Use this background information as you proceed through each station Mrs. Roberts is a 65-year-old female admitted to the hospital with a COPD…
QuestionUse this background information as you proceed through each stationMrs. Roberts is a 65-year-old female admitted to the hospital with a COPD exacerbation. She has a history of Congestive Heart Failure (CHF), Diabetes Mellitus Type II (insulin dependent), and Stage 3 Renal Failure. Mrs. Roberts arrived on the unit yesterday at 2300. She has an IV in her left hand, her activity is up stand-by assist (SBA) and she is tolerating a regular diet. Your nursing team consists of an RN, PCA and you, the LPN. Patient home medication list:· Lasix 20 mg daily· Metoprolol 25 mg daily· Prednisone 10 mg daily · Lispro sliding scale and carb countPhysician Orders:· Oxygen PRN for O2<90· Lasix 20 mg daily · Prednisone 10 mg daily PO at 0800· 1000mL IV 0.9% Normal saline @ 75 mL/hr· Levofloxacin IV piggyback 500 mg BID **Highlight the correct choice or type the correct answer where appropriateStation 1: Respiratory See 0800 vitals - The PCA informs you that she applied the O2 per the order. You go in to perform a focused respiratory assessment and find the patient with the following O2 set up.1. Is this focused assessment an appropriate action for you as an LPN? Yes No 2. Is the O2 device appropriate? Yes No 3. If it is not the correct O2 delivery device, choose the correct device. If you answered Yes to question 2, then choose Not Applicable (NA) a. b.c.d. NA4. Is the liter flow appropriate for this patient? Yes No5. If no, what liter flow would be appropriate? (You may state a range. If you answered Yes to question 4, write Not Applicable (NA)). Type answer here: Station 2: Medication Administration Record (MAR)1. What are the 6 rights of medication delivery? It is all correct or no point.1. 2. 3. 4. 5. 6. 2. What are two acceptable patient identifiers?3. Review the MAR for Mrs. Roberts. Identify if the medication order is missing any information or if it is incorrect. If it is missing information, what information is it missing or what is incorrect about the medication order.Julia Roberts - DOB: 8/30/1955 - Allergy: NKDA Medication Time Date A Lasix 20mg daily B Prednisone 10mg daily PO 0800 C Levofloxacin 500mg IV piggyback BID 08002000 D Insulin Sliding Scale: Lispro SQ· 100-150 - 1 unit· 145-200 - 2 units· 190-250 - 3 units· Less than 250 - notify MD 0800120017002100 Type answers here:A. Correct or Incorrect. Why?B. Correct or Incorrect. Why?C. Correct or Incorrect. Why?D. Correct or Incorrect. Why? Station 3: IV AdministrationMrs. Roberts has her 2nd dose of Levofloxacin due. You are going to hang the medication. You also note that a new 0.9% NS bag needs to be hung.1. Use the IV administration picture and write the letter next to the correct corresponding number.1. Primary bag2. Tubing clamp3. Piggyback medication4. Primary tubing5. Drip chamber6. Piggyback tubing2. Which medication is in which bag?1. Levofloxacin2. NS 3. "Program" the pump. Look at the physician orders. Primary IV Rate Primary IV Volume Piggyback IV Rate Piggyback IV Volume 4. After the infusion has completed, you recheck Mrs. Robert's IV site and your focused assessment reveals it is warm, tender, and reddened. What is this IV complication? What are your interventions? Type answer here:Station 4: InsulinChoose the correct needle to administer insulin.a.b. c. · The patient's insulin dose is due right after she is done eating · Calculate the amount of insulin you would have administered for her 0800 insulin orders - based on the fasting blood sugar and carbohydrate count· See the Common Carb Counts table below· More information is listed on the Mar below· Document on the MAR including any other pertinent data Common Carb Counts: 1 Carb each item. Breads/ Cereals/ Grains Vegetables Bread - 1 slice Potato - ½ cupBagel - ¼ large Potato baked - 1, about 4 in. longPasta - 1/3 cup Peas or corn - ½ cupRice - 1/3 cup Raw veggies 3 cupsSoup - 1 cup Cooked veggies - 1-1/2 cupsCold cereal - ¾ cup Tomato sauce - 1 cupCooked cereal - ½ cup Small portions non-starchy veggies - freeDried beans - ½ cup Roll - 1 rollBreadstick - 1 small Milk & Yogurt Sweets & Snack food Milk - 1 cup Pretzels or chips ¾ ozYogurt - (unsweetened), 2/3 cup Crackers 4-6Or 6 oz Vanilla wafers 5Yogurt - (sweetened with non- Small sandwich cookies -2Caloric sweetener) 2/3 cup Sweet snack - 1 oz Sugar or honey - 1 Tbsp Jelly - 1 Tbsp Ice cream - ½ cup Cake without icing - 1 piece Cake with icing - ½ piece Fruits Other Items Fresh fruit - 1 small Gelatin unsweetened - ½ cupBanana - ½ Popsicle - 1 single, sweetenedCanned fruit - ½ cup Sherbet - ¼ cupMelon or berries - 1 cup Soft drink - ½ cup regularFruit juice - ½ cupThickener for 1 serving of juiceDried fruit ¼ cup Medication Administration Record (MAR)Julia Roberts - DOB: 8/30/1955 - Allergy: NKDA MEDICATIONS DATE Lispro (Humalog) Insulin 100units/ml subcutaneous solution. Give 4 units per carbohydrate choiceSub cut immediately following meal 0800Carbs Amount Initials 1200Carbs Amount Initials 1700Carbs Amount Initials Lispro Insulin (Humalog) 100 units/ml subcutaneous solution. See corrective scale (below sub cut as needed prn with scheduled meals:Blood Glucose:50-69= (-2) units70-109= 0 units110-150 = 1 unit151-200 = 2 units201-250 = 3 units251-300 = 4 units301-350 = 5 units351-400 = 6 unitsAbove 400 call MD 0800BS Amount Initials 1200BS Amount Initials 1700BS Amount Initials Total units of insulin = Health ScienceScienceNursingShare Question
Needs help with similar assignment?
We are available 24x7 to deliver the best services and assignment ready within 3-4 hours? Order a custom-written, plagiarism-free paper
Get Answer Over WhatsApp
Order Paper Now
