Scenario: The client is a 17-year-old male who lives with hi…

Scenario: The client is a 17-year-old male who lives with his family on a farm in a rural community.  The client has 4 siblings that were recently ill with: stomach pains, vomiting, diarrhea, and fever.  The siblings were seen by their PCP and diagnosed as having viral gastroenteritis. A week later the client woke at 03:00 stating that his stomach pain was 8-9/10, and began to vomit several times over the next few hours, so his parents brought him in to the ER for evaluation. He is seen guarding his abdomen, and moaning. Vital signs on admit: BP: 128/78; HR: 130 bpm; RR: 28; O2 94% on RA Iv access is obtained and orders are received for “MORPHINE SULFATE 2mg x 1 NOW IVP”. Scenario Progression: An abdominal CT scan confirms that the client has appendicitis. The ED physician has written orders. Review the orders below; note whether the orders are appropriate or inappropriate ED DEPARTMENT ORDERS: ·       Make patient NPO ·       Place PERIPHERAL IV ·       D5 1/2NS at 100 ml/hr ·       FLEET ENEMA x1 NOW for r/o IMPACTION ·       MORPHINE SULFATE  2 mg IVP q 2 hr PRN SEVERE PAIN (7/10) ·       OBTAIN CONSULT to SURGERY – Hartman, MD ·       Cefotaxime (CLAFORAN) IVPB 50 mg/kg x1 NOW

The laboratory results for a male client diagnosed with leuk…

The laboratory results for a male client diagnosed with leukemia are listed in the chart below. Based on these results, which intervention should the nurse teach the client? Complete Blood Count (CBC) Client Labs Normal values White Blood Cells (WBC) 4.3 4.5–11.1 Red Blood Cells (RBC) 2.1 Male – 4.21-5.81; Female – 3.61-5.11 Platelet count 22 140-400 Complete Metabolic Panel (CMP) Client Labs Normal Values Sodium (Na+) 139 135-145 mEq/L Potassium (K+) 3.8 3.5-5.3 mEq/L

A nurse is caring for a client in the Medical-Surgical Unit….

A nurse is caring for a client in the Medical-Surgical Unit. Nurses Notes: Day 1:  Client has a 10.2 cm (4 in) by 10.2 cm (4 in) raised, reddened abscess on left thigh. The client reports that the area is warm and painful. Vital Signs: Temp – 39.6 C (103.3)F; BP – 118/56 mm Hg; HR – 106/min; RR – 22/min; O2 Sat 96% (RA) Diagnostic Results Day 2: CBC: WBC 45,000/mm3 (5000 to 10,000/mm3) Wound Culture and Sensitivity:  sample taken from left thigh abscess POSITIVE for methicillin-resistant Staphylococcus aureus (MRSA)  ** Please designate whether the intervention are: ANTICIPATED (2 of 2 needed); CONTRAINDICATED (2 of 2 needed); or NONESSENTIAL (1 of 1 needed).