Discuss the term 'clinical death,' especially with respect to when not to initiate CPR. Discuss what is meant by a 'peaceful death' and a 'good

Question Answered step-by-step -Discuss the term “clinical death,” especially with respectto when not to initiate CPR. Discuss what is meant by a “peaceful death” and a “good death,” including goals for End-Of-Life care. How would you feel if you knew your patients did not want CPR, but the family insisted on it? -Triage involves the rapid assessment and prioritization of patients. Compare the three-tiered system of triage to the Mass Casualty Incident (MCI) triage philosophy. Imagine that you are the Triage Nurse during an MCI. How will you categorize the following patients using the MCI triage philosophy? Explain your answer. Are there any ethical issues that should be considered? -10-year-old boy with massive head injury, no spontaneous breathing, BP 60 palp -22-year-old female with a close fracture of the left arm -60-year-old male with a laceration in the leg complaining of shortness of breath -15-year-old girl with glass embedded in the eyes -52-year-old male with a pulse of 30 and a blood pressure of 70/303.Mr. Nguyen is a 58-year-old patient that had septic shock and developed Acute Respiratory Distress Syndrome. He is orally intubated and on a mechanical ventilator. He is paralyzed and sedated. -What manifestations might you observe for a patient with ARDS? -What complications can Mr. Nguyen develop from being mechanically ventilated? -List priority nursing interventions to prevent complications associated with ventilatory support. -What interventions can be implemented specifically to prevent the development of Ventilator Acquired Pneumonia (VAP)? -You are orienting in the ICU, the nurse you are working with is not implementing the VAP interventions. What would you do?4.Describe the role of each component of the ECG in the heart’s contraction: the P wave, the PR interval, the QRS complex, the ST segment, the T wave, and the QT interval. What is the difference between artifact and dysrhythmia? How can you reduce artifacts? What are some situations that can occur if artifact is not reduced or eliminated?You are working in the Telemetry Unit. The nurse “watching” the monitors is reading a magazine. She constantly turns off an alarm that looks a lot like Ventricular Fibrillation. She tells you that it is not a dysrhythmia, it is just artifact. What do you think about her actions? What is the worst case scenario in this situation? What would you do?5.Your patient is a 42-year-old female that arrives in the ED with complaints of fever and not feeling well. She is currently undergoing chemotherapy for bladder cancer. She has an indwelling urinary catheter with scant amount of dark, foul smelling urine. She has a temperature of 102.2F, HR 136, BP 110/50 and RR 28. She is allergic to penicillin and Sulfa. -What type of shock is she experiencing? -What interventions do you anticipate the doctor will order? -What can you teach this patient about prevention of infection? -The doctor orders Bactrim. What should you be concerned about? Why?6.Mr. Rojas is a 49-year-old patient with End Stage Renal Disease. He has a history of hypertension and uncontrolled type 1 diabetes (since he was 12 years old). His last Hemoglobin A1c was 12.8%. He is currently receiving hemodialysis three times per week for three hours. He is in the hospital because he went into DKA a few days ago when he had a stomach virus. He is asking you about renal transplantation. -What are the criteria to be placed on the kidney transplant list? -What are the associated risks with kidney transplant? -What does the post-operative care and treatment consist of after kidney transplant? -What recommendations can you give Mr. Rojas on treatment compliance? 7.Your patient is a 23-year-old female with a history of headaches. This morning she was experiencing a really bad headache as her boyfriend was driving her to the university. He thought she was sleeping and by the time they got to the school, 45 minutes later, she was not waking up. She was diagnosed with a cerebral aneurysm and you are taking care of her in the Neurological ICU. -What testing do you expect to be performed to diagnose brain death? -What is the procedure when a patient is determined to be brain dead? -Who should approach the family about organ donation?The family is approached about organ donation. The patient indicated on her driver’s license that she wanted to be an organ donor. Her mother refuses to consent for organ donation. -Do you think donation should happen anyway? Why or why not? -What will be the ethical consequences of your decision?7.Your patient is a 23-year-old female with a history of headaches. This morning she was experiencing a really bad headache as her boyfriend was driving her to the university. He thought she was sleeping and by the time they got to the school, 45 minutes later, she was not waking up. She was diagnosed with a cerebral aneurysm and you are taking care of her in the Neurological ICU. -What testing do you expect to be performed to diagnose brain death? -What is the procedure when a patient is determined to be brain dead? -Who should approach the family about organ donation?The family is approached about organ donation. The patient indicated on her driver’s license that she wanted to be an organ donor. Her mother refuses to consent for organ donation. -Do you think donation should happen anyway? Why or why not? -What will be the ethical consequences of your decision?8.For patients with liver failure due to cirrhosis liver, transplantation may be the only possible treatment. -How is the care for the patient undergoing liver transplantation different from the care of a regular surgical patient? -What patient teaching is needed after a patient receives a liver transplant? -Should the patient with alcoholic cirrhosis be a candidate for a liver transplant? -Should government funds be used in the care of patients with cirrhosis who continue to consume alcohol?Please provide references for each question for review.Thank you. Health Science Science Nursing NRSNG NUR2790 Share QuestionEmailCopy link Comments (0)