A 34-year-old female patient, Emily Davis was admitted to th…
A 34-year-old female patient, Emily Davis was admitted to the emergency department with complaints of significant weight gain, particularly around her abdomen, and muscle weakness. Past medical history includes hypertension diagnosed 2 years ago. Nurses’ Notes 11:00: Patient Emily Davis was admitted to the emergency department with significant weight gain especially around the abdomen, and muscle weakness. She also reported increased bruising and the development of purple stretch marks over her skin. On examination, she was found to have a round, “moon” face, a buffalo hump, and thin extremities. Ms. Davis admits to being under increased stress because of her upcoming divorce. She attributed her weight gain to overeating due to the increased stress level. Laboratory Report Lab Results Reference range BUN 10 mg/dL 10-20 mg/dL Creatinine (Serum) 1.3 mg/dL 0.9 to 1.4 mg/dL Glucose 160 mg/dL 70-110 mg/dL Potassium(serum) 3.2 mEq/L 3.5 to 5 mEq/L Sodium (serum) 150 mEq/L 135 to 145 mEq/L Chloride (serum) 98 mEq/L 96 to 106 mEq/L Cortisol 50 mcg/dL 5-25 mcg/dL Vital Signs Time 11:00 Temp 98.2 F HR 110 RR 23 B/P 151/87 Pulse oximeter 94% on RA Pain 0/10 Based on the lab values and Ms. Davis’s clinical presentation, what diagnosis would the nurse anticipate?
Read DetailsThe healthcare provider has ordered IV nitroglycerin infusio…
The healthcare provider has ordered IV nitroglycerin infusion. The order is to deliver the nitroglycerin at 10 mcg/min. The nitroglycerin supplied is 50 mg in 250 mL of D5W. Calculate the IV flow rate in ml/hr to deliver the ordered dose.
Read DetailsA nurse is caring for a patient who has acute respiratory di…
A nurse is caring for a patient who has acute respiratory distress syndrome (ARDS) and is requiring mechanical ventilation. The doctor wrote an order for pancuronium. The nurse recognizes that this medication was ordered for what purpose?
Read DetailsMr. Dorsey, a 58-year-old male with a history of alcohol-ind…
Mr. Dorsey, a 58-year-old male with a history of alcohol-induced cirrhosis, is admitted with increasing abdominal girth, confusion, and jaundice. His labs are: Ammonia: 122 mcg/dL (↑) INR: 2.1 (↑) AST: 178 U/L (↑), ALT: 105 U/L (↑) Albumin: 2.3 g/dL (↓) Sodium: 130 mEq/L (↓) Potassium: 3.2 mEq/L (↓) Vitals: BP 96/58, HR 102, RR 22, Temp 98.9°F, SpO₂ 94% Which of the following assessment findings indicates a potentially life-threatening complication of cirrhosis and should be addressed first?
Read DetailsYou decide that Amina may be dealing with a depressive disor…
You decide that Amina may be dealing with a depressive disorder, and want to administer a test to her to confirm your opinion, and also to have something concrete to discuss with her in session. Which is the most important factor to consider when choosing an assessment:
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