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Suicide, A Sentinel Event HESI Case Study Verified Solutions

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Suicide, A Sentinel Event HESI Case Study Verified Solutions Documentation and Assessment 1. Correct Query on Activity: - Client's frequency for checking blood glucose. - This indicates the nurse’s concern regarding diabetes management. 2. Mental Health Consideration: - Greatest risk for m...

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  • August 7, 2024
  • 5
  • 2024/2025
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Suicide, A Sentinel Event HESI Case Study Verified Solutions
Documentation and Assessment

1. Correct Query on Activity:

- Client's frequency for checking blood glucose.

- This indicates the nurse’s concern regarding diabetes management.



2. Mental Health Consideration:

- Greatest risk for major depression:

- Becoming widowed within the past year.

- This life event significantly increases the risk of depression.



Prescriptions and Infusion Management

3. Infusion Question:

- Additive to question:

- Dextrose (D5).

- If a patient has diabetes, the addition of dextrose needs careful consideration.



4. Infusion Calculation:

- Total time for 1000 mL Normal Saline 0.45% with 20 mEq/L KCl at 125 mL/hr:

- 8 hours.



Infection Control and Initial Response

5. First Intervention for Febrile Patient:

- Request blood cultures be drawn.

- This is crucial in identifying any infection.



Medication Administration

6. IV Medication Calculations:

, - Regulation for clindamycin infusion:

- 50 drops per minute.

- Calculated using the provided drop factor.



Pre-Procedure Responsibilities

7. Arterial Blood Gas Sampling:

- Important interventions:

- Perform Allen's Test

- Utilize sterile technique

- Check two client identifiers.



Respiratory Status Monitoring

8. Early Indication of Respiratory Difficulty:

- Hypoxia.

- Monitoring oxygen saturation is vital.



Lab Result Prioritization

9. Lab Results to Report First:

- ABGs, O2 saturation, and WBC.

- These indicators provide critical information regarding respiratory status and possible infection.



10. Expected Finding for COPD:

- 87% O2 saturation.

- This is an expected limit for a patient with COPD.



Anticipated Diagnostic Tests

11. Next Diagnostic Test for Mr. Fearon:

- CT Scan.

- Commonly ordered for further evaluation in respiratory issues.

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