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US verified expert
Dr. Helen Marsh
Senior Nurse Educator · MSN, DNP — Johns Hopkins
MSNVerified Expert
Fifteen years in acute care and nurse education, specialising in care plans and pharmacology.
Questions solved by Dr. Helen Marsh
- Write a nursing care plan for a patient with congestive heart failure
A CHF care plan prioritises impaired gas exchange, fluid volume excess and activity intolerance. Interventions centre on positioning, diuretic monitoring, daily weights and fluid restriction.
- Explain the mechanism and nursing considerations for beta-blockers
Beta-blockers block beta-1 receptors, lowering heart rate and contractility. Nurses check apical pulse and blood pressure before giving each dose.
- Write an SBAR handover for a deteriorating post-operative patient
SBAR structures handover as Situation, Background, Assessment and Recommendation. A NEWS2 of 6 calls for urgent review within 30 minutes.