Loading...

Messages

Proposals

Stuck in your homework and missing deadline? Get urgent help in $10/Page with 24 hours deadline

Get Urgent Writing Help In Your Essays, Assignments, Homeworks, Dissertation, Thesis Or Coursework & Achieve A+ Grades.

Privacy Guaranteed - 100% Plagiarism Free Writing - Free Turnitin Report - Professional And Experienced Writers - 24/7 Online Support

Care skills module assignment

24/04/2021 Client: muhammad11 Deadline: 2 Day

Rapid Reasoning: Clostridium difficile Colitis Chief Complaint/History of Present Illness: Mindy Perkins is a 48 year old woman who presents to the ED with 10-15 loose, liquid stools daily for the past 2 days. She completed a course of oral Amoxacillin seven days ago for a dental infection. In addition to loose stools, she complains of lower abd. pain that began 2 days ago as well. She has not noted any blood in the stool. She denies vomiting or fever/chills. She is on Prednisone for Crohn’s disease as well as Pantaprazole (Protonix) for severe GERD. Past Medical History:  Crohn’s disease  GERD Your Initial VS: WILDA Pain Scale (5th VS) Words: Crampy Intensity: 7/10 Location: Generalized throughout RLQ-LLQ Duration: Persistent since onset 2 days ago Aggreviate: None Alleviate: None T: 100.2 (o) P: 92 R: 20 BP: 122/78 O2 sats: 98% RA Ortho BP’s: Lying: 122/78 HR: 92 Standing: 120/70 HR: 114 Your Initial Nursing Assessment: GENERAL APPEARANCE: appears weak and uncomfortable. Easily fatigued RESP: breath sounds clear with equal aeration bilat., non-labored CARDIAC: pink, warm & dry, S1S2, no edema, pulses 3+ in all extremities NEURO: alert & oriented x4 GI/GU: active BS in all quads, abd. soft/tender to palpation in lower abd-no rebound tenderness or guarding MISC: Lips dry, oral mucosa tacky with no shiny saliva present in mouth Nursing Interventions:  Orthostatic BP’s (ED standing order)  Establish PIV (ED standing order)  Initiate enteric precautions (ED standing order) Physician Orders:  0.9% NS 1000 mL IV bolus  Hydromorphone (Dilaudid) 1 mg IVP  Stool culture for C. difficile  BMP, CBC  Vancomycin 250 mg po o 1000 mg/20 mL…determine dosage to administer  Admit to medical unit Lab/diagnostic Results:  Stool culture for C. difficile: Positive BMP Sodium Potassium Creatinine BUN CO2 Current 132 3.5 1.45 47 18 High/Low © 2012 Keith Rischer/www.KeithRN.com CBC WBC HGB PLTS Neuts. % Lymphs % Current 12.6 14.5 188 86 10 High/Low 1. What data from the chief complaint, VS & nursing assessment is RELEVANT that must be recognized as clinically significant to the nurse? RELEVANT data: Rationale: Chief complaint: VS/assessment: 2. What lab/diagnostic results are RELEVANT that must be recognized as clinically significant to the nurse? RELEVANT Diagnostic results: Rationale: 3. What is the primary problem that your patient is most likely presenting with? 4. What is the underlying cause /pathophysiology of this concern? © 2012 Keith Rischer/www.KeithRN.com 5. What nursing priority will guide your plan of care? 6.What interventions will you initiate based on this priority? Nursing Interventions Rationale: 1. 1. Expected Outcome: 1. 2. 2. 2. 3. 3. 3. 4. 4. 4. 7. What is the relationship between the following nursing interventions/physician orders and your patient’s primary medical problem? Nsg. Interventions/MD orders: Rationale: Expected Outcome: Orthostatic BP’s (ED standing order) Establish PIV (ED standing order) Initiate enteric precautions (ED standing order) 0.9% NS 1000 mL IV bolus Hydromorphone (Dilaudid) 1 mg IVP Stool culture for C. difficile BMP CBC Vancomycin 250 mg po Admit to medical unit © 2012 Keith Rischer/www.KeithRN.com 8. What body system(s) will you most thoroughly assess based on the patient’s chief complaint and primary/priority concern? 9. What is the worst possible complication to anticipate? (start with A-B-C priorities) 10. What nursing assessment(s) will you need to initiate to identify and respond to quickly if this complication develops? 11. What is the patient likely experiencing/feeling right now in this situation? 12. What can you do to engage yourself with this patient’s experience, and show that they matter to you as a person? © 2012 Keith Rischer/www.KeithRN.com ...

Homework is Completed By:

Writer Writer Name Amount Client Comments & Rating
Instant Homework Helper

ONLINE

Instant Homework Helper

$36

She helped me in last minute in a very reasonable price. She is a lifesaver, I got A+ grade in my homework, I will surely hire her again for my next assignments, Thumbs Up!

Order & Get This Solution Within 3 Hours in $25/Page

Custom Original Solution And Get A+ Grades

  • 100% Plagiarism Free
  • Proper APA/MLA/Harvard Referencing
  • Delivery in 3 Hours After Placing Order
  • Free Turnitin Report
  • Unlimited Revisions
  • Privacy Guaranteed

Order & Get This Solution Within 6 Hours in $20/Page

Custom Original Solution And Get A+ Grades

  • 100% Plagiarism Free
  • Proper APA/MLA/Harvard Referencing
  • Delivery in 6 Hours After Placing Order
  • Free Turnitin Report
  • Unlimited Revisions
  • Privacy Guaranteed

Order & Get This Solution Within 12 Hours in $15/Page

Custom Original Solution And Get A+ Grades

  • 100% Plagiarism Free
  • Proper APA/MLA/Harvard Referencing
  • Delivery in 12 Hours After Placing Order
  • Free Turnitin Report
  • Unlimited Revisions
  • Privacy Guaranteed

6 writers have sent their proposals to do this homework:

Homework Guru
Finance Professor
Online Assignment Help
Smart Tutor
Math Exam Success
Quality Assignments
Writer Writer Name Offer Chat
Homework Guru

ONLINE

Homework Guru

I have read and understood all your initial requirements, and I am very professional in this task.

$46 Chat With Writer
Finance Professor

ONLINE

Finance Professor

I will cover all the points which you have mentioned in your project details.

$34 Chat With Writer
Online Assignment Help

ONLINE

Online Assignment Help

I will cover all the points which you have mentioned in your project details.

$33 Chat With Writer
Smart Tutor

ONLINE

Smart Tutor

Give me a chance, i will do this with my best efforts

$24 Chat With Writer
Math Exam Success

ONLINE

Math Exam Success

I will cover all the points which you have mentioned in your project details.

$39 Chat With Writer
Quality Assignments

ONLINE

Quality Assignments

I have read your project details. I can do this within your deadline.

$50 Chat With Writer

Let our expert academic writers to help you in achieving a+ grades in your homework, assignment, quiz or exam.

Similar Homework Questions

Community psychology linking individuals and communities 3rd ed pdf - Entrepreneurship owning your future study guide 10.2 answers - Calculate exposure factor - Pb h3po4 h2 pb3 po4 2 - Which of the following is not a qualitative forecasting method - Hydrogen azide hn3 decomposes on heating by the following - Convection occurs in what states of matter - Socrata open data network - CL- module 6 - Telstra international day pass business - What is the atomic radius of xenon - Importance of taking body measurements - 8 qualities of hanuman - Iceman murder mystery worksheet answers - Target market for portable chargers - Newman projection to chair conformation - Lululemon warehouse sale 2017 locations - Unix v7 file system - MARISSA JONES ONLY!!!! - Math project - Payroll procedures manual australia - What device is used to create a physical star topology - Derive planar density expressions for bcc - Introduction - Girl before a mirror interpretation - Tcs domino server name - Research Paper - Pcs property cleaning services - Pedagogy of the oppressed questions - Weather shield casement windows - Ode on solitude questions and answers - Legislation that applies to working effectively in a business environment - Hp p2000 g3 fc dc smb san starter kit - Determine the rank of each of the following matrices - Null space of transpose - Predicate meaning in arabic - Ieee 802.15 4 architecture - How old is betty parris in the crucible - Bachelor of laws course map deakin - Prescriptive authority for nurse practitioners in texas - Rewrite sentences - Insurance and Healthcare Reimbursement - Community Assessment and Analysis Presentation (PPT) and Benchmark - Policy Brief (Due 24 hours) - Case Analysis (b) - How to cite an assessment in apa format - Ardex wpm 3000x price - Kim Woods only - Essay - Best buy muskegon geek squad - Summit restaurant sydney history - Jeff nippard push pull legs hypertrophy program pdf free - Global Track and Trace Solutions Market - Competitive analysis of pepsi and coke - Managerial economics - Champion spark plug guide - Settlers hut walk namadgi - What is gpa unisa - Hybrid aggregate plan - Enhance my current document - Bedform phase diagram - Summarize machiavelli's beliefs about what makes a great leader - Cobit and iso 27001 mapping - SMGT 501 - Analysis Paper Week 6 - Townsendpress.net sign in - Parasite movie san jose - Virgin active merton abbey - The entire busyteacher library pdf free download - Ultimate body applicator does it work - Residency - Pop art complementary colours - Data driven decision making in education ppt - Megabyte punch all parts cheat - Do starfish have organs - Elements of sketch in crime scene - William ricketts sanctuary cost - The manager of a store selling tea - Utilitarianism - The container store case study solution - One sample hypothesis testing cases speedx - Suss grading system - MULTIPLE CHOICE QUESTIONS - The robbers cave study - Petticoat discipline dummy digest - Servant leadership and followership similarities army - Summery - Amazon product feed specification - Drops per minute formula nursing - ¿en qué van los señores ortega a mayagüez? en avión en autobús en automóvil - 100 spelling words for 5th grade - Open source data loss prevention solution mydlp - Research Paper Assignment - Ammonium hydroxide base or acid - Directions to western carolina university - Murdoch deferred exam timetable - HR006: Leadership, Systems Thinking, and Change Management: - Football acrostic poem examples - Flor de cana lcbo - Dice game program in java - RM A.5 - A therapist at a free university clinic treats elementary school