Patient information continued…The patient is stabilized and admitted to the neurological intensive care unit for further observation. Two hours after admission to the unit, the nurse caring for Mr. Smith notices his appearance seems rigid and he begins to experience rhythmic, jerking movements.    The description of Mr. Smith’s seizure activity is best described as:

Categorize the patient’s vital signs as within normal limits or outside of normal limits. 

Patient information continued…One week following admission, the nurse reports to Mr. Smith’s room to perform her morning assessment. She asks Mr. Smith to smile, lift his eyebrows. and puff out his cheeks.   What is the nurse assessing?

Patient information continued….Mr. Smith has been progressing with his recovery. Today, he will be participating in his first physical therapy session. As they begin, the physical therapist assesses Mr. Smith’s strength and sensation. The physical therapist notes the strength in Mr. Smith’s right lower leg to be a 2/5 with flexion.    When scoring muscle strength, a score of 2/5 indicates:

Patient information continued… The next morning, Mr. Jones reports feeling short of breath while getting out of bed to his chair. His vital signs are shown below. After five minutes sitting in the chair, he reported improvement in symptoms. On exam the nurse notes bilateral 2+ pitting edema in the lower extremities, crackles at lung bases bilaterally, jugular vein distention, and a third heart sound which was not noted by the previous shift. The patient is alert and oriented to person, place, and time with no evidence of dysrhythmia on telemetry monitors. The nurse evaluates the surgical incision, which appears unremarkable.    Temp 97.8 F oral   HR 108 bpm (reg)   BP 146/92   RR 28   O2 92%   Pain 3/10   Based on the above information what signs and symptoms are concerning?  

Patient information continued…  Mr. Jones was stabilized with diuretics and symptoms of dyspnea and edema resolved. He is preparing to be discharged home with his wife and daily visiting nursing services. He is feeling anxious about leaving the hospital; he feel uncertain about how strong his heart is and fears he may have another heart attack.    Mr. Jones is struggling with depression and anxiety following his myocardial infarction. Which of the following statements is true regarding mental health assessment?

What are signs and symptoms of an MI:

When approaching the subjective assessment of chest pain, the nurse utilizes which mnemonic to gather pertinent information?

In Texas the State Agency that oversees Real Estate is the Texas Real Estate Commission (TREC)?

“Guarding” is a term used to describe a person holding a body part in an attempt to protect of relieve pain.