Evolve Case Study Breast Cancer - Patient: Sandra Williams

Case Study 1PUD under MedSurgWhich information is most significant when assessing a client suspected of having a peptic ulcer? Frequent use of aspirin or products containing aspirinWhich response by Gail supports a peptic ulcer? My pain is temporarily relieved by milk, The pain sometimes wakes me up at night, The pain is so bad that I get N/VWhich intervention should the nurse include? Instruct Gail not to take any antibiotics for 4 weeks prior to testWhich information should the nurse provide? A pleasant tasting solution is ingested and you breath into a balloonWhat information should the nurse tell Gail? Antibiotics and acid suppressing medications are prescribedWhich priority intervention should the nurse implement when providing immediate post procedure care? Confirm the return gag reflexWhich action should the nurse include in the discharge preparation? Discuss the need to notify the HCP if fever or shoulder pain occursHow should the nurse respond to Gails question? The medication adheres to the lining of the stomachWhich instruction should the nurse discuss with Gail? Take the medication daily whether she is having any pain or notWhich action should the nurse include in the teaching plan? Instruct Gail to eat 3 small meals and 3 snacks daily Which information should the nurse provide? Foods that cause gastric pain should be avoided What information should the nurse obtain from Gail during the teaching session? Ingestion of alcoholic beveragesWhich nursing action takes priority when discussing stress and PUD with Gail?Discuss ways with Gail to reduce stress in her current work environmentWhich intervention should the emergency center nurse implement first? Start an 18 gauge angiocath and infuse a normal saline solutionWhich intervention should the nurse implement next? Place Gail in a recumbent position with her legs elevated The medication is in 100mL intravenous bag of0.9% normal saline, and the nurse will infuse it over 30 minutes. The infusion pump infuses IV fluids according to milliliters hour. How many mL/hr should the infusion pump be set at? 200In order to infuse the pantoprazole (Protonix) which intervention should the nurse implement? Start a saline lock in the other arm and infuse the medication over 30 minutesWhich intervention should the nurse implement during the procedure? Observe the client’s telemetry for dysrhythmiasWhat action should the nurse implement? Notify the surgeon immediatelyWhich intervention should the nurse implement? Document this normal finding in the clients recordWhich action should the nurse implement? Explain to Gail the symptoms of dumping syndrome Which information should the nurse include in the discussion with Gail? Eat between 4 to 6 small meals a dayWhich tasks should the primary nurse delegate to the UAP? Empty the urinary catheter bags and recording the output on the post-op clients, Assist Gail with ambulation down the hall while using a gait beltWhich action should the primary nurse implement? Continue charting and take no action towards the unit clerkWhich intervention should the nurse include in discharge preparation? Explain that vitamin B12 levels should be routinely monitored after this surgery Which instruction should the nurse include? Inspect the abdominal incision site in the mirror