Amy is a 51-year-old female who arrived in the ER department
Amy is a 51-year-old female who arrived in the ER department… Amy is a 51-year-old female who arrived in the ER department complaining of feeling dizzy and lightheaded. On assessment, she indicates 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. A few tips: your work should indicate understanding and application of course concepts:Not accepted — cut and paste responses or responses that are not your own Be specific – let your professor know you understand by explaining clearly when required; for example, if checking a temperature indicate you are checking to see if the temp is elevated because it can indicate infection; or I would check the pedal pulse to ensure the circulation is adequate after having knee surgery on that limb MedicationMR#: MR197512 General Hospital ER Penicillin866516SBD1Metoprolol Tartrate 50 MG Oral Tablet[Lopressor] 746763SBD1200 ACTUAT Albuterol 0.09 MG/ACTUATMetered Dose Inhaler [Proventil]731533SY1Advil 200 MG Oral CapsuleAU11234APO-PANTOPRAZOLE (Pantoprazole) 20mgTablet897745SCD1Hydromorphone Hydrochloride 2 MG/MLInjectable Solution CA00119dimenhydrinate 50 mg/ml (Gravol) Activity: 1. List the reasons that led to Amy coming to hospital and include the assessment findings of concern from the Emergency Department. 2. A short paragraph that discusses why you think Amy is exhibiting these findings. In other words, think 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. The health care provider (physician) does rounds. Review the most recent written orders (check the times/dates). 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? 4. After lunch, the patient expresses nausea. List three nursing interventions that would be best to implement at this time? 5. A short time later, Amy vomits approximately 400ml coffee ground emesis with specks of bright red blood. a. What should the nurse do t this time? b. What orders would you anticipate from the physician at this time and why? 6. Look back to #1. Given the progress of the patient, would you change anything of what was written in #1? If so, rephrase your understanding of Amy’s condition currently, including rationales. 7. You are aware that Amy had an admission several weeks ago. What assessment would be appropriate at this time related to that admission? Health Science Science Nursing NURS 401
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