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Patient Care Plan (Focus of Care/ADPIE). Same Scenario: A patient had a left knee surgery yesterday morning. You are the patient’s nurse. Upon your morning assessment the patient complains of sharp, stabbing, and throbbing pain in left knee at the area of the surgery, ranks the pain 6/10 on the numeric pain scale, and states, “I’m afraid to move my left knee because of the pain.”  You see the patient grimacing and guarding the left knee. HR 120, RR 22, and B/P 180/90. The health care provider orders include: Ice pack to left knee twice daily and prn, Morphine 6mg Subcutaneous Q3HR prn pain No physical therapy was prescribed yet. Create a care plan to take care of the patient’s pain.  The patient’s acceptable pain level is 2/10 based on the patient stating so. Interventions (4 points) Nursing actions & relevant teaching (Give 2 action interventions, 1 assessment intervention and 1 teaching intervention)   The nurse will… 1. 2. 3. 4. 

According to Maslow, when a patient is anxious and fearful after receiving news they have a terminal diagnosis, what needs are not being met?

An adult patient’s vital signs are: oral temperature 99F, pulse 88 beats per minute with a regular rhythm, respirations 14 per minute and deep, and blood pressure 182/100. Which sign should cause concern?

A nurse teaches a patient to use visualization to cope with chronic pain. Which step of the nursing process is associated with this?

Which of the following patients requires the most attention to oral hygiene?

Which of the following statements includes essential components of a well-written patient outcome/goal?

Nursing theories provide a framework for nursing practice. Nurses use theory to: Select all that apply    

According to the Centers for Disease Control and Prevention (CDC), when must nurses wash their hands with soap and water?

An immobile person has decreased movement of respiratory secretions. The nurse needs to provide appropriate interventions to prevent the patient from:

Patient Care Plan (Focus of Care/ADPIE). Same Scenario: A patient had a left knee surgery yesterday morning. You are the patient’s nurse. Upon your morning assessment the patient complains of sharp, stabbing, and throbbing pain in left knee at the area of the surgery, ranks the pain 6/10 on the numeric pain scale, and states, “I’m afraid to move my left knee because of the pain.”  You see the patient grimacing and guarding the left knee. HR 120, RR 22, and B/P 180/90. The health care provider orders include: Ice pack to left knee twice daily and prn, Morphine 6mg Subcutaneous Q3HR prn pain No physical therapy was prescribed yet. Create a care plan to take care of the patient’s pain.  The patient’s acceptable pain level is 2/10 based on the patient stating so. Prioritize (Planning/Outcome/Goal) (1 point–no partial credit) Fill in the blank:  The patient will ________________________________