GI bleed History

Creating a teaching pamphlet As a new nurse, you have had clients with Myasthenia Gravis (MG) and are concerned about their level of understanding of the disease process. You have taken on the task of developing a teaching pamphlet to provide clear discharge instructions including information on the disease, support resources, medication teaching, and signs and symptoms of Myasthenic Crisis. You will include the following information in the pamphlet. Nutrition. Assignment 2. Scenario- Two page APA paper

You are working the night shift on a medical-surgical unit. You assignment includes a 19 year old woman admitted early this morning. She has sustained burns over 30% of her body surface area, with partial-thickness burns on her legs and back. Instructions Assignment 3 -this is a discussion. Two paragraphs

Scenario As a nurse on a general medical floor, the RN has received a new admit. Review the client data provided. Richard Henderson 58 years old Male Admit diagnosis: GI bleed History: no surgical history Medical history: Gastritis & GERD Medications: Prilosec 40 mg PO daily, Atenolol 25 mg PO BID, Fiber daily, Alka Seltzer PO – states he takes this at least daily. Report from physician’s office: Mr. Henderson arrived to the physician’s office today for a complaint of increasing abdominal pain. He states that he is now throwing up coffee-ground emesis. He states that he didn’t take his BP medication this morning because he was dizzy. The physician is admitting him with a diagnosis of GI bleed with an EGD scheduled for tomorrow. He is NPO, and has a 22G IV lock in the left forearm. Last set of vital signs BP 106/60 mm Hg, HR 98 beats/min, RR 20 breaths/min, Temp. 98.8 degrees F, P.O. 90% on room air. He last vomited about 45 minutes ago with a small amount of dark coffee-ground emesis. His pain is 4/10 at present. No pain medication is ed at this time. Lab assessments ed: CBC and chemistry panel CT of the abdomen shows no signs of free air (no perforation) When he arrives to the floor, he is pale, nauseous, and his skin is cool and clammy. When he is transferred to the bed from the stretcher, he vomits a large amount of coffee-ground emesis and loses consciousness. Instructions In the discussion post, address the following: Assignment 4 Discussion Topic- this is a discussion. Due 9/17/21, 11:59 PM Initial Post Describe how you achieved each course competency including at least one example of new knowledge gained related to that competency. Describe how you achieved the transferable skill, Critical Thinking, including at least one example of new knowledge gained related to the transferable skill Describe how this new knowledge will impact your nursing practice. Course Competencies References Use the attached books and I have it citied them already just copy and paste in reference page Attached other book please follow the attached document and use the book for research no outside resources . for discussion you can use outside resources but include the book as well for most part Requirements: please refer to the attached document for specific requirements Describe the disease process for MG. List (2) local community resources available that can provide support such as: Transportation. Psychosocial needs such as support groups. Include medication administration instructions and the importance of timing of medication delivery. Include signs of symptoms of Myasthenic Crisis and when to notify provide In a two-page APA formatted paper, discuss the following: The staff are following the Parkland Formula for fluid resuscitation. The client arrived at 0200 and was admitted at 0400. She weighs 110 pounds. Calculate her fluid requirement, using the Parkland formula. Explain the time intervals and amounts for each. The client was sleeping when the fire started and managed to make her way out of the house through thick smoke. You are concerned about possible smoke inhalation. What assessment finding would corroborate this concern? The client is in severe pain. What is the drug of choice for pain relief and how should it be given? What nutritional requirements are necessary for the client’s burns to heal? What measures are taken with the client to prevent infection? While receiving report, what concerns do you have regarding the client report? What type of shock is occurring? What stage of shock is the client experiencing? What is your next intervention and why? What additional lab assessments would you anticipate? Provide additional thoughts and insights. Apply strategies for safe, effective multidimensional nursing practice when providing care for clients with neurological dis s. Outline appropriate nursing strategies for providing care to perioperative clients. Compare nursing interventions for clients with complex dis s. Identify strategies for safe nursing practice of the client with multi-system organ failure. Prioritize nursing interventions for clients with medical emergencies. Summarize the nurse’s role and care strategies for clients during disasters. Ignatavicius, D.D., & Workman, M.L. (2018). Medical-surgical nursing: Patient-centered collaborative care (9th ed.). Elsevier Link: https://ambassadored.vitalsource.com/reader/books/9780323461580/epubcfi/6/184[%3Bvnd.vst.idref%3Did_p15]!/4/2/6/2[PN]/1:0[%2CUni] Recommended: ATI Books: RN Adult Medical Surgical Nursing (11 ed