Location via proxy:   [ UP ]  
[Report a bug]   [Manage cookies]                

Cu 5

Download as docx, pdf, or txt
Download as docx, pdf, or txt
You are on page 1of 2

George is a 75 year-old patient with urosepsis being treated in the Intensive care unit (ICU).

The nurse
assesses George and finds that he has blood in his urine and stool, and is oozing blood from his central
line site and his gums.

What does the nurse suspect maybe occurring with George?

 Urosepsis is a type of sepsis that is caused by an infection in the urinary tract

What medications should the nurse avoid administering to George?

 Avoid Rx that interfere with PLT function (ASA, NSAIDs, and Beta-lactam antibiotics)

The nurse is monitoring George’s vital signs every 15 minutes. What other monitoring is essential to
include along with the vital signs?

 Neruo checks, Hemodynamics, ABD girth, UO, amount of external bleeding

What medication does the nurse anticipate infusing?

 Heparin

Fred, a 43 year-old construction worker, has a history of hypertension. He smokes two packs of cigarettes
a day, is nervous about the possibility of being unemployed, and has difficulty coping with stress. His
current concern is calf pain during minimal exercise, which decrease with rest.

What does the nurse is the hallmark symptom of peripheral arterial occlusion disease?

 Alteration in tissue perfusion related to compromised circulation

The patient is having ankle-brachial index (ABI) determined. The right posterior tibial reading is 75 mm
Hg, and the brachial systolic pressure is 150mm Hg. What would the ABI be for this patient?

 The ABI for this patient is o.5 ratios.

The nurse is educating Fred about managing his condition. What methods can the nurse suggest to
increase arterial blood supply?

 A planned program involving systematic lowering of the extremity below heart level
 Buerger -Allen exercises
 Graded extremity exercises
What is the best method for the nurse to assess Fred’s peripheral pulses to obtain consistent results with
other health care practitioners?

 Use light touch


 Avoid using only the index finger for palpation because this finger has the strongest arterial
pulsation of all fingers
 The thumb should not be used for the same reason

You might also like