CAHS BSN 2 C1-01 NUR 145 and NUR 146

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P1 WEEK 4 - DAY 2 ASSIGNMENT📌

CASE STUDY # 2📌
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CASE SCENARIO : CARE OF THE HIGH -RISK PREGNANT CLIENT (GESTATIONAL CONDITIONS -INCOMPETENT CERVIX)

A 20-year-old woman, gravida 2, para 1 at 20 weeks of pregnancy presented to the emergency room at 9:00 AM with chief complaints of an increased brownish vaginal discharge, and felt lower back pain. She said to the nurse that she doesn’t know what happened to her. Upon physical examination the client presents ruptured membranes. One week prior to admission she has experienced a history of nausea, weight loss of about 20 lb in 6 weeks, and intermittent brownish vaginal bleeding. On examination, she had tachycardia (108 BPM), a blood pressure of 146/86 mm Hg, and a regular respiration rate of 18 breaths per minute. The client reports nausea and vomiting and not able to take enough fluid, dry mucus membrane, poor skin turgor noted.

The doctor orders the following:
Admit the patient to a room of choice.
Start IVF of D5NSS 1L at 40 gtts per minute STAT.
Request for CBC, Urinalysis, Blood type,
Vital signs every 4 hours
Monitor intake and output
Ultrasound of lower abdomen
Prepare for the patient for a surgical procedure at 6:00 PM
Medication: Amoxicillin 500 mg IV every 8 hours
NPO (Temporary)

The ER Nurse on duty started the prescribed IV fluid 9:15 AM regulated at 40 gtts per minute . Request for CBC , UTZ sent to laboratory and diagnostic respectively. Patient brought to the diagnostic department for ultrasound . The nurse properly endorsed the patient to the room of choice at 9:45 AM; Consent for Dilatation and Curettage is not yet signed by the patient .

The resident doctor visited and asked the client about the plan surgery and emphasized the urgent need of the said procedure, then the client signed the consent.

Thereafter, the OB doctor was informed through the phone, and made an order to schedule the surgery at 7:00 PM.

REUIREMENTS:📌
GO
SO
DPA
5 NCP
DRUG STUDY

DEADLINE OF SUBMISION:📌
DECEMBER 30, 2021

P1 WEEK 4 DAY 2 POST TEST 📌

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P1 WEEK 4 DAY 1 POST TEST📌

P1 W4 D1 NUR 146 POSTTEST (DEC 23, 2021)

NUR 145 P1 WEEK 4 POST TEST📌

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