1. Explain Amy’s etiology and risk factors causing this admi
1. Explain Amy’s etiology and risk factors causing this admission…. 1. Explain Amy’s etiology and risk factors causing this admission. Be clear and explain your answer(s). Start a Progress Note for your responses. Be sure to number each(2 marks). Follow this link to the EHR chart for Amy Cannelloni https://web21.ehrgo.com/rd/?courseActivityId=73133ACTIVITY DESCRIPTIONAmy is a 51-year-old female who arrived in the ER department complaining of feeling dizzy and lightheaded. On assessment, she indicates a lack of appetite, epigastric tenderness and ache, and a BP of 92/60. She feels dizzy and lightheaded with most movement, not just on rising or changing position. It is noted that she is limping slightly. She states she injured her knee when she slipped on some wet leaves on her porch. She has been taking analgesics for this. She was discharged from our Mental Health Unit three weeks after an unsuccessful suicide attempt with acetaminophen 2. Review the shift report and consider a priority plan for the upcoming shift. List three areas of focus with rationale. Keep your focus on nursing assessments and/or interventions. (3 marks). 3. Review the physician orders received on admission. Identify and advocate for three orders to be reviewed by the health care provider with rationale. (3 marks) 4. The health care provider does rounds. Review the most recent written orders. What are the nursing responsibilities for pre and post-endoscopy? Why is the CBC ordered Q12 (BID, written previously)? (3 marks) 5. After lunch, the patient expresses nausea and vomits 400ml coffee ground emesis with specks of bright red blood. Identify 3 priorities of nursing care with rationale. What orders would you anticipate from the health care provider at this time with clinical reasoning? (2 marks) 6. Review the chart and identify factors that are likely contributing to her diagnosis of gastric ulcers with bleed? (1 mark) 1. List the reasons that led to Amy coming to the hospital and include the assessment findings of concern from the Emergency Department. (2) 2. Write a short paragraph that discusses why you think Amy is exhibiting these findings. In other words, think about what might be going on based on symptoms. 3. Review the shift report. List four areas of nursing focus for your shift and discuss why you chose each as a priority. (4) 4. The health care provider (physician) does round. Review the most recent written orders (check the times/dates). (4)a. Explain to Amy what diagnostic test will be done in terms she can understand. b. What are the nursing responsibilities for this test (pre and post) relevant to Amy? 5. After lunch, the patient expresses nausea. List three nursing interventions that would be best to implement at this time? (3) 6. A short time later, Amy vomits approximately 400ml coffee ground emesis with specks of bright red blood. (3)a. What should the nurse do at this time? b. What orders would you anticipate from the physician at this time and why? 7. Look back to #1. Given the progress of the patient, would you change anything of what was written in #1? If so, rewrite your understanding of Amy’s condition currently, including rationales. (2) 8. You are aware that Amy had an admission several weeks ago. What assessment would be appropriate at this time related to that admission? (2)Health Science Science Nursing PNH 401
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