NURSING NUR 265 (NUR265)

The nurse is working in the emergency department (ED) is admitting a client who has sustained a traumatic brain injury (TBI) following a motor vehicle crash. It is priority for the nurse to notify the primary healthcare provider (PHCP) in the client: 0. Hemorrhage may occur as part of the primary injury and begin at the moment of impact. Warfarin is a blood thinner and the patient may bleed out if they have a hematoma (a collection of blood)The charge nurse is observing a newly hired nurse care ...

The nurse working in the ED is triaging a client who has presented with chest pain, shortness of breath, a productive cough, and reports nights sweats. That clients health history includes the presence of acquired immunodeficiency syndrome (AIDS) and the recent laboratory results that reveal a low CD4+ count. Airborne precautions have been initiated. Which of the following actions should the nurse take next?The newly hired nurse is developing a plan of care for a client who has acquired AIDS and...

The nurse notes each time the mechanical ventilator delivers a breath to a client with acute respiratory distress syndrome (ARDS), the peak inspiratory pressure alarm sounds. What is the nurse’s best intervention?A client has a new tracheostomy, on a mechanical ventilator with the following settings: SIMV, rate of 12, TV 800, FIo2 80% and PEEP of 5 cmH20. Which assessment finding requires immediate action by the nurse?The nurse palpates the posterior chest while the client says “99” and no...

NUR 265 Advanced Medical Surgical Nursing Complex Elimination Renal: Acute Kidney Injury- Abrupt loss of kidney function. It can happen in hours to days, Pathophysiology: Fluid and electrolyte imbalances occur. Labs and Diagnostics: GFR decreases. (90-120ml/min) Creatinine increase. (0.5-1.2mg/dl) protein breakdown. BUN increase. (10-20mg/dl) Hemoglobin- 12-18 Hematocrit- 37- 52 3 Types: Pre-Renal Causes: (Hypotension) The issue is before the kidney. (Impaired renal perfusion) Blood or fluid los...

NUR 265 Advanced Medical Surgical Nursing Complex Elimination Renal: Acute Kidney Injury- Abrupt loss of kidney function. It can happen in hours to days, Pathophysiology: Fluid and electrolyte imbalances occur. Labs and Diagnostics: GFR decreases. (90-120ml/min) Creatinine increase. (0.5-1.2mg/dl) protein breakdown. BUN increase. (10-20mg/dl) Hemoglobin- 12-18 Hematocrit- 37- 52 3 Types: Pre-Renal Causes: (Hypotension) The issue is before the kidney. (Impaired renal perfusion) Blood or fluid los...

See Announcement posted day 7 of week 1 for groups assigned. Group 1 Scenario: T.M. is 50-year-old male patient who came in to the emergency department with complaints of chest pain developing while shoveling snow this am. He is accompanied by his wife, who reports he became ill while outside working to remove snow on their driveway. T.M. states his pain level is an 8 on a scale of 0 – 10 and reports he feels heavy pressure in the center of his chest. Upon assessment, he denies pain radi...

Tissue destruction caused by a burn injury leads to local and systemic problems that affect Fluid and electrolyte balance leading to: o protein losses, sepsis, and changes in metabolic, endocrine, respiratory, cardiac, hematologic, and immune functioning - The extant of problems is related to: o age, general health, extent of injury, depth of injury, and the specific body area injured - Late complications may occur after healing: o Contracture formation and scaring - The priorities of care...

G.S., a 36-year-old secretary, was involved in a motor vehicle accident; a car drifted left of center and struck G.S. head-on, pinning her behind the steering wheel. She was intubated immediately after extrication and flown to your trauma center. Her injuries were found to be extensive: bilateral flail chest, torn innominate artery, right hemo/pneumothorax, fractured spleen, multiple small liver lacerations, compound fractures of both legs, and probable cardiac contusion. She was taken to th...

1. Discuss causes of prerenal, intrarenal, and postrenal AKI. Prerenal:  Infection  Dehydration  Severe burns  Vascular obstruction  Blood loss  Fluid loss  Decreased cardiac output  Renal artery stenosis Intrarenal:  Pyelonephritis  Bleeding within the kidney  Inflammation  Systemic infections  Lupus  Vasculitis  Ischemia in the kidney tissue  Thrombotic thrombocytopenic purpura