Category: Management

according to the model of community health governance, leadership skills required to facilitate collaboration, partnership or different from those required to coordinate a program

A patient is taking selegiline for depression. Which of the following scenarios would increase the risk of sedation?
Acetylcholine blocker administration
Gastroparesis
Use of alcohol

A nurse suspects compartment syndrome in a patient with a newly placed left leg cast. Which assessment finding indicates that the patient may be experiencing compartment syndrome?

➤ How does tension pneumothorax present clinically and why is it emergent?
Tension pneumothorax presents with severe respiratory distress, hypotension, distended neck veins, and tracheal deviation away from the affected side. The trapped air causes mediastinal shift and impairs venous return, which can rapidly lead to cardiovascular collapse. This is a life‑threatening emergency that requires immediate decompression with needle thoracostomy followed by chest tube drainage.

➤ Why is prednisone a perioperative concern?
Prednisone reduces inflammatory responses and weakens immune defenses. This slows tissue repair and increases postoperative infection rates. It also causes adrenal insufficiency if stopped abruptly, risking hypotension after anesthesia. Nurses must assess steroid history, consider supplemental dosing, and monitor wound healing, vital signs, and signs of infection closely.