Solutions - Chapter U10 - Kozier Erb's Fundamentals Nursing - 10 Ed

 

1Q. Develop an expected outcome for this client related to chapters in this unit including activity and exercise, pain management, fecal elimination, and circulation.
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2Q. What risks can you identify for this client related to activity and exercise, sleep, nutrition, and oxygenation?
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3Q. When planning care with Agnes related to activity and exercise, pain management, nutrition, fecal elimination, oxygenation, and circulation, establish the priorities of care.
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4Q. Of activity and exercise, sleep, pain management, nutrition, urinary elimination, fecal elimination, oxygenation, circulation, and fluid, electrolyte, and acid–base balance, which one carries the greatest risk to Agnes’s independence and quality of life?
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5Q. What actions can the nurse take to promote and maximize Agnes’s independence?
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Solutions - Chapter U9 - Kozier Erb's Fundamentals Nursing - 10 Ed

 

1Q. How might you respond to Christina? What have you learned about stress, loss and grieving, spirituality, and other similar concepts in this unit that can assist you in providing a helpful response?
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2Q. What response might you make that exemplifies the two competencies above and your learning from this unit?
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3Q. Considering the standard, what categories of possible interventions might you consider for a nursing diagnosis and goal focused on Christina’s need for a healing environment?
Another competency in the Environmental Health standard states that the nurse demonstrates commitment to continuous, lifelong learning and education for self and others.
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4Q. During your care of Christina, you realize that you are insufficiently knowledgeable about breast cancer treatment effects. You wonder about the sensation in the breast after radiation therapy (for both Christina and her husband) and the support systems that would be in place for the many breast cancer survivors who might be worrying about a recurrence. Describe the various ways you might investigate answers to these questions by interacting with your colleagues.
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Solutions - Chapter U8 - Kozier Erb's Fundamentals Nursing - 10 Ed

 

1Q. To assist Fairuz in meeting her hygiene needs, what questions will you want to ask in order to collect appropriate data for planning her care?
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2Q. What important assessment data related to her risk for infection will be required to serve as baseline data for comparison purposes throughout her admission?
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3Q. What are the nurse’s priority assessments during the immediate postoperative period when Fairuz first returns to the unit after open reduction of her left leg fracture?
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5Q. How do treatments, including medications, typically used with clients who have fractures influence your choice of diagnoses?
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Solutions - Chapter U7 - Kozier Erb's Fundamentals Nursing - 10 Ed

 

1Q. How does this situation relate to Standard #10? Do you see opportunities to improve the quality of practice? Beyond the care of this individual client, what might you do to ensure that the nurses on this unit meet the competencies of the standard?
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2Q. Imagine that when you assess the peripheral pulses of the client with a suspected thrombus, you have difficulty feeling the dorsalis pedis or posterior tibial pulses on either leg. Considering the standard, what actions would be consistent with professional practice evaluation? Would your actions differ if this was the first time you had such difficulty or if you frequently find you are unable to palpate pedal pulses?
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3Q. The assistant measures vital signs at 1600 and reports to you immediately that the client receiving chemotherapy has an oral temperature of 40°C (104°F). Describe your thinking in interpreting this data. What would be your response/next steps? List at least four things you would do and explain why they are necessary and appropriate.
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4Q. In retrospect, do you think you should not have delegated measuring the vital signs on this client to the assistant? Why or why not?
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Solutions - Chapter U6 - Kozier Erb's Fundamentals Nursing - 10 Ed

 

1Q. Using Roach’s six C’s of caring discussed in Chapter 25, how would you demonstrate caring to Michael and his wife?
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2Q. Using the nonverbal communication methods discussed in Chapter 26, how can the nurse communicate caring to this family?
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3Q. The hospice nurse sees that Michael’s death is imminent within the next few hours or days and wants to teach his wife about what to expect. Based on what you learned in Chapter 27, what factors would the nurse interpret as indicating his wife’s readiness to learn?
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4Q. The hospice nurse arranges for 24-hour care during Michael’s final days. Using the decision tree on pages 469–470, what types of care will the nurse delegate to the unlicensed assistive personnel (UAP)? What care will only the registered nurse perform?
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5Q. What instructions will the nurse provide the UAP related to things to report immediately if they occur?
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6Q. On the next visit to the family, the nurse reviews the UAP’s care of the client and notes that the client is not being repositioned and is developing signs of a pressure ulcer. What should the nurse do?
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Solutions - Chapter U5 - Kozier Erb's Fundamentals Nursing - 10 Ed

 

1Q. What health promotion teaching would you provide this family?
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2Q. What recommendations would you make to each family member to promote health based on each member’s current developmental level?
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3Q. How will Carmelita’s condition impact her own development and health promotion needs?
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Solutions - Chapter U4 - Kozier Erb's Fundamentals Nursing - 10 Ed

 

1Q. What are some outcomes for Manuela that would reflect this focus?
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2Q. Do you need to know her personal definitions of health and health beliefs (Chapter 17) before you can work with her to set expected outcomes?
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3Q. What are some aspects of Manuela’s situation that you would consider incorporating into a teaching plan to maximize a safe environment for her?
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4Q. Which health care team members other than physicians and nurses would likely be important to include in Manuela’s care plan?
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5Q. What evidence might you have or seek to support the use of alternative or complementary treatment modalities in Manuela’s care?
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