How would you support the view that psychology is a science…
How would you support the view that psychology is a science based on material you’ve learned in this class? Refer to the historical development of the science side of psychology in your answer. Include at least 5 distinct points in your answer.
Read DetailsA 55-year-old patient with a history of diabetes presents to…
A 55-year-old patient with a history of diabetes presents to the emergency department with signs and symptoms of septic shock, including fever, hypotension, tachycardia, and confusion. Blood cultures were just drawn, and recent laboratory results show elevated white blood cell count, elevated lactate, and renal impairment (elevated creatinine). The patient is not responding to the initial fluid resuscitation. Vital Signs: BP: 80/50 mmHg HR: 115 bpm RR: 28 SpO₂: 88% Lab Results: White Blood Cell Count: 18,000/µL Lactate: 4.2 mmol/L Creatinine: 2.1 mg/dL Arterial blood gas: pH 7.29, PaCO2 32 mmHg, HCO3 18 mEq/L Which of the following interventions should the nurse prioritize as an immediate action and which should be delayed?
Read DetailsA 42-year-old patient was recently diagnosed with acute myel…
A 42-year-old patient was recently diagnosed with acute myeloid leukemia (AML) and is being discharged home after initial workup. The patient is scheduled to begin induction chemotherapy next week. The nurse has provided discharge teaching on infection prevention, bleeding precautions, nutrition, follow-up, and activity. Before discharge, the nurse asks the patient to verbalize key teaching points to evaluate understanding. Which patient statements indicate a need for further education? Select all that apply.
Read DetailsA nurse working the day shift on a cardiac telemetry unit is…
A nurse working the day shift on a cardiac telemetry unit is rounding on several patients. As each one is assessed, the nurse correlates the clinical presentation with the displayed ECG rhythm. The charge nurse asks the new graduate to review each patient’s findings and determine which cardiac rhythm is most likely present. Match each client presentation to the most likely cardiac rhythm.
Read DetailsA nurse case manager is evaluating an 82-year-old client for…
A nurse case manager is evaluating an 82-year-old client for transition to an independent living facility following hospitalization for community-acquired pneumonia. The client lives alone, has Medicare, and currently has no in-home support services. For each assessment finding, click to indicate whether the finding supports safe transition to independent living or Indicates need for a higher level of care.
Read DetailsScenario: A 40-year-old patient is brought to the emergency…
Scenario: A 40-year-old patient is brought to the emergency department after experiencing a generalized tonic-clonic seizure. The seizure lasted 2 minutes. The patient is now in the postictal phase, presenting as drowsy and confused but arousable. Vital signs: BP 136/84 mmHg, HR 94 bpm, RR 20 breaths/min, SpO₂ 95% on room air. The patient’s partner states this is the second seizure today. Which findings are expected and which require further monitoring or intervention?
Read DetailsA 58-year-old client with end-stage liver cirrhosis secondar…
A 58-year-old client with end-stage liver cirrhosis secondary to alcohol use is admitted to the medical unit with hepatic encephalopathy. The client is receiving lactulose 30 mL every 6 hours with a goal of 3–4 soft bowel movements per day. Current assessment findings: Client reports difficulty concentrating and is slow to respond to questions Asterixis (flapping tremor) elicited when the client extends the wrists Drowsy and confused; oriented to person and place but not time Slow, irregular respirations with periods of apneic pauses BP: 118/74 HR: 86 SpO₂: 94% on room air Serum ammonia: 142 mcg/dL Which finding is most concerning and requires the nurse’s immediate attention?
Read DetailsA 74-year-old client with a history of heart failure with re…
A 74-year-old client with a history of heart failure with reduced ejection fraction (HFrEF, EF 28%) is admitted with acute decompensated heart failure. The client presents with worsening dyspnea at rest, orthopnea, and a 3 kg weight gain over the past 5 days. Current assessment: BP: 100/66 mm Hg HR: 108 bpm RR: 26 breaths/min, labored with accessory muscle use SpO₂: 89% on 2 L/min nasal cannula Lungs: coarse crackles throughout bilateral lung fields Cardiac: S3 gallop, JVD to mid-neck Extremities: 3+ pitting edema to mid-calf bilaterally Urine output: 60 mL over the past 4 hours Mental status: alert but anxious IV access is in place, and the provider has written orders for supplemental oxygen, furosemide IV, labs, and imaging. Which intervention should the nurse implement first?
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