The nurse is caring for a 82-year-old female admitted to the…

The nurse is caring for a 82-year-old female admitted to the medical unit with new onset of urinary incontinence and mild confusion. Nurses’ Notes   0930: Admitted from the emergency room with new onset of incontinence and mild confusion. Recently widowed and now living with daughter and son-in-law. Daughter reports foul-smelling, pink-tinged urine with incontinence and low-grade fever; no reports of pain or burning but noted to be restless with new onset of mild confusion. Upon admission to medical unit, alert and oriented to person only but pleasant and cooperative. Temperature 101.8 F (38.7 C), other vital signs stable. Skin dry, warm and flushed with poor turgor. Offered bedpan frequently and voiding small amounts of urine—concentrated, pinkish and foul-smelling; does not report burning or pain. Urine and blood cultures obtained; results pending.  Daughter reports Sulfa allergy. 1000:  1st dose of IV ciprofloxacin and IV normal saline bolus given.  Acetaminophen 650 mg PO administered for fever.   1100:  Vital signs charted below, temperature down. IV NS at 150 cc/hr to left peripheral line. Confusion and restlessness continues. Call to provider, order for SWANN GANZ catheter to be placed at bedside.  Vital Signs   Time 1000     Temp  (F/C) 101.8/F  38.7 C     P 115     RR 26     B/P 92/48 (63)     Pulse oximeter 94 (room air)     Laboratory Report   Lab Results Reference range BUN 27 10-20 mg/dL Creatinine (serum) 1.3 0.9 to 1.4 mg/dL WBC 14.1 4.5 – 10.5 x 103 cells/mm3 Potassium (serum) 3.6 3.5 to 5 mEq/L Sodium (serum) 143 135 to 145 mEq/L Urine analysis       4+ bacteriuria         WBC >10,         + hematuria – Bacteriuria  – WBC  – Hematuria         Lactate 3.4 .6 – 2.2 mmol/L   SWANN GANZ catheter has been placed at bedside without complications. The nurse anticipates which of the following hemodynamic parameters? 

The client presents to the emergency department with complai…

The client presents to the emergency department with complains of shortness of breath after suffering 5 bee stings. It is determined the client is in a distributive shock, which of the following would be the treatment plan for this type of shock? Place in correct order of treatment.

A 30-year-old recreational soccer player comes to the clinic…

A 30-year-old recreational soccer player comes to the clinic after tripping and falling forward while running. His knee hit the ground first with his foot in a plantarflexed position. He complains of pain in the back of his knee and reports difficulty bending it. There was no “pop” sound at the time of injury, but he has felt weakness and instability in the knee since the incident. Upon examination, there is pain with passive flexion nearing 90 degrees, and the posterior drawer test is positive.