Client: Male, 82 years old  Diagnosis: Osteomyelitis of the left hip, not a surgical candidate Baseline mental status: Alert and oriented per family. Current Status: Day 5 of mechanical ventilation. Sedation (Propofol) was titrated down 2 hours ago for a spontaneous awakening trial (SAT). Nurse Assessment Findings: The client opens his eyes to verbal stimuli but cannot follow commands. When asked to “Squeeze my hand when I say the letter ‘A'” during a string of letters (S-A-V-E-A-H-A-A-R-T), the client squeezes randomly and misses several “A”s. The client’s RASS (Richmond Agitation-Sedation Scale) score is -1 (Drowsy). The nurse notes the client is picking at his sheets, is restless, and attempting to sit up despite being weak.   Using the above information, determine if the patient has delirium. If yes, what type is the patient demonstrating?

Describe how the functional variation of sensory extinction is correctly implemented. Provide an example. (2 pt)

With regard to nicotine reinforcement pharmacology, which of the following is the slowest to desensitize?

The patient is a 65-year-old male who was brought to the emergency department by his wife after he complained of acute worsening of his chronic lower back pain and a sudden ­difficulty in urinating. The patient is also experiencing numbness and weakness in his legs. The patient states that he has been diagnosed with lumbar spinal stenosis with neurogenic claudication in the past. Imaging studies are performed and severe spinal stenosis at the level of L5 is confirmed. The patient is diagnosed with cauda equina syndrome and is taken to the operating room for an emergent decompression of the spinal cord. An L5 laminectomy is performed to relieve the pressure on the spinal cord. The patient is kept in the hospital for further monitoring of his neurological condition after the surgery. The patient’s final diagnoses are cauda equina syndrome and lumbar spinal stenosis with neurogenic claudication. Principal Diagnosis: Secondary Diagnosis: Principal Procedure:

A patient reports extreme sadness and inability to care for her newborn for 3 weeks. Likely diagnosis?

Which newborn is most at risk for respiratory distress syndrome (RDS)?

The patient is a 2 YO male who has suffered from multiple otitis media infections over his lifetime. The patient’s mom provides a history of the child being exposed to second-hand smoke for the first 6 months of his life. Otherwise, the patient’s medical history is negative. The patient underwent bilateral myringotomy and placement of tubes behind the tympanic membrane due to chronic, recurrent bilateral otitis media. Principal Diagnosis: Add’l Diagnosis: Principal Procedure: Add’l Procedure:

A laboring patient suddenly reports sharp abdominal pain, fetal heart rate disappears, and contractions stop. What is suspected?

This figure shows the bones of the ankle and foot. Which color indicates the cuboid bone?

This figure shows the bones of the ankle and foot. Which bone does the red bone indicate?