THIS IS A GRADUATE NURSE PRATRITIONER PROGRAM. \u00a0REPORT MUST BE OF GRADUATE LEVEL AND STANDARD WITH APPROPRIATE REFERENCE WITHIN 5 YEARS AND 7TH EDITION APA STYLE\u00a0. MINIMUM OF 350 WORDS WITH AT LEAST 2 PEER REVIEW REFERENCE.\u00a0\u00a0 <\/p>\n
\u00a0You are working in the critical care unit as an ACNP, in your first year, on nights, and you are the only one in the department. You have a critical care MD, pharmacist, and hospitalist on call and available to you by phone. Describe your assessment and appropriate interventions and referrals for the following patient. <\/p>\n
He is a 90-year-old male with mild dementia who underwent a total right hip replacement and a right-sided thoracotomy\/chest tube placement earlier in the day due to trauma: He fell down 13 stairs and remained on the floor for 13 hours prior to discovery and rescue. <\/p>\n
His head CT noncontrast is negative, but closed head injury is highly suspect. He is confused, combative, yet understandably complaining of 10\/10 pain in his hip and chest tube site. <\/p>\n
The surgeon has ordered morphine 1 mg q. 4 hours prn pain and Tylenol 650 q. 4 hours prn. The patient’s family is very concerned and wants the patient’s pain addressed. <\/p>\n
He is a full code blue; his VS are as follows: BP 160\/75, HR 98 Afib RVR, RR 24 spontaneous, 02 sat 90% on 3 liters NC. This patient has COPD with 2 liters of 02 at home, hypertension, dementia-early, Afib on ASA and metoprolol, and takes oxycodone 10 mg q. 3 hours at home prn due to debilitating rheumatoid arthritis. <\/p>\n","protected":false},"excerpt":{"rendered":"
THIS IS A GRADUATE NURSE PRATRITIONER PROGRAM. \u00a0REPORT MUST BE OF GRADUATE LEVEL AND STANDARD WITH APPROPRIATE REFERENCE WITHIN 5 YEARS AND 7TH EDITION APA STYLE\u00a0. MINIMUM OF 350 WORDS WITH AT LEAST 2 PEER REVIEW REFERENCE.\u00a0\u00a0 \u00a0You are working in the critical care unit as an ACNP, in your first year, on nights, and […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[18],"class_list":["post-23137","post","type-post","status-publish","format-standard","hentry","category-research-paper-writing","tag-nursing"],"_links":{"self":[{"href":"https:\/\/papersspot.com\/blog\/wp-json\/wp\/v2\/posts\/23137","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/papersspot.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/papersspot.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/papersspot.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/papersspot.com\/blog\/wp-json\/wp\/v2\/comments?post=23137"}],"version-history":[{"count":0,"href":"https:\/\/papersspot.com\/blog\/wp-json\/wp\/v2\/posts\/23137\/revisions"}],"wp:attachment":[{"href":"https:\/\/papersspot.com\/blog\/wp-json\/wp\/v2\/media?parent=23137"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/papersspot.com\/blog\/wp-json\/wp\/v2\/categories?post=23137"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/papersspot.com\/blog\/wp-json\/wp\/v2\/tags?post=23137"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}