Unit 1 Discussion Contains unread posts Care

Unit 1 Discussion Contains unread posts Care Plan Molly McBurn is a 58-year-old morbidly obese woman who arrives at the Emergency Department complaining of abdominal pain of an 8/10. She states this pain has been progressively getting worse over the last 2 days, and she is also experiencing nausea and vomiting. She has a medical history of diverticulosis, osteoarthritis in both knees, and admits to smoking one pack of cigarettes per day for the past 42 years as well as drinking “sometimes every day.” What priority assessments would the nurse need to perform? List three, including the steps and rationales. What diagnostic tests would you anticipate being ordered and why? Begin a care plan for this patient. List your top three nursing diagnoses with three interventions and rationales for each. Unit 2 Discussion Contains unread posts Molly is admitted to the medical surgical unit with a diagnosis of diverticulitis. The CT scan of her abdomen also showed hepatomegaly. Her current orders include: Admit to medical floor: diagnosis diverticulitis NPO with sips and chips I & Os Daily weights Out of bed TID with assistance Nasogastric tube to low intermittent suction (LIS) Lactated Ringers at 100 mL/hr Metronidazole 500 mg IVPB Q12H Morphine 2 mg IV Q2H prn pain Ondansetron 4 mg IV Q6H prn nausea Answer the following questions: Which orders take priority and why? What basic cares and comforts would this patient need? What can be delegated to the UAP? What complications of immobility would the nurse need to address? List three nursing diagnoses with three interventions each that address a safe and effective care environment. Unit 3 Discussion Contains unread posts Molly’s admitting lab results include the following: Labs: Blood cultures positive – gram negative rods CBC CMP WBC 12 Albumin 1.8 Neutro 77 Alk Phos 302 Bands 2 ALT 173 Lymph 12 BUN 22 Mono 10 Creatinine 1.1 Eos 0 CO2 26 Baso 4 Na 140 RBC 4.6 Cl 108 Hct 32 K 3.6 Hgb 11.3 Glucose 210 Platelets 188 Total Bili 2.4 Amylase 415 Total Protein 4.8 Lipase 242 Ca 9.6 PT/INR 14/2.6 Thyroid stimulating hormone (TSH) 5.6 Magnesium 1.4 Serum triiodothyronine (T3) 62 Free thyroxine (FT4) 0.5 Answer the following questions: Which values are abnormal, and what could they indicate? What are three nursing diagnoses with three interventions and rationales each that would need to be added to the care plan? Unit 4 Discussion Contains unread posts Topic: Molly is anxious and tearful. She complains of pain that is not adequately controlled by the ordered medication and becomes belligerent when she must wait for her next dose of pain medication. She states she has a teenage daughter at home, and she is worried about her daughter going to school while she is in the hospital. She also tells the nurse that she does not have insurance and is worried about how she will be able to pay for all this. Answer the following questions: What are three psychosocial assessments the nurse would want to perform? What are three psychosocial nursing diagnoses that should be added to the plan of care, including three interventions and rationales for each? What are therapeutic communication techniques that the nurse could use to foster a therapeutic relationship with this patient? Unit 5 Discussion Contains unread posts Must post first. Topic: During the night, Molly was found on the floor by her bed. A head-to-toe assessment revealed a large hematoma on her right parietal area, contusions on her right elbow, and that her right leg is shorter than her left and is externally rotated. X-rays show a fractured right hip. Molly is ordered a surgical consult. Answer the following questions: What steps should the nurse follow when reporting an incident such as this? What pre- and post-operative cares would the nurse expect to give this patient? What are three nursing diagnoses with three interventions and rationales that would need to be added to the care plan? Unit 6 Discussion Contains unread posts Topic: After surgery, Molly was transferred to a surgical unit. As she was recovering from surgery, Molly demonstrated a deteriorating neurological status and had a grand mal seizure. She has been urgently transferred to the ICU with a traumatic brain injury that occurred during the fall and increased intracranial pressure. Answer the following questions: What neurological assessments would the nurse need to perform to monitor this patient? What are three additional nursing diagnoses with three interventions and rationales for each that should be Unit 7 Discussion Contains unread posts Topic: During the seizure, Molly evidently aspirated and is now in respiratory failure due to aspiration pneumonia. She is mechanically ventilated and hemodynamically unstable. She is currently receiving continuous intravenous sedation, intravenous vasopressors, and crystalloid fluids. She has a pulmonary artery catheter inserted in her right subclavian vein and an arterial line in her right radial artery. Answer the following questions: What is the purpose of hemodynamic monitoring? What do the values indicate? What are the nursing considerations and cares of patients who are being mechanically ventilated? What are three priority nursing diagnoses with three interventions and rationales each that need to be added to the plan of care? Unit 8 Discussion Contains unread posts Topic: After two weeks in the ICU, Molly’s condition stabilized, and she was able to be weaned from the ventilator. Her head injury has resolved with minimal deficits, and her hip is healing. She has been transferred to a medical-surgical floor for continued monitoring and discharge planning. Her daughters are both visiting the hospital and are eager to learn more about maintaining health. Molly’s oldest daughter is 43 and is pregnant in her third trimester with her third child and has a 13-year old son and 8 year-old daughter with her. Molly’s youngest daughter is 16 and pregnant in the first trimester with her first baby. Discuss the necessity of nurse provided education. Choose two clients and discuss the related health promotion and maintenance education that the nurse will provide. 16-year old pregnant daughter 43-year old pregnant daughter 13-year old son 8-year old daughter Molly McBurn Explain how the nurse will evaluate the education provided. Unit 9 Discussion Topic: Take a moment to reflect on Molly’s case then answer the following questions: How did her outcome make you feel? Was this realistic? How would the nurse provide care if Molly never regained consciousness and needed end of life care? What is the importance of having an advance directive, durable power of attorney for health care, and a living?

******CLICK ORDER NOW BELOW AND OUR WRITERS WILL WRITE AN ANSWER TO THIS ASSIGNMENT OR ANY OTHER ASSIGNMENT, DISCUSSION, ESSAY, HOMEWORK OR QUESTION YOU MAY HAVE. OUR PAPERS ARE PLAGIARISM FREE*******."