NUR 393 Chapter Notes - Chapter ATI Chapter 1: Milieu Therapy, Smoking Cessation, Insomnia

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alyssaschwartz536

23 Feb 2023

School

Gustavus Adolphus College

Department

Nursing

Course

NUR 393

Professor

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Document Summary

Touch to communicate - as appropriate (some people will not feel comfortable with this!) Ask questions about insomnia, incontinence, falls or any other injuries, dizziness, loss of energy or depression. Summarize what you talked about with the patient and ask for anything that could"ve been missed. Remember the assessment is ongoing - each time you see the patient is an assessment! Assess how the patient is perceiving their current condition. Assess substance use and any history of substance use disorder. Assess the client"s stress level and ability to cope with stress. Assess the clients cultural beliefs regarding health care and their values. Stuporous: the need to use painful stimuli to waken the client. Decerabrate: neck/elbow extension, wrist and finger flexion. Mood: the emotion the patient is feeling. Affect: an objective (something we can see) expression of the patients mood - a frown. Orientation questions - person, place, time, situation. Immediate: list a series of objects and have the patient repeat.

Related Questions

1. The nurse working in a long-term care facility incorporates a focused assessment of
the immune system for all newly admitted patients over the age of 65. Older adults

are more likely to develop problems related to immune function than are middle-
aged people. The focused immune assessment includes a systemic approach based

on age-related changes in immunologic function. (Learning Objective 4)
a. What changes in the immune system in the older adult increase the incidence of
infection and cancer in this population?
b. Explain why older adults may have decreased inflammatory responses.
c. Why are older adults at increased risk of gastroenteritis and diarrhea secondary
to proliferation of intestinal organisms?

2. The nurse educator for an oncology unit is preparing an in-service presentation for
new nurses about the care of patients with immunodeficiencies. Patients with cancer
who are receiving chemotherapy, as well as those with bone marrow transplants, are
immunocompromised and require special attention to assess for signs of infection.
The nurse educator focuses on special care needs of this patient population.
a. What is the rationale for assessing the pulse and respiratory rates for 1 full
minute in a patient with immunodeficiency?
b. What special precautions about dietary restrictions and food preparation should
be included in the teaching for a patient with immunodeficiency?
c. What nursing actions should be implemented to decrease the risk of infection in
the patient with immunodeficiency?
3. Molly Baker, a 22-year-old patient, presents to the clinic with the diagnosis of
allergic rhinitis. She states that she develops paroxysmal sneezing, clear nasal
drainage and congestion, watery, red eyes, and nasal itching from the late spring
until the first frost in the fall. She states that she has a dry cough and voice
hoarseness. She complains of feeling extremely tired, unable to sleep at night, and
having difficulty concentrating on her collegiate course work.
a. What further assessment should the nurse provide?

Ellie Long, a 55-year-old patient, presents to the pain clinic with the diagnosis of
fibromyalgia syndrome. The nurse at the clinic obtains a history and physical
assessment of the patient. (Learning Objective 2)
a. On what areas should the nurse concentrate when interviewing the patient
during the history process?
b. On what areas should the nurse concentrate when assessing the patient?
c. What diagnostic tests are used with fibromyalgia syndrome?

goldworm200

The needs of the pediatric patient differ depending on age, as do the stages of development and the expected assessment findings for each stage. In a 500-750-word paper, examine the needs of a school-aged child between the ages of 5 and 12 years old and discuss the following: Compare the physical assessments among school-aged children. Describe how you would modify assessment techniques to match the age and developmental stage of the child. Choose a child between the ages of 5 and 12 years old. Identify the age of the child and describe the typical developmental stages of children that age. Applying developmental theory based on Erickson, Piaget, or Kohlberg, explain how you would developmentally assess the child. Include how you would offer explanations during the assessment, strategies you would use to gain cooperation, and potential findings from the assessment.

ultramarinemacaw846

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.

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NUR 393 Chapter Notes - Chapter ATI Chapter 1: Milieu Therapy, Smoking Cessation, Insomnia

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