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*NURSING > A-Level Question Paper > KeithRN Case Study Part 3-Priority 2022 (All)

KeithRN Case Study Part 3-Priority 2022

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✓ Physiological Adaptation 11-17% You have completed your morning medication pass for each of your patients, collected the urine for Ms. Parker, charted your assessments, ensured that labs have been drawn and you are now ready to round on each of your patients again. New Primary Care Provider Orders New Orders Patient #2: David Mueller Medications: PRN polyethylene glycol, 17g, PO QDAY PRN for constipation docusate/senna 50/8.8 mg PO BID PRN for constipation bisacodyl 10 mg PR QDAY PRN for constipation Diagnostics: CBC, now Nursing Orders: Reinforce surgical dressing, call surgeon if wound continues to drain through Based on these new orders, is there anything you would do differently for your 0900 medication pass? I would ask the patient if they would like to take their bowel care medications this morning, and strongly recommend that they do. To cluster my care, I would also take the glucometer into the room to obtain another CBC and bring in new dressing supplies to reinforce the surgical dressing. New Orders Patient #3: Gladys Parker Diagnostics: Basic metabolic panel + Mg, now Nursing Orders: Straight cath once for urine sample collection Based on these new orders, is there anything you would do differently for your 0900 medication pass? I would talk to Gladys about the new order to perform a straight catheterization in order to obtain a urine sample and answer any questions she may have. I would bring in the morning medications with the straight catheter supplies and perform the straight cath after she has taken her medications. You have completed your initial assessments for each of your three patients. You noticed that Herbie Saunders was experiencing increased shortness of breath due to fluid overload and you appropriately administered his morning medications without delay. You sent pages to each of your patients’ providers with order requests and pertinent updates. Before you begin medication passes for David Mueller and Gladys Parker, you see that you have new orders for your patients.

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