hōʻike hope
kaʻana hōʻike

CC Case 2 Eha nui pg. 217

21

0

P
Kumu Johanna Ramirez

Māhele

Paheʻe (21)

1 -

2 -

Name the top 3 priorities? 

3 -

4 -

Based on the priortiy concerns which actions should the nurse perform?

5 -

6 -

Which of these factors predispose the client to be transferred to the Burn Care Center? 

7 -

8 -

The nurse reviews the agency policy on burn classification. What assumptions can the nurse make based on the burn being second degree and partial thickness? 

9 -

10 -

The nurse uses numerical rating scale to assess Molly's pain. Which other pain assessment tool is the next best method to assess Molly's physical pain and psychological distress? 

11 -

12 -

The nurse develops the plan of care and notes the providers prescriptions. In what order should the nurse perform the intervention?

13 -

14 -

The patient gets hooked up to a PCA pump with Hydromorphone 1mg/ml, loading dose 2mg, basal rate 2mg, demand dose 1mg, lock out 20 mintes. The patient loc decreases and RR 10, what medication would the nurse need to have on hand? 

15 -

16 -

The nurse is reviewing the side effects of naloxone. What clinical manifestations can the nurse expect to find after administration? 

17 -

18 -

The nurse considers the teaching comonents and importance in helping Molly have adequate pain control. Before the teaching, what is most important for the nurse to assess?

19 -

20 -

The nurse is preparing to teach about the PCA machine and important considerations. Which instructions are essential for the nurse to give the client? Select all that apply.

21 -

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