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Ashley A.
Registered Nurse since 2011
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Medical Assistant
TutorMe
Question:

You are caring for patient's on a medical-surgical floor. One of your patients has recently had a stroke leaving him with left sided weakness. How will you help this patient put on his shirt correctly?

Ashley A.
Answer:

It is important to determine that this particular patient has left-sided limitations. You would want to recognize that if you were to dress this patient's right side first, it would make if more difficult to move the shirt easily in order to dress his left side. Instead, you want to dress the left side first so that you can maneuver the shirt however you need to in order to make it easier for you and the patient. Once you have dressed this patient's left side, you can then get the patient to help you dress his right side since he has no limitations on this side. (Side note: When undressing a patient with 1-sided weakness, you do the opposite. You want to undress the strong side and then undress the weak side. This allows for you to once again have more room in the shirt to work around the patient's weak side.)

Nursing
TutorMe
Question:

The nurse is caring for several patients on a medical-surgical floor. During rounds, one of the patient's states that they are having shortness of breath. What priority intervention should the nurse implement at this time?

Ashley A.
Answer:

The first thing that you want to recognize with this question is: What is it really asking me? It is asking you what you should do first that will help this patient with their issue, shortness of breath. The first thing that you would want to do in this situation is: raise the head of the bed. Other things that you are probably going to do is apply oxygen, notify the doctor, and possible call a rapid response or code if needed. When asked priority questions like this one, you want to ask yourself: what can I do right here and now that will have the greatest impact on this patient's situation. Raising the head of the bed instantly promotes better gas exchange and lung expansion. If you apply oxygen without raising the head of the bed, it will not have as much as an effect that you want it to because the patient is still unable to breathe effectively due to their position. Notifying the doctor will not have any effect on the patient's situation until later when the doctor arrives or gives new orders. You would only call a code or rapid response if the patient's status was deteriorating.

Public Health
TutorMe
Question:

You are educating elderly members of the community regarding vaccination recommendations. A 68 year old male asks you, "When should I get the pneumonia vaccination? I have never had pneumonia and I feel that I am really healthy?" How would you respond to this member?

Ashley A.
Answer:

With this question you are being asked: What are the current recommendations for healthy people to get the pneumonia vaccination? For this member you would want to educate him on the fact that anyone who is 65 years or older is recommended to get the vaccination. Therefore, this member could get the vaccine asap to help prevent possible future pneumonia. (Side note: If this member would have had pneumonia before, he would be recommended to have gotten the vaccine due to his risk being higher than the healthy person. You could also educate him on the fact that many doctors will give a booster shot 5 to 10 years after the first one but this is very patient specific.)

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