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Question 1. How would you perform the following nursing interventions? Please provide information about the purpose of the interventions and steps of the procedures. 

assisting a person to don anti-embolic stockings
caring for drainage tube systems associated with tubes and drains inserted into the body
emptying and changing ostomy bag
emptying and changing a urinary drainage bag
providing care of suprapubic catheter
inserting and removing indwelling catheters (IDC) including  insertion  for male and female genitourinary  anatomy
applying isolation nursing  practices include:
Contact precautions
Droplet precautions
Airborne precautions
Neutropenic precautions
Radiation precautions
inserting and removing nasogastric tubes (NG)
feeding through nasogastric tubes (NG) and percutaneous feeding tube

Question 2. a. Discuss the purpose of transurethral resection of the prostate (TURP) and nursing interventions for the post procedure including bladder washout.

 

b. You are caring for a patient who had a TURP procedure yesterday. You check the TURP clinical pathway (the predetermined plan of care) and find his IDC to be removed when the urine is clear and no clot. How do you decide IDC removal? What procedure will be involved?

 

c. The patient who you are caring failed a trial of void and is going home with IDC. He gives you an impression of no confidence to look after his IDC, but he wants to go back home for a family commitment. How do you encourage him to look after his IDC, and what education and equipment do you provide him for discharge with IDC?

 

d. Explain how will you demonstrate respect for the patient’s cultural diversity, dignity and privacy, when you providing education to the patient about their IDC?

 

e. Your patient is going home with their IDC in-situ. You have provided the patient with all education requirements and equipment for their IDC.  You are required to determine the patient’s physical, emotional, and psychological needs in regard to their self-care of the IDC before discharge. Explain how you would you establish their needs?

 

Question 3. a. Your patient develops reactions or unexpected outcome to a new medication, what should you do?

 

b. You conduct A-H assessment for the patient. The patient blood pressure gets lower and reaches in the red zone. What is your course of action?

 

c. MO reviews the patient’s reaction and lower BP, orders IVF and changes to an alternative medication. What should you document about the event?

 

d. Your patient reports an allergic reaction previously to the alternative medication you are about to administer, what is your course of action?

 

e. How do you monitor own thinking constantly in relation to own clarity, precision, accuracy, consistency, logic and significance of care, in order to correct oneself when appropriate in the context of caring for the patient? 

 

Question 4. Read the scenario and answer the following questions.

Your patient – Mary Bloggs, 84-year-old female – admitted to hospital following a fall at home. She is slightly confused but alert. Her observations are stable, BTF. She ambulates to the bathroom with a four-wheel walker and standby assistance, she requires set up for her shower. The medical team investigates the cause and diagnoses UTI. 

Antibiotics are prescribed to treat UTI. Her medical history is CCF and type II DM. She lives alone, and her daughter is concerned that she may need additional services to return home.

 

a. Identify three possible nursing interventions for the patient with complex needs, based on health information and clinical presentation.

 

b. Explain clearly the rationale behind each of your nursing interventions, which should be specific decisions and actions in the context of the health care of the patient.

SCIENCE
HEALTH SCIENCE
NURSING
NURSING HLTENN005

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