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Based on what you know about delegation, did Tony give appropriate or inappropriate directions to Marianne? Provide rationale for your answer.

You are a staff nurse on a 32-bed cardiac step-down unit. The hospital obtained Magnet recognition last year. You are assigned as the preceptor for Tony, RN, who is a new graduate nurse, who just started his nursing career on your floor.   ·          You and Tony just received morning shift report on your patients. … Read more

Which vital signs should you reassess and which methods should you use?

Mr. Coburn, the 56-year-old school teacher who was seen earlier in the week for hyperthermia, arrives at the walk-in health center complaining of feeling dizzy and nauseated. You immediately note that he appears to be having some difficulty catching his breath during coughing spells. A new graduate nurse takes Mr. Coburn’s admitting vital signs as: … Read more

Assess the patency of the nasal sinuses.

You receive morning report for Ms. Malone, age 63, admitted to the hospital yesterday with fatigue, a cough, and dyspnea; she is diagnosed with chronic heart failure. She states that she had increasing difficulty with shortness of breath and swelling in her legs. Pedal pulses are +1 bilaterally. On auscultation you hear bilateral crackles in … Read more

How would you address her comment regarding “being normal again” and her lack of understanding of her physical condition, including pain management, increased fatigue, and limitations regarding lifting?

On the second postoperative day you enter the room and find Mrs. Johnson crying. She states that she has just gotten off the phone with her 23-year-old daughter and has agreed to care for her 3-month-old granddaughter while the daughter returns to work. You were informed in shift report that Mrs. Johnson had a restless … Read more

What priority nursing diagnosis could be made for Mrs. Johnson?

As a part of your home care experience, you are assigned to visit Mrs. Johnson who, in addition to caring for her infant granddaughter, is also caring for her mother, who is increasingly agitated and aggressive secondary to Alzheimer’s disease. When you go to the home, you find Mrs. Johnson tearful. She says, “I can’t … Read more

incorporate a spiritual assessment with the physical assessment.

Jose continues to regularly visit the human immunodeficiency virus (HIV)/acquired immunodeficiency syndrome (AIDS) clinic. The nurse wants to incorporate a spiritual assessment with the physical assessment. During the assessment the nurse asks Jose if he has any questions. Jose asks her about a Buddhist ritual that he heard about from a friend. The nurse has … Read more

Develop an educational component to Mrs. Smith’s care plan, emphasizing the benefits of exercise.

Mrs. Smith has experienced some success in initiating an exercise program. However, maintaining her exercise plan is becoming challenging, and she is not seeing the improvements that she expects. She states, “I feel like I’m doing everything right, but I’m getting few results for my efforts.”   ·         Mrs. Smith states, “I don’t want to … Read more

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