NGN Case Study History of Present Problem: Susan is a 62-year-old African-American female with a history of diabetes mellitus type II, hypertension, and peripheral arterial disease who had a left below the knee amputation (LBKA) three days ago. She had two small loose, watery stools last night and a third large watery brown stool this afternoon that had a distinct foul odor. Susan is now complaining of generalized lower abdominal cramping that she rates 3/10. She does not have an appetite and does not feel like drinking fluids. Susan was awake and alert after lunch, but later that afternoon just before supper you note that Susan is sleepy and once aroused, falls right back to sleep. Current Vital Signs are: Temp: 100.8  O2 Saturation: 96% Respiration: 20 BP: 122/60 Pain: 3/10 in abdomen After your morning nursing assessment, you go back into the room 4 hours later to assess Susan’s bowel sounds, last BM and any tenderness in the abdomen. What type of assessment is being performed on Susan?

Why do nurses need to validate their patient’s data?

Inadequate oxygenation, according to Maslow’s hierarchy of basic human needs, falls into which level of the hierarchy?

According to Maslow, when a patient is anxious and fearful after receiving news they have a terminal diagnosis, what needs are not being met?

An immobile person has decreased movement of respiratory secretions. The nurse needs to provide appropriate interventions to prevent the patient from:

When does the nurse perform physical assessment on a patient?  Select all that apply          

A patient has intravenous fluids infusing in the left arm. When taking a blood pressure on this patient, what will the nurse do?

A staff development nurse is discussing techniques to prevent back injury with a group of nursing assistants. The nurse informs the group that back stress and injury can be prevented by doing which of the following?

Which of the following factors positively affect self-concept? Select all that apply    

A middle-aged, overweight adult has had hypertension for 15 years. What pathologic event does the nurse anticipate the patient is most at risk for?