Course Task #10

 

AUBREY ROSE A.VIDON BSN 3Y1 – 2

COURSE TASK #10 Applying Your Knowledge: Consider the various scenarios and answer the quesons. (20 points each scenario) George is a 75 year-old paent with urosepsis being treated in the Intensive care unit (ICU). The nurse assesses George and fnds that he has blood in his urine and stool, and is oozing blood rom his central line site and his gums. 1. What does the nurse suspect suspect maybe maybe o occurri ccurring ng with with G George? eorge? Urosepsis is sepsis caused by an infecon of the urinary tract (UTI). 2. What m medica edicaons ons sh should ould tthe he nurse nurse avoid avoid administer administering ing to G George? eorge? The nurse should avoid administering any kind of rectal drugs. 3. The nurs nurse e is monit monitoring oring Geo George’s rge’s vi vital tal sign signss every 15 min minutes. utes. What What other monitor monitoring ing is essenal to include along with the vital signs? Frequent blood glucose monitoring should be done to avoid hypoglycemia to George. 4. What medi medicaon caon does the nurse nurse an ancipat cipate e infusin infusing? g? The primary treatment for urosepsis is the use of anbiocs to get ge t rid of the infecon. The treatment may also include supporve measures such as intravenous uids, and oxygen therapy may be used.

Fred, a 43 year-old construcon worker, has a history o hypertension. He smokes two packs o cigarees a day, is nervous about the possibility o being unemploy unemployed, ed, and has diculty coping with stress. His current concern is cal pain during minimal exercise, which decreases with rest. 1. What does tthe he nurse is the the hallmark hallmark symptom symptom of peripheral peripheral ar arterial terial occlusi occlusion on disea disease? se? The hallmark of peripheral arterial disease is the symptom of claudicaon which is an intermient cramping pain in the leg that is induced by exercise and relieved by rest. re st. 2. The paen paentt is having ankle-br ankle-brachia achiall index (ABI) (ABI) determined. determined. The right right posteri posterior or bial reading reading is 75 mm Hg, and the brachial systolic pressure is 150mm Hg. What would the ABI be for this paent? The ABI for this paent is 0.5 raos.

 

3. The nurs nurse e is educa educang ng Fred about about manag managing ing his co condio ndion. n. What methods methods can can the nurse su suggest ggest to increase arterial blood supply? A planned program involving: 

Systemic lowering of the extremity below heart level

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Burger Allen exercise

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Graded extremity exercise

4. What is the be best st method method for the nurse nurse to assess Fre Fred’s d’s peri peripheral pheral p pulses ulses to obtain obtain co consis nsistent tent results with other health care praconers? 

Use light touch

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Avoid using only the index nger for palpaon because this nger has the strongest arterial pulsaon of all ngers

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The thumb should not be used for the same reason

Georgia, a 30 year-old woman, is diagnosed as having secondary hypertens hypertension ion when serial blood pressure recordings 170/100 mm Hg. Her hypertension is the result o renal dysuncon. 1. How wi will ll Georgia’s Georgia’s kidne kidney y help mainta maintain in her hypert hypertensiv ensive e state? Release renin in response to decrease renal perfusion. 2. The nurs nurse e inform informss Georgia Georgia that she sho should uld see her her ophthalmolo ophthalmologist. gist. Wh Why y is it impor important tant tha thatt Georgia adhere to follow up with an ophthalmologist? An eye examinaon with an ophthalmoscope is parcularly important because renal blood vessel damage indicate some more damage elsewhere in the vascular system. The paent is quesoned about blurred vision, spots in front of eyes, and diminished visual acuity 3. Georgi Georgia a is pres prescribed cribed with with Furosemi Furosemide de (Las (Lasix) ix) 20mg 20mg once every every day. What What doe doess the nurse nurse understand about the acon of Lasix? It blocks reabsorpon of sodium, chloride, and water in the kidneys. 4. What heal health th educaon educaon can the nu nurse rse suggest suggest to Georgi Georgia a to reduce complica complicaons ons and im improve prove disease outcomes? Adhere to dietary regiments, become involved with a regular exercise program and take medicaon as prescribed.