Case Study The 19-year-old- female was treated in the emerge…
Case Study The 19-year-old- female was treated in the emergency department for an oxycodone overdose. Nurses’ Notes 1700. The client was brought to the emergency department by ambulance accompanied by her brother. Client’s brother found the client unconscious on the bathroom floor with an empty oxycodone bottle. The brother reports the client is struggling with moderate depression after the sudden loss of their mother, and this is the client’s second suicide attempt in the last 6 months. Client’s brother reports he is very anxious about the client returning home because there are guns in the house. Yesterday he overheard her say that she had a plan to use the gun to end it all. The client was treated with naloxone in the ambulance. Upon arrival the client is lethargic and confused. Second dose of naloxone given for respiratory rate < 12. 1800. Respiratory status has improved. Client is alert, oriented, but agitated and is pacing in room. Admits the overdose was intentional and stated, “I just want it to be over.” Client is voicing concerns about being in the ED and is adamant she will not stay. States she has no insurance and “won’t talk to those people again.” 1900. Client refuses to be admitted to the behavioral health unit. Provider notified. 1930. Emergency detention order obtained. Vital Signs Time 1700 1800 1830 Temp 98.6F/37C 98.0/36.7C 98.2F/36.7C P or HR 50 65 80 RR 9 12 14 B/P 100/65 111/75 120/86 Pulse oximeter 92% 95% 98% Pain 0 0 0 Laboratory report Lab Results Reference range Urine tox Positive for Oxycodone Negative Orders 1. Implement Suicide Precautions 2. Suicide Risk Assessment Q1H 3. Implement 1:1Observer 4. Consult to behavioral health For each client statement, click to specify whether the client statement indicates an understanding, or no understanding of teaching provided.
Read DetailsA Latino client with schizophrenia is admitted to a mental h…
A Latino client with schizophrenia is admitted to a mental health unit in an aggravated and disheveled state after failing to take prescribed medications for the last 5 days. When developing a plan of care that incorporates the clients’s cultural background, the nurse gives priority to:
Read DetailsA nurse admits a patient from the emergency department. Pati…
A nurse admits a patient from the emergency department. Patient data are listed below: History Physical Assessment Laboratory Values 70 years of ageHistory of diabetesOn insulin twice a dayReports new-onset dyspnea and productive cough Crackles and rhonchi heard throughout the lungsDullness to percussion LLLAfebrileOriented to person only WBC: 5,200/mm3 (5.2 ´ 109/L)PaO2 on room air 85 mm Hg What action by the nurse is the priority?
Read DetailsMrs Y. M. Isick has end stage kidney disease. She present…
Mrs Y. M. Isick has end stage kidney disease. She presents to your floor with Heart rate of 98, Respirations are deep with a rate of 30. She is slightly confused, but easily reoriented. Her physician orders dialysis for today. Her ABG results are: pH: 7.22, C02: 35, HC03: 18. What condition is she in?
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