Tutor profile: Stacie F.
You are the discharge nurse for a 68 year old female. The patient is being discharged with a diagnosis of MI. The discharge papers were reviewed with particular attention to the new heart medications being prescribed. After the discharge medications were reviewed, the patient states, " the doctor told me I can still take my sleeping pill right ?" You notice there is no sleeping aid listed on the discharge summary and ask the patient what the name of the sleeping pill is that she takes and she replies, " St. John's Wort." What would be the initial action of the nurse ? a. nothing because the patient said she asked the doctor b. tell her to go home and call her pharmacy to make sure c. you tell her that it should be okay as long as they are a few hours apart d. NO, the nurse needs to also inform the NP or MD that she was taking this med
A big responsibility of the nurse is providing patient education especially upon the discharge process. The patient discharge medication list needs to reviewed, accurate and complete and in my experience this was not always the case. If a patient consumes St. Jonh's Wort with any sort of heart medication the patient could be at increased for a fatal cardiovascular event. Of course the answer is D.
A 19 year old male patient is in the office today complaining of abdominal pain. He states the abdominal pain has been persistent for the last two years. The pain is located in the periumbilical region and does not radiate. The pain is at a 4/10 @ rest & 8/10 with meals. The patient complains of burping with nausea and bloating after every meal. He denies emesis or acid reflux symptoms. He has alternating diarrhea/constipation with no normal bowel movements. The patient denies rectal bleeding. The medications he has tried without relief include: Tums, Maalox, Pepto Bismol, Pepcid AC. He is on no medications. Family history: Mother GERD, HTN & Father: HTN, Celiac disease You are assigned as his nurse and reviewed the chart. After reviewing the family history, what key piece of patient information do you think is missing ? a. dietary log b. life stressors c. exercise regimen d. previous testing
Abdominal complaints can be very challenging to treat and diagnose. Any additional information the nurse can provide would be very helpful for the NP or MD. Therefore, due to the patient's complaint of abdominal pain and a positive family history of Celiac disease, the nurse needs to ask the patient if he has been tested for Celiac disease. Answer: D
A patient is diagnosed by his primary doctor with plantar fasciitis. Plantar fasciitis would be located on what part of the human body ?
Congratulations to anyone who knows the answer, but lets break this question down for the students who do not. In nursing school I found it very helpful for me to associate a diagnosis with a visual clue. I would take the first few letters of the word and construct a simple sentence. The example I used in nursing school is below: 1. Plantar- " Always PLANT your HEELS on FLAT ground." 2. Fasciitis- " Don't be FAS when you plant your heels in the morning !" 3. Itis ALWAYS equals inflammation ! Answer: Plantar Fasciitis is inflammed tissue that runs across the bottom of the foot, most commonly located in the HEEL region. FLAT feet is a common cause of plantar fasciitis. A common complaint is pain upon standing and worst in the morning upon waking.
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