The emergency department nurse is assessing a 38-year-old man who was in a motor vehicle accident. The patient was an unrestrained driver of the vehicle. The vehicle was traveling approximately 42 miles per hour. Upon impact, the driver collided with the windshield and sustained a head injury. The patient is now stable, complaining of pain 9/10 in the head, neck, and shoulder region. Neurologic status: cranial nerves 2-12 intact; patient is awake, alert, and oriented; computed tomography scan was negative for hematoma or hemorrhage. Vital signs: T 97.5, P 68, R 16, BP 130/70. The patient is asking the nurse for pain medication; however, the nurse smells alcohol on the patient’s breath. Toxicology reports are pending. Respond to each question for the following scenario. Use rationale to support your responses. 1. In addition to the information presented, what are three (3) pieces of subjective data that the nurse would want to obtain in order to make a decision on how to proceed with treating the patient's pain? 2. The nurse is teaching the patient about the standard amount of alcohol in various beverages. How would the nurse explain a standard drink in the United States? 3. The laboratory findings showed evidence of chronic alcohol abuse. What are four (4) conditions or illnesses that might be associated with chronic alcohol abuse? 4. What are three (3) interventions the nurse should incorporate into the plan of care for this patient?
1. Three pieces of subjective data that the nurse would obtain from
2. According to the United States, the standard amount of alcohol in various beverages contain
3. Four conditions or illness associated with chronic use of alcohol
4. The three nursing intervention should be incorporated into the plan of care
The emergency department nurse is assessing a 38-year-old man who was in a motor vehicle accident. The patient was an...
The emergency department nurse is assessing a 38-year-old man who was in a motor vehicle accident. The patient was an unrestrained driver of the vehicle. The vehicle was traveling approximately 42 miles per hour. Upon impact, the driver collided with the windshield and sustained a head injury. The patient is now stable, complaining of pain 9/10 in the head, neck, and shoulder region. Neurologic status: cranial nerves 2-12 intact; patient is awake, alert, and oriented; computed tomography scan was negative...
A 55-year-old man is admitted to the emergency department after a motor vehicle accident. The patient is hemorrhaging from a lacerated spleen and requires emergency surgery. Pretransfusion testing determines that the patient’s phenotype is group A, D-negative type with a negative antibody screen. Crossmatches with red blood cell units are compatible by the immediate-spin crossmatch. During surgery, the patient receives 6 units of group A, D-negative red blood cells and 4 units of group A frozen plasma. Three days later,...
Melvin Strong, a 19-year-old patient, presents to the emergency department after being ejected from an automobile. He has a back board with a cervical collar in place. The EMT stated that when he saw the patient, the patient was unconscious but quickly gained consciousness and was oriented ×3, talking, and able to move all four extremities. Within 5 minutes, the patient became unable to be aroused, opened his eyes only to painful stimuli, made incomprehensible sounds, and withdrew from pain....
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...
Case #1 History of Present Illness: The patient is 42 year old Caucasian male with no prior cardiac history. He presented to the emergency room at Green River Hospital complaining of chest pain. This morning he notices some numbness and pain in his left arm. Later in the day he developed pressure in the chest. This gradually worsened throughout the morning until shortly before lunch when he was rating the pain at 8/10 in severity and decided to go to...
Neuromuscular Weakness Evaluation Patient Profile T.Y. is a 32-year-old male who presented to the emergency department with a 1-day history of gradually progressively increasing weakness of both the lower legs. This morning, he woke up and was unable to walk. Over the past few hours, he has noticed the weakness spreading to where it now involves both the upper limbs. Upon questioning, he states he has been training for a marathon and following a high carbohydrate diet. His past medical...