A 68-year-old client with Parkinson’s disease has been takin…
A 68-year-old client with Parkinson’s disease has been taking levodopa/carbidopa for several years. The provider recently increased the dosage due to worsening rigidity and bradykinesia. The client now reports: Sudden involuntary movements of the arms and face Worsening tremors instead of improvement Confusion and agitation The nurse recognizes these symptoms as most likely caused by:
Read DetailsA 68-year-old patient reports chronic lower back pain radiat…
A 68-year-old patient reports chronic lower back pain radiating to the buttocks and legs. The patient states the pain is worse when walking or standing for long periods and that bending forward or sitting provides relief. The patient also describes numbness, tingling, and heaviness in the legs, and mentions that cold, damp weather seems to worsen the pain. Which statement by the nurse demonstrates the best understanding of spinal stenosis?
Read DetailsJennifer is a 40-year-old adult with Down syndrome recently…
Jennifer is a 40-year-old adult with Down syndrome recently diagnosed with early-stage Alzheimer’s disease. She currently lives independently but is beginning to experience memory lapses and difficulty managing finances. Her family is concerned about her ability to continue working and living alone. Which nursing consideration is most important when planning Jennifer’s long-term care?
Read DetailsA client with Pneumocystis jirovecii pneumonia (PJP) reports…
A client with Pneumocystis jirovecii pneumonia (PJP) reports increased nighttime coughing and mild chest tightness during ambulation. Current vital signs are: Temperature: 100.5°F (38°C) Heart rate: 112 bpm Respiratory rate: 28/min Blood pressure: 102/64 mmHg O₂ saturation: decreasing from 95% to 88% on room air The client is currently receiving supplemental oxygen via nasal cannula at 2 L/min. Which finding should the nurse report to the healthcare provider first?
Read DetailsCase Study- A 67-year-old male with a history of chronic hyp…
Case Study- A 67-year-old male with a history of chronic hypertension and alcohol use disorder is brought to the ED after suddenly developing a severe headache, vomiting, right-sided weakness, and decreased level of consciousness. His wife reports that he complained of the “worst headache of his life” just before collapsing. On arrival: BP 198/110 mmHg HR 58 beats/min RR 22/min O₂ sat 94% on room air CT scan shows a left intracerebral hemorrhage with mild midline shift.The provider orders IV labetalol for BP control and instructs the nurse to closely monitor neurologic status. Question- Which nursing action is the priority at this time?
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