Answer:
A client arrived in the emergency department with a sharp object penetrating the diaphragm. This can be a serious injury, however, the cardinal signs and symptoms of an impaired gas exchange should identify as a priority.
The nurse would first assess the airway by observing for any respiratory distress or inappropriate cough. Other potential indicators are tingling/tingling sensation on the tongue and lips, inability to swallow, hoarseness, or voice changes.
Explanation:
The nurse could identify the priority nursing diagnosis as an abnormal breathing pattern. The nurse may need to alert the physician that this type of injury will cause impaired gas exchange, which can affect vital organs in the body.
The priority of nursing care is to stop the bleeding and assess for any underlying injuries. A nursing diagnosis of pain and anxiety might be appropriate if the client was found to be in severe pain, but not stress related. Since we know that diaphragm injuries can cause impeded gas exchange, it would make sense if this client exhibited signs of impaired gas exchange and had shortness of breath after the brief attempt at identifying their wound.
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A patient has been diagnosed with angina. As he talks with the nurse, he asks several good questions about angina and seems able to concentrate on the explanations. He seems eager to learn how to manage his condition. What assessment can be made by the nurse <u>Hardiness</u>
<h3>What is
angina?</h3>
Chest pain or pressure, often known as angina or angina pectoris, is a sign of coronary heart disease and is typically brought on by insufficient blood flow to the heart muscle (myocardium).
A blockage or spasm of the arteries that feed blood to the heart muscle is typically the cause of angina. Anemia, abnormal cardiac rhythms, and heart failure are among additional factors. Atherosclerosis, a component of coronary artery disease, is the primary mechanism of coronary artery occlusion. The phrase means "a strangling feeling in the chest" and is derived from the Latin words angere ("to strangle") and pectus ("chest").
The degree of oxygen deprivation in the heart muscle and pain intensity are only weakly correlated.
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It can really mess with someone’s perception of reality it can cause nausea vomiting increase body temperature altered perception of space and time and hallucinations
The effects of a right hemisphere stroke may include: Left-sided weakness or paralysis and sensory impairment. Denial of paralysis or impairment and reduced insight into the problems created by the stroke (this is called "left neglect") Visual problems.
<h3>What is impacted by a stroke in the right hemisphere?</h3>
A right hemisphere stroke may result in sensory impairment and left-sided weakness or paralysis. Denial about paralysis or impairment as well as diminished awareness of the problems caused by the stroke are referred to as "left neglect." Visual issues., such as an inability to see each eye's left visual field.
<h3>Does a stroke on the right side impact speech?</h3>
Speech and communication issues are typically seen in right-brain injured stroke survivors. Because of their weak or uncontrolled left side facial and mouth muscles, many of these people have trouble pronouncing spoken sounds correctly. Dysarthria is the term for this.
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Increasing extracellular K+ increases the positive charge outside the cell, making the inside of the cell (membrane potential) more negative. This inhibits net diffusion of Na+ into or out of the cell.
