8월 28일 강의.free

NGN 문제

Client History  Nurse's Notes   Vital Signs

84-year-old client diagnosed with stage 4 lung cancer with metastasis to the brain and liver. Client lives with his daughter and her family, who are his main caregivers at home. Client's advance directive states that he does not want CPR, intravenous fluids, antibiotics, a feeding tube, or hospitalization at the end of life. Daughter is his health care power of attorney.

1-1.Highlight the information which is most important for the nurse to consider when providing care for this client.

□advance directive information

□confused -correct

□more agitated- correct

□not sleeping

□BP 108/60

□SpO2 92% ON 2L O2/NC

□temperature 100.8

□breath sounds -correct

□productive cough

□pain not relieved -correct

□sips of water -correct

□refusing food

1. antisocial personality 옳은 것은?

옆 환자에게 자신의 재산에 대해 말한다

혼자 예술한다

혼자 방에 있는다

돈 다 뺏고 싶은데 (돈벌기 위해서 사람들 속이고) 죄책감 안들어“

2. Antisocial 성격장애 특성으로 옳은 것

scamming 했는데 전혀 죄책감 없어요

2개월 동안 집에 있겠다

큰소리로 모두 돈을 가지게 했고 후회하지 않는다

다른사람보다 지혜롭고 도움을 줄수 있다

3.Antisocial있는 사람?

Lack of empathy,

자기가 좀 우월한 느낌?

Admiration원한다?

나 스캠했는ㄷ remorse 안해요

#업무 또는 재정적 의무를 이행할 수 없음

Deceitful behavior, lying, using fake names, running ‘cons’ to cheat people out of belonging or money

7. cervical cancer risk 높은거?. SATA

herpes type 1

multi sex partner,

HPV positive

Early sex experience

#Early sex cervical cancer link. "Girls who have sex in their teens are at greater risk of developing cervical cancer,”

5.raloxifen concern

wt bearing exercise

vit supplement with vit D

insomnia예방위해 아침에 복용

flushing 줄어들 것

6.Chorionic Villi Sampling 검사전에 검사할꺼?

16주 이하시 검사결과가 정확하지 않을수 있다

검사후에 abd. cramping, vaginal spotting있을수 있다

Rh negative pt의경우 시술직후 immuno globulin 주사한다

시술직후 Rubella vaccination한다

7.산전검사 무슨 SCOPE인가 검사시 맞는 설명?

검사전에 좌측위한다.

Fhr 5분간 잰다

Fhr하기전에 복부 촉진 먼저한다

Prenatal screening tests.They include blood tests and ultrasound

8.hysteroscopy 맞는것?(sata)

①mn npo ②before voiding ③takes 1hr ④abd clamping is expected.

9. hysterosopy procedure correctly?.sata
① 1시간
② some abd pain
③ heavy bleeding
④ you cannot eat before produce

10.hysteroscopy 검사로 옳은것?SATA

검사후 discharge 많으니 흡수 잘되는 속옷입어라

검사전 방광채워서 잘 보이게 한다.

NPO 한다

11.Hysteroscopy 옳은 것 (SATA)

Uterus를 보는 것이다

검사 후 dark large beeling은 기대된다

검사 후 어느정도의 cramp가 이따면 hcp에게 노티해야함을 안다

동의서 받아야된다

x-ray examination of the uterus and fallopian tubes after contrast dye is injected through the cervix  .involved: uterus. fallopian tubes. cervix. vagina

.take any medication. antibiotics.

.have a light meal the night. you'll be observed signs of an allergic reaction

and bleeding for about 30 minutes

.it takes 15-45 minutes

.complication:infection. excessive bleeding. persistent pain.

perforation of uterus. abdominal pain. nausea vomitting.itching.rash.

12. colposcopy 환자 하는 말 중 맞는거

2주동안 질세정 안할거에요

후에 질출혈 있을 거에요

NPO 필요해요

48hr 후에 sex 가능해요

#if you did not have a cervical biopsy during your colposcopy, you can resume having sex right away.

But if your doctor did decide to perform a cervical biopsy during the exam, you have to wait a little while before you have sex—usually anywhere from two days to one week (sometimes longer, depending on factors like the type of biopsy that you had)

13.emesis 호소하는 pregnant에게 적절한 간호는(SATA)

avoid some tea containing peperment

encourage salt or tart food

drink ginger tea

ask HCP to prescribe vitamin B6

#Vitamin B6 (no more than 100 mg daily) has been shown to decrease nausea in early pregnancy

14. Herperemesis gravidarum 산모 Promethazine 25mg 4hr 마다. 오더났다

처방대로 먹게한다

HCP에게 다시 확인한다

약국에 이 약이랑 상호작용하는 처방있는지 확인

의사한테 이 처방 맞냐 clarify

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