*NURSING > STUDY GUIDE > NURSING SWIFT RIVER PEDS (All)

NURSING SWIFT RIVER PEDS

Document Content and Description Below

Bridgett Allen Scenario 3 Bridgett responds well to the digoxin, furosemide, and potassium chloride and her ultrasound indicates a slight reduction in ventricular size. She is able to tolerate incre... ased activity and her resting oxygen saturation is improved. The surgeon elects to surgically patch the ventricular septal defect and Bridgett is placed on cardiopulmonary bypass. Following the surgery, Bridgett is extubated and able to ventilate and oxygenate while receiving 4 liters O 2 via simple mask. During the surgical closure Bridgett is noted to have a pneumothorax and a chest tube is inserted. The chest tube is put to water seal with a portable chambered drainage device. Following an uneventful stay in the post-anesthesia care unit, Bridgett is transferred to the cardiac intensive care unit for an overnight observation. Bridgett’s mother is very distressed about the chest tube and her daughter’s appearance post-operatively. The nurse provides teaching about the chest tube and how Bridgett will progress with the chest tube in the next few days. Which order should the nurse use to teach the mother what to expect in the next few days? 1. The drainage may be bright red 2. Chest tube drainage will become serous 3. The suture and chest tube are removed 4. Petrolatum-covered gauze 5. Breath sounds are auscultated Scenario 4 Bridgett experiences significant incisional pain following her surgery. She is prescribed to receive intravenous ketorolac around the clock, intravenous morphine sulfate every 2-4 hours as needed, and oral acetaminophen as needed for temperature or mild pain. At the time of the nurse’s assessment of Bridgett’s pain, Bridgett is noted to be crying and screaming, is difficult to console, is laying in a rigid position in the bed with legs tense, and her chin is quivering as she is crying. Using the FLACC scale, the nurse assesses Bridgett’s pain to be a 9/10. Which actions should follow the nurse’s assessments? 1. Determine ketorolac was administered 2. Check EHR 3. Prepare Morphine 4. Admin morphine 5. Assess Scenario 5 Bridgett is taking oral fluids well, eating small amounts, and her incision is dry and intact. Her incisional pain is being managed with oral acetaminophen, she is stooling and voiding urine in her normal pattern, and she is tolerating her medications, including digoxin, furosemide, and potassium chloride. Her weight is close to her baseline at 23.6 kg. The nurse provides discharge instructions to the mother. The nurse reinforces the need to assess the pulse with digoxin and to hold the medication and contact the cardiologist with a low heart rate. The nurse begins to teach about the other medications when the mother begins to cry. The mother states, “I am a single parent. This is so overwhelming. I have two sons that are older teens and Bridgett. Why did she have to have Down syndrome AND a heart problem?” The nurse explains to the mother about the increased incidence of septal defects in children with Down syndrome. The mother than asks about Bridgett’s growth and development. She states “Bridgett is a lot slower than her brothers. She can’t take care of herself.” The nurse provides the mother with some information about local support groups for parents of children with Down syndrome. The nurse shares a list of developmental tasks and the ages at which children with Down syndrome achieve these developmental milestones. Place the milestones in the order in which a child with Down syndrome is expected to achieve these skills [Show More]

Last updated: 1 year ago

Preview 1 out of 14 pages

Reviews( 0 )

Recommended For You

 *NURSING> STUDY GUIDE > NR 509 Rubric Head to Toe | NR 509 Physical Examination Grading Rubric (All)

preview
NR 509 Rubric Head to Toe | NR 509 Physical Examination Grading Rubric

NR 509 Rubric Head to Toe | NR 509 Physical Examination Grading Rubric> This criterion is linked to a Learning OutcomeHEAD AND FACE: Inspects facial skin – note abnormal lesions 2 pts Demonstrated...

By PROF , Uploaded: May 03, 2021

$15

 *NURSING> STUDY GUIDE > Chamberlain College of Nursing - NR 509 Week 8 Final Exam Study Guide (All)

preview
Chamberlain College of Nursing - NR 509 Week 8 Final Exam Study Guide

NR 509 Final Exam Study Guide. Sign up for an individual topic or chapter, whichever you prefer. Please have section completed by October 5th :) Chapter 5 Ashley (1-6)/ Catlin (7-9) Behavior/Mental...

By Nutmegs , Uploaded: Apr 18, 2022

$15

 *NURSING> STUDY GUIDE > NURS 3632 Exam Review (Latest 2021) 100% Correct Study Guide, Download to Score A (All)

preview
NURS 3632 Exam Review (Latest 2021) 100% Correct Study Guide, Download to Score A

NURS 3632 Exam Review (Latest 2021) 100% Correct Study Guide, Download to Score A

By TopScholar , Uploaded: Feb 21, 2021

$25

 *NURSING> STUDY GUIDE > NRS-434VN Topic 5 Discussion Question 2/Health Assessment| Download To Score An A (All)

preview
NRS-434VN Topic 5 Discussion Question 2/Health Assessment| Download To Score An A

NRS-434VN Topic 5 Discussion Question 2 End-of-life care becomes an issue at some point for elderly clients. Even with the emergence of palliative care programs and hospice programs, most elderly peo...

By Succeed , Uploaded: Jul 12, 2020

$7

 *NURSING> STUDY GUIDE > SAUNDERS ATI PHARMACOLOGY STUDY GUIDE Week (All)

preview
SAUNDERS ATI PHARMACOLOGY STUDY GUIDE Week

The nurse instructor asks a nursing student to describe the procedure for administering erythromycin ointment to the eyes of a newborn. Which student statement indicates that further teaching is neede...

By solution001 , Uploaded: Apr 14, 2021

$9.5

 *NURSING> STUDY GUIDE > Applied Concepts for Nursing Practice Fall 2019 School of Nursing & Health Professions (All)

preview
Applied Concepts for Nursing Practice Fall 2019 School of Nursing & Health Professions

Course Syllabus Fall 2019 School of Nursing & Health Professions Program Name: Registered Nursing Program Course Name: Applied Concepts for Nursing Practice Course Number: NUR 203 Credits: 2 cr...

By Stuvia , Uploaded: Apr 10, 2021

$13

 *NURSING> STUDY GUIDE > NR508 / NR 508 Week 3 Study Guide (Latest 2021): Advanced Pharmacology - Chamberlain (All)

preview
NR508 / NR 508 Week 3 Study Guide (Latest 2021): Advanced Pharmacology - Chamberlain

NR508 Advanced Pharmacology Week 3 Study Guide

By quiz_bit , Uploaded: Mar 11, 2021

$6

 *NURSING> STUDY GUIDE > NURS 6560 Week 4 Board Vitals With Complete And Latest Answers Grade A (All)

preview
NURS 6560 Week 4 Board Vitals With Complete And Latest Answers Grade A

NURS 6560 Week 4 Board Vitals with Answers NURS 6560 Week 4 Board Vitals 1. A patient is examined in the ED for chest pain and dyspnea. His heart rate is 110 and on exam, he has muffled heart soun...

By Elam , Uploaded: Jul 12, 2020

$10

 *NURSING> STUDY GUIDE > ATI MED SURG PRACTICE EXAM STUDY GUIDE. Download to score an A (All)

preview
ATI MED SURG PRACTICE EXAM STUDY GUIDE. Download to score an A

1. A patient informs the nurse that they are taking an OTC garlic supplement. What possible effect does garlic have on the body? Answer: Effects blood clotting increases risk of bleeding 2. A pati...

By Academia1434 , Uploaded: Jul 03, 2020

$11

 *NURSING> STUDY GUIDE > Concordia University - SCIENCE 1130RegulationofBodyFluids (All)

preview
Concordia University - SCIENCE 1130RegulationofBodyFluids

Compare and Contrast Process in Plants and Animals: REGULATION OF BODY FLUIDSBODY FLUIDS ody fluids are liquids originating from inside the bodies of living humans. They include fluids that a...

By Muchiri , Uploaded: Apr 05, 2021

$7

$10.00

Add to cart

Instant download

Can't find what you want? Try our AI powered Search

OR

GET ASSIGNMENT HELP
1919
4

Document information


Connected school, study & course



About the document


Uploaded On

Jul 21, 2021

Number of pages

14

Written in

Seller


seller-icon
MRNURSE

Member since 3 years

6 Documents Sold


Additional information

This document has been written for:

Uploaded

Jul 21, 2021

Downloads

 4

Views

 1919

Document Keyword Tags

THE BEST STUDY GUIDES

Avoid resits and achieve higher grades with the best study guides, textbook notes, and class notes written by your fellow students

custom preview

Avoid examination resits

Your fellow students know the appropriate material to use to deliver high quality content. With this great service and assistance from fellow students, you can become well prepared and avoid having to resits exams.

custom preview

Get the best grades

Your fellow student knows the best materials to research on and use. This guarantee you the best grades in your examination. Your fellow students use high quality materials, textbooks and notes to ensure high quality

custom preview

Earn from your notes

Get paid by selling your notes and study materials to other students. Earn alot of cash and help other students in study by providing them with appropriate and high quality study materials.


$10.00

WHAT STUDENTS SAY ABOUT US


What is Browsegrades

In Browsegrades, a student can earn by offering help to other student. Students can help other students with materials by upploading their notes and earn money.

We are here to help

We're available through e-mail, Twitter, Facebook, and live chat.
 FAQ
 Questions? Leave a message!

Follow us on
 Twitter
Useful links
  • Courses
  • Categories
  • We accept

    payment cards


    Copyright © Browsegrades · High quality services·