Post capstone leadership

Post capstone leadership An elderly client is being discharged from the hospital to home following a long hospitalization. What are some community resources that the nurse should initiate referra ls for this client? ● Some community resources the nurse should set up for the patient and give referrals for are the following: transportation, social worker, pharmacy, home health service, and a home health aide if the patient is having difficulty with ADL. What behaviors would indicate to the charge nurse that one of the nurses could be experiencing countertransference? (Found in the Mental Health Review Module) ● The nurse should understand the countertransference is defined as when a healthcare team member displaces there character of the people in the their past onto the client. Some of the behaviors that would indicate that the nurse is experiencing countertransference is the following: nurse overly identifies with the client, nurse competes with the client and the nurse argues with the client. A client's wife calls the charge nurse to the room and states she is very angry with the nursing staff because her husband is "not receiving adequate nursing care". What problem solving strategies should the charge nurse use in this situation? ● In order for the nurse to give the client and wife problem solving strategies the following should take place with the nurse. The nurse should analyze identified solutions, the potential pro and cons of each possible solution should be discussed and the importance of attempting to narrow down the number of variable solutions. The nurse should select a solution based on ther analysis, and select a solution for implementation. What teaching strategies should a nurse include in the discharge plan for a client with Multiple Sclerosis? (Review the Adult Med Surg Review Module) ● The nurse should include in discharge planning for a client with MS a plan for disease progression, provide community resources, and also respite services for the client and family. List three (3) expected laboratory results the correlate with the diagnosis of Peptic Ulcer Disease. ● The nurse should know that the three expected laboratory results that correlate with the diagnosis of PUD are the following: Positive H. Plyori, occult blood test, positive urea breath test. All these laboratory would need to be positive which would be indication of diagnosis of PUD. Following a motor vehicle accident of a 21-year-old male, the client is pronounced brain dead. The family states, “We would like to donate his organs and help someone who needs them.” How will the nurse respond knowing their responsibility regarding organ donation? ● The nurse should contact the transplant team. An ethical dilemma regarding sustaining life is being examined. What would be some appropriate resources for the nurse to use to help review and address ethical dilemmas? ● Some appropriate resources the nurse can use to help review and address ethical dilemmas are the following: identify whether or not the issue is indeed an ethical dilemma, state the ethical dilemma including all surrounding issues and individuals involved, list and analyze all possible options for resolving the dilemma and review implications of each option, select option that is in concert with the ethical principle applicable to this situation, the decision maker's values and beliefs, and the profession's values set forth for client care; justify why chosen over other options, and apply this decision to the dilemma and evaluate the outcomes. ● Also nurses can look at data from the following: the American Nurses Association (ANA), the International Council of Nurses (ICN), and the National Association for Practical Nurse Education and Services, Inc. A nurse is caring for a client with acute cystitis that has been prescribed nitrofurantoin (Macrobid). What client education should be provided to the client regarding this medication? (Review the Pharmacology Review Module) ● The nurse should provide patient teaching about nitrofurantoin, which is an antibacterial medication, however therapeutic levels are achieved through monitoring the urine. The patient should be instructed on finishing the ABT even if symptoms have resolved and they feel much better. What is the goal of primary prevention? List five (5) examples. ● Some primary goal of primary prevention include immunization programs, child car seat education, nutrition, fitness activities, and health education in school. ● The nurse should also understand that primary prevention addresses the needs of healthy clients to promote health and prevent disease with specific protections. A nurse is caring for a client with a minor head injury. What are manifestations of increasing intracranial pressure that should be reported to the provider? (Review the Adult Med Surg Review Module) ● The nurse should monitor for the following manifestations, which include, severe headache, deteriorating level of consciousness,restlessness, irritability, dilated or pinpoint pupils, slowness to react, and alteration in breathing pattern. ● The nurse should monitor for cheyne Stokes respirations, central neurogenic hyperventilation, and apnea. ● The nurse should monitor for deterioration in motor function, such as abnormal posturing that include the following decerebrate, decorticate, flaccidity. Show Less