A 74-year-old man is admitted for evaluation of progressive…
A 74-year-old man is admitted for evaluation of progressive forgetfulness and disorientation over the past month. His wife reports that he recently became irritable, has difficulty concentrating, and occasionally appears confused about the day of the week. Vital signs are stable. Neurological exam reveals no focal deficits. Lab results show:- Na: 132 mEq/L- Vitamin B: 180 pg/mL (low)- TSH: 7.2 mIU/L (high)- MRI brain: mild generalized atrophy, no acute infarctWhich nursing action is most appropriate in supporting the diagnostic process?
Read DetailsA 78-year-old postoperative patient in the ICU becomes acute…
A 78-year-old postoperative patient in the ICU becomes acutely disoriented, agitated, and is attempting to remove IV lines. His wife reports that “he was fine yesterday morning.” His vitals are stable, SpO2 is 93% on 2 L nasal cannula, and blood glucose is normal. Current medications include an opioid for pain and diphenhydramine for sleep. Which nursing action is the priority?
Read DetailsA 16-year-old male with a history of conduct disorder and mu…
A 16-year-old male with a history of conduct disorder and multiple juvenile court referrals is enrolled in a court-mandated Multisystemic Therapy (MST) program. The nurse case manager notes the patient’s parents work long hours, leaving him unsupervised after school. He associates with peers who have histories of vandalism and drug use, has poor school attendance, and reports feeling “bored” when not with friends. Based on MST principles, which nursing intervention is the most consistent with the program’s therapeutic goals?
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