of the control tools will help in making the condition manageable. The innovation
1. What is the difference between a. and a. Which K, S, and A pertain to the care you provided to the patient you have chosen? Why do you need to be a member? K- Describe the limits and boundaries of therapeutic patient-centered care. S- Assess levels of physical and emotional comfort.
Currently, through observations and clinical experience on Med/Surg at Cary Medical Center, medication is administered by the nurse. Nurses are responsible and accountable for administrating medications to patients. Patient medication education is conducted by the nurse. Medication education includes informing the patient the reason for the medication, when and how long to take the medication, drug interactions, and importance of checking with primary care provider prior to taking any over-the-counter or herbal products. If the nurse is unfamiliar with a certain medication, a drug book is available for the nurse to utilize and gain knowledge regarding the drug use, action, adverse reaction, and contraindications.
Surgical Nursing requires a special person to meet the demands of the precision this task calls for. It is a fine-tuned art that requires keen senses to have the ability to multitask with precise perfection to ensure the patient will be afforded the utmost care, comfort, safety, teamwork among staff, and confidence they should expect in a situation that does not exhibit the best of times in their life. In this paper, we will inform the reader of the meticulous role of the surgical nurse, salary range and job availability, pros and cons, and how the patient takes number one priority in order for them to receive the best care possible within the Surgical Nurse’s scope of practice.
Secondly, they advise their patients in assuring the appropriate use of medications. It is important to tell the patient about the name of the drug, what is it for, when to take the drug, how many times per day, whether it should be taken before meals, after meals or with meals, the method of taking the drug and its side effects and possible drug-drug interactions. (Swanson, 2005)