SIM CASE SCENARIO: History and information Patient name: Sarah Grace 78 year old female admitted from...
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SIM CASE SCENARIO:
History and information
Patient name: Sarah Grace
78 year old female admitted from...
Patient name: Sarah Grace 78 year old female admitted from emergency room at 1000 this morning...
Patient name: Sarah Grace 78 year old female admitted from emergency room at 1000 this morning with rib fractures from fall sustained while getting up to bathroom during night. Patient lives at home with her sister who is her primary caregiver. Admitted for PT and OT. Patient reports having generalized arthritis that she is taking ibuprofen on a regular basis. She has severe constipation and is taking multiple medications with minimal relief. Patient also reports history of hypertension and cardiac...
Scenario 1 A 38-year-old female patient with a history of corticosteroid use for her autoimmune disorder,...
Scenario 1 A 38-year-old female patient with a history of corticosteroid use for her autoimmune disorder, presents to the office with a cc of hip pain following a slip and fall the previous week. Examination reveals edema and hematoma in the right lateral femoral region with pain with palpation and manipulation. The doctor orders radiographic testing of the region and blood work. The blood work comes back with the following results: Chloride: 100 mEq/L Potassium: 4.6 mEq/L Sodium: 138 mEq/L...
Ms. Espinoza is a 90-year-old Hispanic woman admitted to the hospital from her assisted living facility....
Ms. Espinoza is a 90-year-old Hispanic woman admitted to the hospital from her assisted living facility. She has a history of hypertension and dementia and had a stroke and a myocardial infarction 3 years ago. She has also had insomnia for the past month. Ms. Espinoza is admitted due to an alteration in her mental status. She has had a cold and a cough for a week, for which she took Coricidin (acetaminophen and chlorpheniramine) and Tylenol PM (acetaminophen and...
Ms. Espinoza is a 90-year-old Hispanic woman admitted to the hospital from her assisted living facility....
Ms. Espinoza is a 90-year-old Hispanic woman admitted to the hospital from her assisted living facility. She has a history of hypertension and dementia and had a stroke and a myocardial infarction 3 years ago. She has also had insomnia for the past month. Ms. Espinoza is admitted due to an alteration in her mental status. She has had a cold and a cough for a week, for which she took Coricidin (acetaminophen and chlorpheniramine) and Tylenol PM (acetaminophen and...
PN 200 Fundamentals of Nursing II Concept Map - Hyponatremia Ms. Rose Durham, a 54-year-old female,...
PN 200 Fundamentals of Nursing II Concept Map - Hyponatremia Ms. Rose Durham, a 54-year-old female, has been admitted to your unit with the diagnosis of hyponatremia. Her presenting symptoms include mental confusion, headache, and altered level of consciousness, anxiety, nausea, vomiting and a low-grade fever of 100.6. She has informed the physician that she has been out working in her garden for the past three days and it has been 97 degrees daily for the past 4 days. She...
Mrs. Schaffer is an 82-year-old obese female admitted to the rehabilitation center after undergoing surgery for...
Mrs. Schaffer is an 82-year-old obese female admitted to the rehabilitation center after undergoing surgery for repair of the right hip fracture from a fall at home. At 72 hours postsurgery, she is receiving morphine patient controlled anesthesia (PCA) for moderate post-operative pain, with results of reduction in reported pain. She has no significant past medical history and no known drug allergies (NKDA). Her DNR documentation specifies a full code. Mrs. Schaffer’s vital signs are: T 98.9°, P 70 and...
A 43 year old female patient presents to the office with a surgical history of thyroidectomy...
A 43 year old female patient presents to the office with a surgical history of thyroidectomy and cc of “feeling cold” and fatigue. Examination revealed an overweight female with hyporeflexia, psoriasis, and cool skin. The patient has been taking Synthroid 25mg PO Daily as part of her treatment plan. The following blood work results were obtained: Thyroid Function Tests: T4: 4.5 µg/dl T3: 70 ng/dl TSH: 5.4 IU/L Electrolytes: Chloride: 100mEq/L Potassium: 4.9 mEq/L Sodium: 125 mEq/L Calcium: 11.2 mg/dl...
PN 200 Fundamentals of Nursing II Concept Map - Hyponatremia Ms. Rose Durham, a 54-year-old female,...
PN 200 Fundamentals of Nursing II Concept Map - Hyponatremia Ms. Rose Durham, a 54-year-old female, has been admitted to your unit with the diagnosis of hyponatremia. Her presenting symptoms include mental confusion, headache, and altered level of consciousness, anxiety, nausea, vomiting and a low-grade fever of 100.6. She has informed the physician that she has been out working in her garden for the past three days and it has been 97 degrees daily for the past 4 days. She...
Geriatric and Anticoagulants Case Study A 77-year-old female was brought to the emergency room after falling...
Geriatric and Anticoagulants Case Study A 77-year-old female was brought to the emergency room after falling twice at her daughter’s home. The first fall was in the bathtub, where she slipped while rising from the shower chair. She fell a second time when leaving her daughter’s home to visit friends 2 hours later. Her daughter, who is present, states that her mother hit her head on the side of the house, and there is presently a large hematoma on the...
Case Study Scenario: Location: Oncology Unit History/Information: The patient is a 56 year old female with...
Case Study Scenario: Location: Oncology Unit History/Information: The patient is a 56 year old female with a history of ovarian cancer diagnosed 4 years ago and treated with surgery and chemotherapy. The patient was found to be BRCA1 positive at the time of her surgery – her tumor was graded as IIIB. Eighteen months ago, the patient found a lump in her right breast which was biopsied and found to be malignant. She underwent a lumpectomy, followed by chemotherapy and...
PN 200 Fundamentals of Nursing II Concept Map - Hyponatremia Ms. Rose Durham, a 54-year-old female, has been admitted to your unit with the diagnosis of hyponatremia. Her presenting symptoms include mental confusion, headache, and altered level of consciousness, anxiety, nausea, vomiting and a low-grade fever of 100.6. She has informed the physician that she has been out working in her garden for the past three days and it has been 97 degrees daily for the past 4 days. She...
PN 200 Fundamentals of Nursing II Concept Map - Hyponatremia Ms. Rose Durham, a 54-year-old female, has been admitted to your unit with the diagnosis of hyponatremia. Her presenting symptoms include mental confusion, headache, and altered level of consciousness, anxiety, nausea, vomiting and a low-grade fever of 100.6. She has informed the physician that she has been out working in her garden for the past three days and it has been 97 degrees daily for the past 4 days. She...
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