Jeffrey Jefferson - Behaviors & Addiction
The day after discharge, the client calls the nurse unit to tell them that his PICC catheter was pulled out. Identify how the nurse should respond.
"Are you having any chest pain or shortness of breath?" "Would you like me to call the home health nurse assigned to your care?"
Identify if each teaching point is appropriate or inappropriate to include upon discharge
Appropriate Hygiene limitations PICC catheter complications Care of the PICC catheter When the home care nurse will come Inappropriate How to pay the hospital bill Dietary restrictions
Identify what the charge nurse should recommend
Ask the health care provider for non-narcotic pain relief medication like an injected NSAID. Request a substance abuse consultation. Request that liver function tests be drawn. Initiate non-pharmacological measures for pain relief. Speak with the client about the large amount of pain medication he requires.
Identify each finding as concerning or not concerning while planning discharge.
Concerning Compliance for discharge instructions Pain control Living conditions Infection Not concerning PICC care
Before answering this question, review the client's health information in the EHR. Listen to the conversation between Jeffrey and the nurse. Identify the actions the nurse should take.
Remove the IV catheter. Place a warm compress on the reddened area. Monitor the site throughout the shift. Elevate the right arm on pillows.
Identify the parameters to be monitored with each medication listed.
Respiration rate Hydromorphone Oxycodone Liver function Clindamycin Acetaminophen Oxycodone Bowel movement Hydromorphone Clindamycin Senna sennosides Oxycodone Pain level Hydromorphone Acetaminophen Oxycodone
Identify if each nursing action should be initiated at the start of the shift or can be delayed to later in the shift
Start of shift Assess respiratory rate and pattern. Assess IV site and function. Assess pain rating. Later in the shift Auscultate bowel sounds. Determine the date of the last bowel movement. Deliver pain oxycodone. Encourage ambulation.
