Reference no: EM133866657

Assignment:

1. Brian Jones, a 22-year-old college student, is admitted from the emergency department to a medical-surgical unit with the diagnosis of acute bacterial meningitis. The patient presented with the following vital signs: temperature, 104°F; blood pressure, 110/70 mm Hg; heart rate, 100 bpm; and respiratory rate, 20 breaths/min. The patient presented with a severe, constant headache and nuchal rigidity. (Learning Objective 1)

a. To what room should the charge nurse assign the patient?

b. What additional signs and symptoms could a patient diagnosed with bacterial meningitis exhibit?

c. What diagnostic and lab tests are used to confirm the diagnosis of meningitis?

d. What medical management should the nurse anticipate for the patient?

e. What nursing care should be provided for the patient?

2. Ida Parker, a 67-year-old patient, was admitted to the intensive care unit with the diagnosis of lung cancer and underwent a left lower lobectomy. The patient has a history of Parkinson disease. The patient was 2 days postoperative when the nurse noted that she had not received her anti-Parkinson medications for 2 days. The patient was frozen and unable to move or talk to the nurse. (Learning Objective 4)

a. What actions should the nurse take next?

b. The physician reorders the carbidopa-levodopa (Sinemet) and benztropine meysylate (Cogentin). The physician orders an enteral feeding tube placed and confirmed by chest x-ray. Once the radiologist has confirmed correct placement, tube feeding with the specified formula that is higher in carbohydrates and lower in protein will begin. What is the rationale for the enteral feeding tube? How should the nurse administer the medications?