The nurse is caring for a patient who was brought to the ER…
The nurse is caring for a patient who was brought to the ER after overdosing on narcotic pain medication. The patient was found unresponsive with no respirations. Arterial blood gases were drawn shortly after the patient’s arrival to the hospital. Which results will the nurse expect to see?
Read DetailsThe emergency room nurse is caring for a patient with a seve…
The emergency room nurse is caring for a patient with a severe fluid volume deficit who presented after several days of diarrhea secondary to C. difficile infection. Which intravenous (IV) fluid does the nurse anticipate will be used to rapidly replace the fluid volume?
Read DetailsKaren is a nurse caring for a 67-year-old patient with chron…
Karen is a nurse caring for a 67-year-old patient with chronic obstructive pulmonary disease (COPD). As Karen begins her head to toe assessment of the patient, she finds that his pulse oximetry reading is 89% on room air. What is Karen’s first priority?
Read DetailsIt differential diagnosis time! In this scenario you are the…
It differential diagnosis time! In this scenario you are the diagnostician seeing and communicating with the patient. Please do the following for the case vignette below: Identify the most likely diagnosis by justifying symptoms from the information contained in the example that led you to decide on the diagnosis. Make sure you give as complete a diagnosis as possible. You may not actually have all the information you need to make a diagnosis. Identify what other piece(s) of information you would need (i.e., what else do you need to ask) before you could make a definitive diagnosis. Using your knowledge of statistics and descriptors of the disorder you chose, provide the patient with an idea of course of the disorder. Provide a complete informed consent discussion of treatment for this diagnosis which should include your ‘professional’ decision regarding treatment (make sure you are ‘speaking’ to the patient, not to me!). A 35-year-old individual named Adam has recently formulated an elaborate plan to cure AIDS with vitamin therapy. To provide funding for this cause he has withdrawn all the money from his bank account and purchased thousands of jars of vitamins and small boxes in which to put them. When his family members have expressed concern, Adam says they are ‘doubting’ his ‘great idea’. In addition to this solution, he is currently working on cures for poverty, world peace, and greenhouse emissions. When he appeared at a hospital emergency room loudly demanding names of patients with AIDS, he himself was hospitalized for psychiatric observation.
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