NRS301 Lecture Notes - Lecture 2: Rhonchi, Contraindication, Pediatrics

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morgskennedy02

29 Mar 2023

School

Carroll University

Department

Nursing

Course

NRS301

Professor

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Document Summary

2 application of pharmacology in nursing practice. You are the home care nurse assigned to visit an 85-year-old male client who was discharged from the hospital with new onset of left-sided heart failure. You arrive at mr. smith"s house to find that he is having difficulty breathing and appears anxious. You quickly assess mr. smith"s lungs and find that he has bilateral rhonchi in the upper lobes. Mr. smith shares that he has not taken his medications this morning. You ask to see the discharge instructions and note that mr. Smith has seen several specialists, and each has prescribed a different medication regimen. Application of pharmacology in patient care: pre-administration assessment, collecting baseline data, labs, medication list, past medical history, vs and your assessment. Implement any special handling the drug may require: don"t administer any drug if you don"t understand the reason for its use, evaluating and promoting therapeutic effects.

Related Questions

Apply the ICD-10-CM Official Guidelines for Coding and Reporting of the Principal Diagnosis for Inpatient Care (Guidelines II A-J) to identify the principal diagnosis in the following scenarios.

Patient was admitted to the hospital with acute pyelonephritis and acute cystitis. Both infections were evaluated and treated with IV antibiotic therapy. THe patient was discharged home to continue taking oral medications.

StewartRenee

A client who is experiencing facial pain comes to the primary health care clinic where you are completing a student rotation. She tells you her pain is unrelenting and unbearable. Following health history and physical assessment the primary care NP made a tentative diagnosis of trigeminal neuralgia and referred her to neurology and started her on carbamazepine, an anti convulsant drug. The neurology/neurosurgery team confirmed the diagnosis of trigeminal neuralgia and, after an unsuccessful trial of medication, the client decided to proceed to microvascular decompression (MVD). From what you have learned so far, describe your post-operative assessment either immediately after surgery, after 24 hours, or on discharge from hospital.

hellostudent1234

The hospital risk management department has reviewed Zelda's care. The medical record is analyzed. The incident report is reviewed. It is revealed that Zelda's protected health information (PHI) was disclosed: to her mother, to her health insurance company, to the county's Adult Protective Services agency, the State Department of Health and Human Services, the medical staff peer review committee, the marketing department (photos are used in an campaign against abuse in the home), and hospital legal counsel.

Define PHI.

And are any of these disclosures legally allowable?

Why or why not?

Cite to the law or laws that direct your response.

Here is our shared scenario: Zelda is in trouble again. She is brought to the ED by police after a domestic dispute with her husband. Zelda has lacerations and suffered a hit to her head and is being brought to the ED for assessment and treatment. Zelda also has little red spots (rash) all over her arms which she says were due to a recent bout with Chicken Pox. Pictures of her injuries and rash were taken by the ED nurse as part of the department domestic violence policies. The pictures were placed in the patient’s medical record.

While helping Zelda get onto the stretcher, Zelda bites the police officer. The officer’s skin is broken and the officer is cared for by the ED staff. The ED Nurse submits an incident report to the hospital’s internal risk management reporting system. In addition, a hospital social worker comes to talk to Zelda about her safety at home.

After the biting incident, both Zelda and the police officer undergo testing for HIV and other blood borne pathogens. The police don’t pursue charges against Zelda and she is discharged that same day.

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NRS301 Lecture Notes - Lecture 2: Rhonchi, Contraindication, Pediatrics

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