Purpose
To use critical thinking and data collection to recognize and report complications that may impact the morbidity and mortality of clients who have sustained a traumatic insult to the urinary tract while functioning within the LPN scope of practice
Competency
Select appropriate nursing interventions for clients with disorders of the urinary system.
Instructions
Read the scenario below and answer the questions. When you see a that means a clue.
The Story
It is Friday the 13th and a full moon. You are an LPN that normally works on a medical-surgical unit, but your unit is overstaffed, and the emergency department is short staffed. The nursing supervisor asks for a volunteer to go down to be an extra pair of hands. You volunteer as tribute. When you get to the ER, you are asked to do vitals on a client in the trauma room. The client is a 24-year-old male who was stabbed multiple times to the abdomen.
The wounds appear superficial, and the client has been stable thus far. He will be going to CAT scan as soon as they can fit him in. You approach the client, who appears slightly pale with cool, clammy but is alert and talkative. The vital signs are:
97.3 (PO) P= 115 BP= 95/54 Resp rate= 24 Pain= 6/10. You notice the client voided 100 mL tea-colored urine in his urinal.
One hour later, the client becomes unconscious. His pulse is now 144, and blood pressure is 70/50. The client is taken to the OR and has a nephrectomy for a very damaged and bleeding right kidney.
Answer the following questions:
1. What were the clues in the data collection that should have alerted you and the staff that there might be a problem? (5-10 sentences)
2. Why is the urine “tea-colored?†(one sentence)
3. What are some other interventions that could have been done? (2-5 sentences)
4. Was the LPN in this scenario working within the scope of practice for an LPN? Why or why not? (5-10 sentences)
5. How did the environment of care (busy ER) contribute to the client’s deterioration? (5-10 sentences)
Format
. Standard American English (correct grammar, punctuation, etc.)
. Logical, original and insightful
. Professional organization, style, and mechanics in APA format
. Submit document through Grammarly to correct errors before submission
Module 03Â Content
APA format
Top of Form
Purpose
To identify maladaptive breathing patterns and intervene as necessary
Competency
Explain care for the client with upper respiratory disorders.
Instructions
Read the scenarios and answer the questions that follow each. Please cite any sources using APA format.
Scenario # 1
A 45-year-old male comes to the ER unconscious. A co-worker went to check on him when he did not show up for work and found him unconscious. The client is a type one diabetic. His respirations are 36, and his breath has a “fruity†scent. His respirations are both deep and rapid. Labs are drawn, and his glucose is 1024.
· Why does this client have rapid, deep respirations and “fruity†smelling breath? (5-10 sentences)
Scenario # 2
A 94-year-old in long-term-care is terminally ill and has been placed on hospice care. Her family summons you because her breathing has become erratic. You observe periods of rapid, deep respirations followed by periods of apnea.
· What should the nurse do next? (5-10 sentences)
Scenario # 3
A 64-year-old male comes via car to the clinic where you are working. His wife reports he has been having “trouble breathing†for the past several days, but today it is much worse. The client is unable to speak and appears very anxious. His respiratory rate is 48.
· What is the priority nursing intervention? (5-10 sentences)
Scenario # 4
A 22-year-old female arrives to urgent care. Her mother reports she thinks the client is having trouble breathing and that it started after she broke up with her boyfriend. The client is crying. Her respiratory rate is 36.
· What is the most appropriate nursing intervention? (5-10 sentences)
Scenario # 5
You are the medication nurse on a medical-surgical unit. You arrive to the room of a 28- year-old female who was admitted for opiate overdose and substance abuse disorder. You find the client in bed, unresponsive with a respiratory rate of 4.
· What is the priority nursing intervention? (5-10 seconds)
Format
· Standard American English (correct grammar, punctuation, etc.)
· Logical, original and insightful
· Professional organization, style, and mechanics in APA format
· Submit document through Grammarly to correct errors before submission
Module 05Â Content
Top of Form
Purpose
To recognize risk factors for pulmonary edema/fluid overload.
Competency
Explain care for the client with lower respiratory disorders.
Instructions
Read the scenarios below and answer the questions. If you use sources, site them using APA format.
Case # 1
An elderly woman comes into the ER with severe dehydration after spending the day at the beach. The client is weak and feels like she is going to faint. An IV is started, and the RN hangs 0.9% Normal Saline. There are no IV pumps available. The client begins to feel better after 500 mL’s are infused, and the rest of the IV bag is infused. The client begins to have difficulty breathing. Auscultation of the lungs reveals crackles to ½ of the lower lung fields. The provider diagnoses pulmonary edema, and the client is treated with Lasix. She is stabilized but needs to be admitted to the ICU.
Question # 1: What nursing action could have prevented the client from having pulmonary edema? (5-10 sentences)
Question # 2: What makes this client at risk for pulmonary edema? (5-10 sentences)
Case # 2
A 22-year-old special-needs client comes to the ER with fever and difficulty breathing. The client weighs 66 LBS. The client is admitted with pneumonia and IV fluids, antibiotics, and respiratory treatments are started. The client is dehydrated, so she receives several bags of IV fluids over three days. On the third day, the client has worsening shortness of breath, and an X-ray is ordered which shows pulmonary edema. An echocardiogram is ordered. It shows normal cardiac function. The client is given Lasix, and the shortness of breath resolves.
Question # 3: How did the client’s size (body weight) put her at risk for pulmonary edema? (5-10 sentences)
Question # 4: How could pulmonary edema have been prevented in this client? (5-10 sentences)
Case # 3
A 32-year-old male with a history of cardiomyopathy is admitted to the medical-surgical floor with a diagnosis of flu. The client has a high fever and receives multiple bags of 0.9%NS. One day into the admission the client develops severe shortness of breath. An X-ray shows pulmonary edema.
Question # 5: What puts this client at risk for pulmonary edema? (5-10 sentences)
Format
· Standard American English (correct grammar, punctuation, etc.)
· Logical, original, and insightful
· Professional organization, style, and mechanics in APA format
· Submit document through Grammarly  to correct errors before submission.
· APA citation
Bottom of Form
Module 06Â Content
Are you busy and do not have time to handle your assignment? Are you scared that your paper will not make the grade? Do you have responsibilities that may hinder you from turning in your assignment on time? Are you tired and can barely handle your assignment? Are your grades inconsistent?
Whichever your reason is, it is valid! You can get professional academic help from our service at affordable rates. We have a team of professional academic writers who can handle all your assignments.
Students barely have time to read. We got you! Have your literature essay or book review written without having the hassle of reading the book. You can get your literature paper custom-written for you by our literature specialists.
Do you struggle with finance? No need to torture yourself if finance is not your cup of tea. You can order your finance paper from our academic writing service and get 100% original work from competent finance experts.
Computer science is a tough subject. Fortunately, our computer science experts are up to the match. No need to stress and have sleepless nights. Our academic writers will tackle all your computer science assignments and deliver them on time. Let us handle all your python, java, ruby, JavaScript, php , C+ assignments!
While psychology may be an interesting subject, you may lack sufficient time to handle your assignments. Don’t despair; by using our academic writing service, you can be assured of perfect grades. Moreover, your grades will be consistent.
Engineering is quite a demanding subject. Students face a lot of pressure and barely have enough time to do what they love to do. Our academic writing service got you covered! Our engineering specialists follow the paper instructions and ensure timely delivery of the paper.
In the nursing course, you may have difficulties with literature reviews, annotated bibliographies, critical essays, and other assignments. Our nursing assignment writers will offer you professional nursing paper help at low prices.
Truth be told, sociology papers can be quite exhausting. Our academic writing service relieves you of fatigue, pressure, and stress. You can relax and have peace of mind as our academic writers handle your sociology assignment.
We take pride in having some of the best business writers in the industry. Our business writers have a lot of experience in the field. They are reliable, and you can be assured of a high-grade paper. They are able to handle business papers of any subject, length, deadline, and difficulty!
We boast of having some of the most experienced statistics experts in the industry. Our statistics experts have diverse skills, expertise, and knowledge to handle any kind of assignment. They have access to all kinds of software to get your assignment done.
Writing a law essay may prove to be an insurmountable obstacle, especially when you need to know the peculiarities of the legislative framework. Take advantage of our top-notch law specialists and get superb grades and 100% satisfaction.
We have highlighted some of the most popular subjects we handle above. Those are just a tip of the iceberg. We deal in all academic disciplines since our writers are as diverse. They have been drawn from across all disciplines, and orders are assigned to those writers believed to be the best in the field. In a nutshell, there is no task we cannot handle; all you need to do is place your order with us. As long as your instructions are clear, just trust we shall deliver irrespective of the discipline.
Our essay writers are graduates with bachelor's, masters, Ph.D., and doctorate degrees in various subjects. The minimum requirement to be an essay writer with our essay writing service is to have a college degree. All our academic writers have a minimum of two years of academic writing. We have a stringent recruitment process to ensure that we get only the most competent essay writers in the industry. We also ensure that the writers are handsomely compensated for their value. The majority of our writers are native English speakers. As such, the fluency of language and grammar is impeccable.
There is a very low likelihood that you won’t like the paper.
Not at all. All papers are written from scratch. There is no way your tutor or instructor will realize that you did not write the paper yourself. In fact, we recommend using our assignment help services for consistent results.
We check all papers for plagiarism before we submit them. We use powerful plagiarism checking software such as SafeAssign, LopesWrite, and Turnitin. We also upload the plagiarism report so that you can review it. We understand that plagiarism is academic suicide. We would not take the risk of submitting plagiarized work and jeopardize your academic journey. Furthermore, we do not sell or use prewritten papers, and each paper is written from scratch.
You determine when you get the paper by setting the deadline when placing the order. All papers are delivered within the deadline. We are well aware that we operate in a time-sensitive industry. As such, we have laid out strategies to ensure that the client receives the paper on time and they never miss the deadline. We understand that papers that are submitted late have some points deducted. We do not want you to miss any points due to late submission. We work on beating deadlines by huge margins in order to ensure that you have ample time to review the paper before you submit it.
We have a privacy and confidentiality policy that guides our work. We NEVER share any customer information with third parties. Noone will ever know that you used our assignment help services. It’s only between you and us. We are bound by our policies to protect the customer’s identity and information. All your information, such as your names, phone number, email, order information, and so on, are protected. We have robust security systems that ensure that your data is protected. Hacking our systems is close to impossible, and it has never happened.
You fill all the paper instructions in the order form. Make sure you include all the helpful materials so that our academic writers can deliver the perfect paper. It will also help to eliminate unnecessary revisions.
Proceed to pay for the paper so that it can be assigned to one of our expert academic writers. The paper subject is matched with the writer’s area of specialization.
You communicate with the writer and know about the progress of the paper. The client can ask the writer for drafts of the paper. The client can upload extra material and include additional instructions from the lecturer. Receive a paper.
The paper is sent to your email and uploaded to your personal account. You also get a plagiarism report attached to your paper.
GET A PERFECT SCORE!!! 
Delivering a high-quality product at a reasonable price is not enough anymore.
That’s why we have developed 5 beneficial guarantees that will make your experience with our service enjoyable, easy, and safe.
You have to be 100% sure of the quality of your product to give a money-back guarantee. This describes us perfectly. Make sure that this guarantee is totally transparent.
Read moreEach paper is composed from scratch, according to your instructions. It is then checked by our plagiarism-detection software. There is no gap where plagiarism could squeeze in.
Read moreThanks to our free revisions, there is no way for you to be unsatisfied. We will work on your paper until you are completely happy with the result.
Read moreYour email is safe, as we store it according to international data protection rules. Your bank details are secure, as we use only reliable payment systems.
Read moreBy sending us your money, you buy the service we provide. Check out our terms and conditions if you prefer business talks to be laid out in official language.
Read more