Mrs. Jaiden is an 83-year-old patient who experienced a hip fracture several weeks ago. After a significant snowfall, Mrs. Jaiden was walking down her driveway to get her mail, when she slipped and fell. A neighbor witnessed the fall and called 911. Following surgical repair of her hip, Mrs. Jaiden was discharged to a rehabilitation facility to undergo 6 weeks of intensive rehabilitation. The nurse notices that Mrs. Jaidens most recent laboratory results show:

Hemoglobin, 13 g/dL

Hematocrit, 39%

WBC, 9000 cells/mcL

Serum calcium, 8.0 mg/dL

Serum phosphorous, 4.8 mg/dL

What normal implications of the laboratory testing should the nurse recognize (Which lab results are in normal range)?

What significance of abnormal laboratory values should the nurse recognize?

Emmy is a 16-year-old student who runs cross country and track for her school teams. Recently, she has been stating that she has pain in her left knee. Today she fell during a track meet and was taken off the field to receive medical attention. The teams school nurse assesses Emmy and notes that there is swelling and tenderness around the knee. After being examined by a sports medicine physician the next morning, Emmy is diagnosed with a torn meniscus and is scheduled for a closed meniscectomy.

Emmy is discharged home following the immediate postoperative phase. Her mother will be driving her home and caring for her during recovery.

3. Following the procedure, what interventions should the PACU nurse perform?

4. What patient and caregiver teaching should the nurse provide?

Ms. Kim is a 55-year-old woman with a history of peptic ulcer disease (PUD). Her past medical history is otherwise unremarkable. She has been experiencing little relief with the medication prescribed for her during last month's visit. She tells the nurse that she experiences pain within 2 hours of ingesting food.

Over the following month, Ms. Kim has made no changes to her diet, nor has she been compliant with medication. She is later seen in the ED, stating that she has been vomiting bright red blood for the past 12 hours. The nurse is concerned about the potential for hemorrhage as a complication of PUD.

5. What foods should the nurse identify that could contribute to Ms. Kim's gastric pain?

6. a. When performing a comprehensive pain assessment, what questions should the nurse ask Ms. Kim? b. What other history and assessment data should the nurse obtain?

7. Auscultate your own bowel sounds in all four quadrants. What kind of bowel sounds did you hear-hypoactive, hyperactive, normal or absent? Did you happen to eat prior to this assessment?

8. a. What is compartment syndrome? b. What are of the Ps of compartment syndrome? c. How can it be prevented? d. What is a complication of compartment syndrome