6. Timothy is a 16 year old whose mother brought him to the emergency room because of an asthma attack. He says he feels

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6 Timothy Is A 16 Year Old Whose Mother Brought Him To The Emergency Room Because Of An Asthma Attack He Says He Feels 1 (66.58 KiB) Viewed 15 times

6. Timothy is a 16 year old whose mother brought him to the emergency room because of an asthma attack. He says he feels short of breath, but when you listen to his lungs you do not hear any wheezing. a. Does this patient really need to be in the emergency room? b. What should you do? c. What do you think could be happening? d. What other team members can you collaborate with as you provide care for this patient? 7. Ms. Jackson is a single 56 year old woman with a 20 year old history of type 1 diabetes, HTN, hyperlipidemia, chronic anemia and total knee replacement. She has been diagnosed with CKD and is currently admitted for shortness of breath and CKD where treatment will include hemodialysis. She has increasing SOB, pitting edema and urine output of 375 ml per day. She is having premature ventricular contractions as seen on the cardiac monitor. Her admitting lab results are as follows: sodium 131, potassium 6, chloride 97, calcium 10, iron 64, WBC 4,000, RBC 3.12, Hgb 10.1, Hct 32, Creatinine 7, BUN 30. She has sliding scale insulin ordered and yesterday's blood glucose values were between 122 and 188. She has an order for an ECG and a chest X-ray, and will undergo placement of a subclavian catheter for vascular access. Ms. Jackson is withdrawn and quiet. a. What should be the first thing the nurse addresses after receiving report? b. What do the patient's physical symptoms indicate and lab values reflect? c. How should the nurse react to the withdrawn behavior? d. How can the nurse determine the patient's understanding of self care? e. What teaching is needed for the diagnostic tests? f. What nursing care is required for the vascular access? 8. What type of insulin is used for sliding scale insulin coverage AND why? h. Which member of the health care team should you anticipate collaborating with?