Havilah

Which nursing theory might a nurse use as a conceptual framework to determine how to meet the needs of immigrants while ensuring provision of high-quality and culturally sensitive care? a. Martha Rogers’ nursing theory b. Dorothea Orem’s nursing theory c. Hildegard Peplau’s nursing theory d. Madeleine Leininger’s nursing theory ANS: D Madeleine Leininger proposed the theory of cultural care diversity and universality. This theory of transcultural nursing comprises concepts invol...

1. A patient observes the practitioner burning a dried herb on the needle during an acupuncture session and asks about this practice. The practitioner responds by referring to this practice using what term? a. Doshas b. Moxibustion c. Yoga d. Kapha ANS: B Applying heat to the acupoints is termed moxibustion. Individuals are believed to have distinct metabolic body types called doshas; kapha is one of three body types. The word yoga means “union”; the union of body, mind, and spirit...

What should the RN do when asked to accept a patient assignment that he or she may feel unqualified to manage? a. Accept the assignment as appropriate if assigned by a legitimate power. b. Be primarily concerned with the number of patients being assigned. c. Ask how other nurses have handled the assignment in the past. d. Determine whether he or she is familiar with the types of patients being assigned. ANS: D Nurses should always think critically about assignments so they can communicate...

What accomplishment is Clara Barton best known for? a. Becoming the first black public health nurse b. Establishing the Henry Street Settlement c. Founding the American Red Cross d. Publicizing the inadequacies of hospital-based nursing schools ANS: C The American Red Cross was founded by Clara Barton in 1882, to be of assistance in efforts to provide supplies to the battlefields and hospitals. Barton also sets up a postwar service to find missing soldiers. DIF: Knowledge 2. Students a...

See Announcement posted day 7 of week 1 for groups assigned. Group 1 Scenario: T.M. is 50-year-old male patient who came in to the emergency department with complaints of chest pain developing while shoveling snow this am. He is accompanied by his wife, who reports he became ill while outside working to remove snow on their driveway. T.M. states his pain level is an 8 on a scale of 0 – 10 and reports he feels heavy pressure in the center of his chest. Upon assessment, he denies pain radi...

Tissue destruction caused by a burn injury leads to local and systemic problems that affect Fluid and electrolyte balance leading to: o protein losses, sepsis, and changes in metabolic, endocrine, respiratory, cardiac, hematologic, and immune functioning - The extant of problems is related to: o age, general health, extent of injury, depth of injury, and the specific body area injured - Late complications may occur after healing: o Contracture formation and scaring - The priorities of care...

G.S., a 36-year-old secretary, was involved in a motor vehicle accident; a car drifted left of center and struck G.S. head-on, pinning her behind the steering wheel. She was intubated immediately after extrication and flown to your trauma center. Her injuries were found to be extensive: bilateral flail chest, torn innominate artery, right hemo/pneumothorax, fractured spleen, multiple small liver lacerations, compound fractures of both legs, and probable cardiac contusion. She was taken to th...

1. Discuss causes of prerenal, intrarenal, and postrenal AKI. Prerenal:  Infection  Dehydration  Severe burns  Vascular obstruction  Blood loss  Fluid loss  Decreased cardiac output  Renal artery stenosis Intrarenal:  Pyelonephritis  Bleeding within the kidney  Inflammation  Systemic infections  Lupus  Vasculitis  Ischemia in the kidney tissue  Thrombotic thrombocytopenic purpura

D.G. 57 years old, is admitted to your unit for observation from the emergency department (ED) with the diagnosis of cirrhosis with possible hepatic encephalopathy. He is lethargic, appears cachectic, and is mildly combative when aroused. He is jaundiced, with a notably distended abdomen. He is receiving an IV infusion of D5 ½ NS. 1. Briefly discuss the pathophysiology of cirrhosis. Cirrhosis is late stage scarring of the liver tissue. It can be cause by multiple things such as hepatitis ...

Pressure ulcers  localized injury on bony prominence from shear (force parallel to skin) friction(dragged), moisture Ischemia Blanching -> red tones are absent (not in dark skin patients) Older adults, decreased consciousness @ high risk Urine  maceration & skin breakdown Use incontinence cleanser, dry skin , moisture barrier ointment contusion : close wound laceration : jagged irregular edges serous : watery , clear serasangious : watery, red blood frank : fresh blood pure...