On a cold snowy day, an 30 year old person comes into a local emergency room...
On a cold snowy day, an 30 year old person comes into a local emergency room complaining of chest pain. Heart attacks are rare in 30 years olds, and beds are scarce in this hospital. The null hypothesis is that there is no heart attack (perhaps chest pain from shoveling snow).Define Type I and Type II errors for this scenario. Identify the cost (s) of each error?
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On a cold snowy day, an 30 year old person comes into a local
emergency room...
Peter is a 52-year-old patient that presented to the emergency room with chest pain. He was shoveling snow when he becam...
Peter is a 52-year-old patient that presented to the emergency room with chest pain. He was shoveling snow when he became short of breath and dizzy. He experienced chest pain that he described as “heavy” and “crushing”. The pain radiated to his jaw and back. After the symptoms began, he stopped working, went into his house and rested. The pain did not subside after 15 minutes so he decided to seek care. He is very anxious and shares that his...
Myocardial Infarction Patient Profile F.M. is a 68-year-old white man who comes to the emergency department...
Myocardial Infarction Patient Profile F.M. is a 68-year-old white man who comes to the emergency department (ED) in the early afternoon with a 2-day history of severe chest pain. The pain started on wakening the previous day. The pain increased during the night, but his wife could not convince him to go to the hospital. He comes to the ED today because the pain is severe and no longer relieved by rest. Subjective Data Describes recurring chest pain for the past 6 months that...
A five-year-old boy comes into the emergency room after falling out of a tree. The doctor...
A five-year-old boy comes into the emergency room after falling out of a tree. The doctor has an x-ray ordered after the boy complains of pain in his ankle. The x-ray shows that his ankle is fractured. The doctor then applies a full-length leg cast to the entire length of the boy’s leg. Define medical necessity in your own words. Does the diagnosis support the services ordered? Defend your answer. If not, supply the appropriate service for the diagnosis.
On a cold February day, a 6-year-old boy was brought to the emergency room by his...
On a cold February day, a 6-year-old boy was brought to the emergency room by his frantic mother because he had passed red urine and looked very pale. He was a normal, active boy, and in fact has played out in the snow the day before. He had the "flue" for about 1 week about 10 days before this episode. He had not received any medication except acetaminophen. On admission, his CBC values were: WBC 12.0 x 10^9L, RBC 3...
Ms. K.W., is a 21-year-old university coed, was rushed to the emergency room 35 minutes after...
Ms. K.W., is a 21-year-old university coed, was rushed to the emergency room 35 minutes after being stabbed multiple times in the chest and abdomen by unidentified assailant. A witness telephoned 911. Paramedics arriving at the scene found the victim conscious but in severe acute distress. Vital signs were obtained and the results are: HR 128 (baseline 80), BP 80/55 (baseline 115/80), RR 37 and labored. Chest auscultation revealed decreased breath sounds in the right lung consistent with basilar atelectasis...
Mrs. A. is a 65-year-old woman with type 2 diabetes who comes into the emergency department;...
Mrs. A. is a 65-year-old woman with type 2 diabetes who comes
into the emergency department; she is short of breath and
complaining of neck and shoulder pain. Her blood pressure is 88/55
mm Hg, and her heart rate is 48 beats per minute. The cardiac
monitor shows a cardiac rhythm with more P waves than QRS
complexes, and the PR interval when the P waves are conducted is
0.16 seconds. The rhythm is noted above:
What is your interpretation...
This is a case of a 90-year-old male who presented to the emergency room with swelling...
This is a case of a 90-year-old male who presented to the emergency room with swelling in the hands and legs. He has had intermittent problems with swelling on and off. He presented to the emergency room, underwent evaluation with an EKG, which showed third-degree heart block and thus the patient was admitted to the cardiac surgical unit of the hospital with external pacemaker backup ordered. Upon admission, his heart rate was in the 30s. He does have a history...
A 20-year-old undergraduate female comes to the emergency room complaining of lower abdominal pain, fever, and...
A 20-year-old undergraduate female comes to the emergency room complaining of lower abdominal pain, fever, and vaginal discharge for the last five days. 1. Name five items of nursing assessment which are required right now for this client. Which is most important? Item of assessment Priority 1-5 2. The provider writes out a list of possible diagnoses (differential diagnosis), below. How does the nurse's assessment help providers zero in on what's wrong? For each disorder, nae a nursing assessment which...
please type the answers, thank you. A middle-aged man presents to the emergency room with chest...
please type the answers, thank you.
A middle-aged man presents to the emergency room with chest pain and is found to have suffered a heart attack. He has a past history of hypertension, non-insulin-dependent diabetes mellitus (NIDDM), and high cholesterol. Exploratory surgery shows he requires a triple bypass. This is performed on the 5th day of his hospital stay. During recovery, he develops septic shock with fever and pneumonia. Gram- positive cocci in clusters, isolated from both his lungs and...
R.D is a 51-year-old male who comes to the emergency department with complaints of weakness and...
R.D is a 51-year-old male who comes to the emergency department with complaints of weakness and abdominal pain. He reports he is homeless. His medical history includes Methicillin-Resistant Staphylococcus Aureus (MRSA) bacteria of the nares. Subjective Data Reports he does not drink or eat food consistently Says he has no family or any social support Had “a drink or two a little while ago” Objective Data Physical Examination Blood pressure 144/86, pulse 92, temperature 98.2°F, respirations 24 Height 6’1”, weight...
Ms. K.W., is a 21-year-old university coed, was rushed to the emergency room 35 minutes after being stabbed multiple times in the chest and abdomen by unidentified assailant. A witness telephoned 911. Paramedics arriving at the scene found the victim conscious but in severe acute distress. Vital signs were obtained and the results are: HR 128 (baseline 80), BP 80/55 (baseline 115/80), RR 37 and labored. Chest auscultation revealed decreased breath sounds in the right lung consistent with basilar atelectasis...
Mrs. A. is a 65-year-old woman with type 2 diabetes who comes
into the emergency department; she is short of breath and
complaining of neck and shoulder pain. Her blood pressure is 88/55
mm Hg, and her heart rate is 48 beats per minute. The cardiac
monitor shows a cardiac rhythm with more P waves than QRS
complexes, and the PR interval when the P waves are conducted is
0.16 seconds. The rhythm is noted above:
What is your interpretation...
A 20-year-old undergraduate female comes to the emergency room complaining of lower abdominal pain, fever, and vaginal discharge for the last five days. 1. Name five items of nursing assessment which are required right now for this client. Which is most important? Item of assessment Priority 1-5 2. The provider writes out a list of possible diagnoses (differential diagnosis), below. How does the nurse's assessment help providers zero in on what's wrong? For each disorder, nae a nursing assessment which...
please type the answers, thank you.
A middle-aged man presents to the emergency room with chest pain and is found to have suffered a heart attack. He has a past history of hypertension, non-insulin-dependent diabetes mellitus (NIDDM), and high cholesterol. Exploratory surgery shows he requires a triple bypass. This is performed on the 5th day of his hospital stay. During recovery, he develops septic shock with fever and pneumonia. Gram- positive cocci in clusters, isolated from both his lungs and...
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