Therefore, Lactated Ringers is not an appropriate IV solution selection in this scenario. • F is incorrect because while patients over 70-years old are at risk for fluid overload, the nurse would assess the patient’s lungs, however assessment of the heart is not necessary. Moreover, the RN should measure vital signs and assess lung sounds before the transfusion, after the first 15 minutes and every 30 minutes to 1 hour, per agency policy, until 1 hour after the transfusion is completed (Silvestri, 2018). NCLEX Question #2 A nursing instructor is teaching a class of nursing students about acute hemolytic transfusion reactions. Which of the following statements regarding indications of an acute hemolytic transfusion reaction made by the student nurse would indicate the need for further education.
Laine also allegedly warned Bloom about texting while at work even though her cell phone didn't have texting capabilities. Bloom's misconduct during FMLA leave Bloom's FMLA leave began when her daughter was born on July 23, 2012. While she was on leave, she visited the clinic occasionally. During her first visit, she took some Vaseline samples from the clinic. During her second visit, she obtained some sample bottle nipples because the baby was having trouble eating.
Once Dr. Rose was with Chrissy, the 21-year-old dental hygienist, she was instructed to rinse her mouth with mouthwash. Dr. Rose noticed that it contains chlorhexidine and alerted the hygienist. Chrissy was dismissive of Dr. Rose's concerns and assured her that there was no cause for them. Further, she instructed Dr. Rose to "be a 'good patient'". Once the dentist entered, Dr. Rose was already administering anti-allergy medications to herself.
Kingston then chose the case of bed 9, Mr Tan, who came in for a case of uncontrolled Diabetes Mellitus. Kingston had not consulted the team before making the decision and started to delegate the work among them. He told them that he would find out about what the types of diabetes were while the other two student nurses should find out about other details such as the pathophysiology, causes, clinical manifestations and complications of Diabetes. Throughout the week, Nicole and Natasha were so preoccupied with the task given to them that they were not able to focus on doing their skills properly. Because of that, they were reprimanded by their clinical instructor.
Ava the Elephant Update – See What Happened After Shark Tank Ava the Elephant Before Shark Tank Ava the Elephant, originally called Emmy the Elephant, is a medicine dispenser that eliminates the scare many young children get when taking oral medicine. It was founded by Tiffany Krumins when one of the children she was watching would refuse to take medicine. With a background in medicine, Tiffany knew that many parents faced similar issues and that children weren’t afraid of the medicine, but rather the process. Tiffany set out to solve this issue and was able to create a prototype of Emma the Elephant with some basic supplies from the store such as sponges and fabric. Having no background in product development, however, Tiffany faced many challenges that early entrepreneurs do such as how early a patent was needed or how to get into retailers.
From the assessment data, it is evidently noticed that this is the family’s greatest health risk priority. They ensure that Jane goes to the hospital whenever she falls sick putting into consideration her diabetes condition. Sensory pattern; due to her age, Jane is reported to have developed sensory disparities in connection to her eyes. The family has ensured that she has glasses that help her to visualize correctly. The primary reason for recommending her the glasses is for cognitive-perceptual purposes.
Another example is a patient refusing to disclose the father of her unborn child so I invited her to my station, provided privacy and made her feel comfortable, during our conversation she disclosed that her uncle impregnated her, with appropriate measures the case was handled. Nurses have every chance of getting information due to their daily interactions with patients. CURRENT STUDIES: A participant is more likely to provide honest responses when their identity is not disclosed, Kathy Quan, RN, BSN, PHN wrote an article called “ Confidentiality and your Nursing job”. In her article she reminds students and nurses to carefully consider patients privacy and she challenged nurses to answer the question what is confidentiality before pursuing nursing as a career. Patient needs to trust health care provider and nurses have long been listed as one of the most trusted among all professions.
On this day, the named nurse allocated to Halima observed that she did not attend for breakfast and appeared distressed when she came for her morning medication. Later she approached Halima, introduced herself as her keyworker for the shift, asked how she was feeling and offered her a one to one therapeutic time. She first sought Halima’s consent, to ensure she was willing to engage at that point in time and the discussion was held in a quiet room away from the distraction of other patients, this was aimed to ensure her privacy, dignity, and confidentiality are respected (NMC 2015: NICE 2011). Halima was objectively tearful and expressed feelings of shame because she believes she has disappointed her family and finds the stigma attached to mental health demoralising and to cope will isolate herself because she does not think that the staff truly understand her. The nurse using good verbal and non-verbal communication skills and active listening allowed her to express her thoughts, feelings, anger, and frustration without interrupting.
The main ethical predicament faced by a nurse is if she should resuscitate someone or not. First there is the matter if the nurse is given clear instructions by the attending physician, to no resuscitate the patient, Matt, as all attempts to keep his brain and heart functioning have been unsuccessful. Secondly the supervisor agrees with the attending physician and also agrees that the nurse should listen to the doctor and not resuscitate the patient. Lastly the nurse herself has a previous disgust for resuscitating drug addicts. The patient’s family makes things more difficult as they still maintain against a DNR order, even when the patient did not leave any orders of what should be done.
I felt bad my sister has three younger kids and I couldn’t feel for the kids any more than I did, I knew they would be worried sick when they found out their dad had to be rushed to the hospital. As soon as I read my mom’s message I went straight home. My mom was on the phone with my sister when I arrived and she was crying. When my sister was 13 her dad had died from a heart attack so I knew that this was nothing but déjà vu for her. My mom and I had went and got my sister’s kids from their dad’s mom.