Make-Up Clinic Day 2 MS PDF

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Swift River Assignment: Make-up Day 2 Swift River Assignments 1. Dosage Calculation- minimum score 90 2. Med Pass- minimum score 80 3. Med-Surg- minimum score 90 a. Preston Wright b. Tom Richardson c. Estelle Hatcher d. Viola Cumble *You must achieve the minimum score to receive credit for this assignment. Clinical Paperwork Answer the following questions regarding the patients in the Med-Surg Scenarios. 1. If a client has a temperature in the early post-operative period, what nursing actions should the nurse anticipate? Providing prescribed antipyretics , drawing labs to monitor for signs of infection, CBC, erythrocyte sedimentation rate, C-reactive protein, and possible administration of antibiotics. Along with continuous monitoring of vitals.

2. What nursing assessments should precede implementing a prescription for KCL in the postoperative period? Vitals should be assessed as well as current potassium lab levels, as well an electrolyte panel

3. What is the evidence-based method to confirm NG tube placement? Confirming placement with an X-ray

4. What are the initial treatments recommended for clients with renal calculi? NSAIDs for pain management and anti-inflammatory properties, increase fluid intake to help flush the system, limiting foods high in protein, dairy and salt

Swift River. (2020). Swift river nursethink vclinicals instructor user guide. Retrieved from https://www.swiftriveronline.com/teachers/

5. What places a client at risk for renal calculi? Certain foods such as high intake of protein, dairy, and salt, certain medications, excess alcohol use and smoking, inadequate fluid intake

6. How should a nurse get a client out of bed and ambulate if the client has been immobile for a few days? What assessments are indicated? This should be done in stages. The head of bed should be elevated, then the patient should be sat on the side of the bed with their legs dangling from the side for a few minutes before they are slowed to stand and the patient’s blood pressure should be assessed at each stage for orthostatic HTN

7. What criteria or characteristics are used to assess a wound? Site, size, color, depth, tunneling, exudate, temperature

8. Discuss means of preventing pressure ulcers? Repositioning of patient q 2 hours, padding bony areas, Using pillows to position and pad, insuring adequate nutrition and fluid intake, being routinely ambulated if possible

9. Despite our knowledge of the cause of pressure ulcers, they are still very common. Why is this and how can these reasons be ameliorated? Patients who don’t have enough help at home or who aren’t being taken care of well enough don’t get adequate nutrition and fluids and just stay sedentary . We can make this better by giving patients the proper attention and care to try and ward off the development of ulcers.

Answer the following questions regarding the simulation. 1. Summarize what you learned from this experience. I learned a lot more about medications and their uses as well as prioritizing procedures.

2. What are the things I can improve on? I still need to work on how they want things prioritized in the simulations.

3. What changes will I make to my practice after this simulation? I will pay more attention to nutritional status of patients with pressure ulcers instead of just attention to the wound itself Swift River. (2020). Swift river nursethink vclinicals instructor user guide. Retrieved from https://www.swiftriveronline.com/teachers/

Complete the medication table below with 5 medications from your Med Pass Scenarios.

Drug Name (generic)

Clonazepam

Insulin detemir

Sumatriptan

Buspirone

Clonidine

Dose

2mg tab

60 unit

12 mg/ 1ml

20mg

0.1 mg

Route

PO

Sub-q

Sub-q

PO

PO

Frequency

Q day /0600

Q day/ 0900

PRN

Q day /1200

Q day/0600

Drug Class (specific)

Benzodiazepines

Insulin long acting/ antidiabetic

Serotonin 5-HT receptor agonists/ antimigraine agent

Anxiolytics/antianxiet y agent

Central Alpha2 Agonists

Mechanism of Action

act by enhancing the effects of gammaaminobutyric acid (GABA) in the brain. GABA is a neurotransmitter (a chemical that nerve cells use to communicate with each other) that inhibits brain activity.

exert their specific action through binding to insulin receptors. Receptor-bound insulin lowers blood glucose by facilitating cellular uptake of glucose into skeletal muscle and fat and by inhibiting the output of glucose from the liver.

selectively binds to and activates serotonin 5HT1D receptors in the central nervous system (CNS), thereby constricting cerebral blood vessels.

has a strong affinity for serotonin 5HT1a receptors, where it acts as a partial agonist

stimulation of α2adrenoreceptors of the inhibitory structures of the brain as well as a reduction of sympathetic impulses to the blood vessels and brain.

Why is this patient taking this?

Panic disorder

Diabetes

Migraines

Anxiety

Blood pressure

Swift River. (2020). Swift river nursethink vclinicals instructor user guide. Retrieved from https://www.swiftriveronline.com/teachers/...