Reference no: EM133804481
Case study:
1. Charlotte age 69. Recent fall, rheumatoid arthritis, pain left hip, arriving via ambulance. Alert. Vital signs stable. Meds at home include prednisone and acetaminophen.
2. Abel age 12, asthma exacerbation. Arrived to the ER 5 minutes prior. Meds at home include salbutamol inhaler. Audible expiratory wheezing. T 37.5, HR 90,RR 26, SpO2 94-95% room air. Mom is at bedside.
3. Roman age 30, Crohn's disease. Vomiting at home x2 days with abdominal pain 5/10, Slight abdominal distention. Awaiting blood work & CT scan results. NPO. Systolic BP 160s 4 hours prior. Now systolic BP 130s. IV 0.9% NS @ 100cc/hr. Temp 37.4, HR 80, RR 20 SpO2 94% room air. Wife is in waiting room.
Write 3 nursing clinical assessment in each of the following Neurological, cardiovascular, respiratory, gastrointestinal, genitourinary, musculoskeletal, integumentary, psychosocial including the actual and potential issues?
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Reviewing research and professional literature computing
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Existing diagnosis of hypertension
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Clitoral hypertrophy and menstrual dysfunction
: A new female patient, C.Y. 32-year-old patient consults your office because she presents hirsutism, clitoral hypertrophy and menstrual dysfunction.
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Nurse is caring for client declared brain dead
: A nurse is caring for a client declared brain dead following a motor vehicle accident. When the nurse enters the client's room,
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Recent fall-rheumatoid arthritis-pain left hip
: Charlotte age 69. Recent fall, rheumatoid arthritis, pain left hip, arriving via ambulance. Alert. Vital signs stable.
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Combative and aggressive towards the nurse
: The client is visibly intoxicated and is both combative and aggressive towards the nurse. When de-escalating the situation, the nurse should perform what action
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Unsuccessful attempts to establish airway
: After two unsuccessful attempts to establish an airway, which should the nurse do next? Administer five chest thrusts.
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Patient comes into pharmacy asking about RSV vaccine
: A 72-year-old patient comes into the pharmacy asking about the RSV vaccine. His wife lives in an assisted living facility, and she got the vaccine last week.
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Client has replaced smoke detector batteries
: Client has replaced smoke detector batteries. Reports utilizing the walker more in the past month because of increased numbness and tingling in his feet.
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