The nurse decides what interventions are appropriate

The nurse decides what interventions are appropriate when administering or holding medications. Thinking about Vancomycin, what nursing interventions would be appropriate for patients (*in general), after the nurse has decided to administer or hold a patient’s dose of medication. Choose the nursing interventions paired with the appropriate rationales required when deciding to administer or hold Vancomycin safely. (Select All That Apply) *In general = not specific to this patient, this means when giving the medication “in general” A. administer medication after evaluating patent IV access B. after administration, assess IV site for swelling and erythema C. it is appropriate to hold the Vancomycin if patient reports no fever D. after administration monitor the patient for onset of nausea, abdominal pain or diarrhea E. teach patient to monitor heart rate Choose the outcome the nurse will assess to determine effectiveness of the Vancomycin. A. fever resolves B. infection is eliminated C. absence of pitting edema and improved exercise tolerance D. no nausea is reported The nurse must assess the patient for several signs/symptoms/lab values when determining whether to administer or hold medications. Thinking about acetaminophen, what assessments would be appropriate for patients (*in general), when determining whether to administer or hold the prescribed dose. Choose the nursing action paired with the appropriate assessment required to administer or hold acetaminophen safely. (Select All That Apply) *In general = not specific to this patient, this means when giving the medication “in general” A. give medication if mild to moderate pain is reported B. give medication if patient reports allergy to Tylenolâ„¢ C. hold medication if excessive alcohol use is assessed[WK1] [HK2] D. give medication if fever greater than 101 F E. hold medication if there is new onset of skin rash The nurse decides what interventions are appropriate when administering or holding medications. Thinking about acetaminophen, what nursing interventions would be appropriate for patients (*in general), after the nurse has decided to administer or hold a patient’s dose of medication. Choose the nursing interventions paired with the appropriate rationales required when deciding to administer or hold acetaminophen safely. (Select All That Apply) *In general = not specific to this patient, this means when giving the medication “in general” A. administer medication with food to prevent gastritis B. administer IV diluted, as required per drug reference C. nurse will calculate maximum daily dose, including all routes and forms of drug D. after IV administration, assess pain in 1 hour, at time of peak action E. if patient is nauseated, request rectal route Select the patient’s risk factors that contribute to development of nephrotoxicity. (Select All that Apply) A. History of hypertension C. Obesity D. IV Vancomycin E. Use of narcotic analgesic F. Use of OTC NSAIDs G. Pain Describe in your own words, the pathology process of Peripheral Artery (Occlusive) Disease. Describe how Peripheral Artery (Occlusive) Disease contributed to the development of cellulitis. Include in-text citations in your writing. Include a reference list at the end of your writing. Utilize required Honan and Porth’s textbooks and associated resources (Lippincott Advisor). No websites, please. Be thorough in your response but stay focused and on topic. Your writing should include all the important steps that occur in the physical changes associated with the disease process, Peripheral Artery (Occlusive) Disease. Your response should read in a similar manner to the example below. The example describes the beginning steps of Coronary Artery Disease (CAD). This example is provided to demonstrate the level of detail needed to fully discuss the pathology process. Example: In the coronary vessels, increased blood levels of low-density lipoprotein (LDL) irritate or damage the inner layer of the vessel. LDL then enters the vessel after damaging the protective barrier, accumulates in the vessel lining, and forms a fatty streak. Smooth muscle cells move to the inner layer of the vessel to engulf the fatty substance, producing fibrous tissue in the affected vessel. (Porth, 2015) In a few words, explain how uncontrolled hypertension contributes to the disease pathology process of PAD In a few words, in the blank provided, explain how smoking contributes to the disease pathology process PAD: Select the risk factors that contribute to development of nephrotoxicity. (Select All that Apply) A. History of hypertension C. Obesity D. IV Vancomycin E. Use of narcotic analgesic F. Use of OTC NSAIDs G. Pain Select the appropriate medical diagnosis, Peripheral Artery (Occlusive) Disease or Acute MRSA Cellulitis for the signs/symptoms listed. If the s/s is presented by both Peripheral Artery (Occlusive) Disease AND Acute MRSA Cellulitis, mark < BOTH > for your answer choice. 1 Pain with ambulation Peripheral Artery (Occlusive) Disease < BOTH > Acute MRSA Cellulitis 2 Fever and chills Peripheral Artery (Occlusive) Disease < BOTH > Acute MRSA Cellulitis 3 Affected extremity edema Peripheral Artery (Occlusive) Disease < BOTH > Acute MRSA Cellulitis 4 Increased HR Peripheral Artery (Occlusive) Disease < BOTH > Acute MRSA Cellulitis 5 Pallor of affected extremity with elevation Peripheral Artery (Occlusive) Disease < BOTH > Acute MRSA Cellulitis 6 Absent pedal pulses Peripheral Artery (Occlusive) Disease < BOTH > Acute MRSA Cellulitis 7 Erythema of affected extremity in dependent position Peripheral Artery (Occlusive) Disease < BOTH > Acute MRSA Cellulitis 8 Presence of visible wound Peripheral Artery (Occlusive) Disease < BOTH > Acute MRSA Cellulitis 9 Decreased alertness/ confusion Peripheral Artery (Occlusive) Disease < BOTH > Acute MRSA Cellulitis 10 Absence of affected extremity hair Peripheral Artery (Occlusive) Disease < BOTH > Acute MRSA Cellulitis @Hice, Karmen for this , would you like to keep long-term alcohol use? I think maybe a different word choice like “chronic binge drinking” or “excessive alcohol use” may better reflect that we want to hold Tylenol if there is a history of liver damage, hepatic impairment, or cirrhosis no matter what the cause. [WK1] [WK1] I just don’t want to confuse their thinking because book says “patients who consume large quantities of alcohol, smoke, and take antiseizure medications are at high risk for hepatotoxicity with usual therapeutic doses.” However, other scholarly sources like lexicomp state say “Chronic alcoholics who take therapeutic doses of acetaminophen are NOT at an increased risk of hepatotoxicity. In contrast, chronic alcoholics who ingest repeated supratherapeutic doses of acetaminophen are at an increased risk for hepatotoxicity.” Change it! I’m totally fine with that! If you see somewhere that the wording could be tweaked… for better understanding, please feel free to do so! [HK2] [HK2] SCIENCE HEALTH SCIENCE NURSING NURS 324

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