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medical-surgical nursing

medical-surgical nursing

Sample Answer 

Medical-surgical nursing

  1. What additional subjective data and objective data should the nurse elicit from this patient?

When administering treatment to a patient, it is for the nurses to take the case nurses to seek both subjective and objective data from the patients. For the case presented, the objective data that the nurses should elicit from the patient include finding out if a cough is dry or it involves the production of sputum. The nurses should also find out about the patient’s respiratory rate (Rebar, 2017). For the subjective data, the nurses should find out from the patient if she is experiencing chest pains during coughing.

The rationale for seeking this information is to receive all information that can be used in ordering medication for the patient

  1. The physician orders a chest X-Ray and sputum specimen. What should the nurse tell this patient about these tests, why are they ordered?

For the ordered x-ray and sputum tests, the nurses should inform the patient that they are to be used for determining the exact issue with health (Pfaller, 2014). This may include telling her that the physician would need this information to figure out the problem and how much it has impacted the respiratory tract.

The rationale of telling these to the patient is to calm her down and persuade her to take laboratory tests.

  1. How should the nurse document in the nursing note for this patient according to the data collected.

The data found from the patients should be documented in such a manner that sense can be made out of them during use for recommending medication. For this case, the nurse should document the information as below:

Issue-virus and Persistent cough, area of infection-chest, possible cause- long-term cigarette smoking, response to usual responses-negative, period of infection-4 weeks.

The rationale of recording the patent data in this format is to enable easy understanding by the physician so that decisions made on medication can be perfect and complete.

  1. The physician order for the patient be schedule for a bronchoscopy. What teaching-learning plan will the nurse perform in order to prepare the patient for the Bronchoscopy exam?

Before taking the patient through the bronchoscopy, the nurse should seek the consent of the patient (Rebar, 2017). In doing this, the nurse needs to tell the patient that the process of local anesthesia will be used. The bad taste that the anesthesia has should be told to the patient. She should also be told not to take any food at least six hours before the process.

  1. What special actions must the nurse take after the procedure is completed and the patient is taken to the PACU (post anesthesia care unit)? 

After the process is completed, the nurses should take the responsibility of finding out the status of the patient. These include seeking their tastes as well as pain status. Also, the nurses should provide a friendly environment so that the patient’s needs are all addressed as soon as possible.

References

Rebar, C. R. (2017). Medical-surgical Nursing-Concepts for Interprofessional Collaborative Car. Elsevier-Health Sciences Division.

Pfaller, M. A., Andes, D. R., Diekema, D. J., Horn, D. L., Reboli, A. C., Rotstein, C., … & Azie, N. E. (2014). Epidemiology and outcomes of invasive candidiasis due to non-albicans species of Candida in 2,496 patients: data from the Prospective Antifungal Therapy (PATH) registry 2004–2008. PloS one, 9(7), e101510.

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Question 


Medical-surgical nursing

Case Study 2
Respiratory
medical-surgical nursing: concepts for interprofessional collaborative care, single volume, 9e use this book as the main reference

The adult patient goes to the pulmonary clinic reporting a productive cough that “wont go away”. She is a 60yearold married housewife whose children are grownShe smoked two packs of cigarettes per day for 20 yearsbut she has not smoked for the past 10 yearsShe contracted a “virus” 4 weeks ago, which “settled in her chest”. Her usual remedies have not resulted in improvement in her status.
Using the above scenario answer the following question with the Rationale for your answer.

Medical-surgical nursing

Medical-surgical nursing

  1.  What additional subjective data and objective data should the nurse elicit from this patient?
  2. The physician orders a chest X-Ray and sputum specimen. What should the nurse tell this patient about these tests, why are they ordered?
  3.  How should the nurse document in the nursing note for this patient according to the data collected.
  4.  The physician ordered for the patient be scheduled for a bronchoscopy. What teaching-learning plan will the nurse perform in order to prepare the patient for the Bronchoscopy exam?
  5. What special actions must the nurse take after the procedure is completed and the patient is taken to the PACU (post-anesthesia care unit)?

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