The numbness in his lips and face made it almost impossible for him to communicate, but the hospital staff managed to at least understand the address he gave them and they sent an ambulance. As Dr. Westwood was rushed to the hospital, his breathing became increasingly labored. The patient presented in the ED with diaphoresis, motor dysfunction, paresthesias, nausea, and an ascending paralysis that started in his legs and spread to the upper body, arms, face, and head. The patient was cyanotic and hypoventilating. Within 30 minutes of presenting in the ED, Dr. Westwood developed bradycardia with a BP of 90/50 mmHg.
Tori Rivers is a ten-year-old female, admitted for severe right lower quadrant pain and fever. A CT scan confirmed appendicitis. She is one day post-op. She is allowed out of bed to the chair. When getting out of bed, she walks bent over holding her incision and grits her teeth as she sits down.
4. A 68-year-old male presents to the office complaining of pronounced weakness on the right side of his body and slurred speech for the past 24 hours. Based on the examination, the physician orders an MRI to investigate a possible transient ischemic attack (TIA). The range of codes that would be used for this patient would be Codes 390-459 because the treating physician ordered and MRI to rule out a transient ischemic attack. These codes are for Diseases of the Circulatory System 5.
Points Awarded 24.00 Points Missed 2.00 Percentage 92.3% Diagnosis Shiri's husband, Alum, notices that her left eyelid is drooping and she tells him she is experiencing double vision. After another choking episode, Alum brings his wife back to the healthcare provider who now thinks she may have myasthenia gravis. Her healthcare provider administers a Tensilon (edrophonium chloride) test to help confirm the diagnosis of myasthenia gravis (MG). 1. Which response to the test indicates that Shiri has myasthenia gravis?
The nurse is caring for a middle-aged adult male client who is presenting to the emergency department with a severe headache, neck pain, and vomiting several hours after being involved in a motor-vehicle collision. The client is responding appropriately to verbal stimuli and is moving all extremities to command and contusions are noted around the cranium and left orbit. Questions: 1. Which assessments should the nurse perform at this time? List 3 assessments with rationales.
Prior to seeing the nurse practitioner, he fills out a history form which elicits a family history and review of systems. His father died of a heart attack at age 72. His mother is alive and well at age 76. He has a 44-year-old sister who recently had a hysterectomy and has been treated several times in the past for depression. He has a 22-year-old son and an 18-year-old daughter who are in good health.
We will need to determine the cause of the bleeding. 7. What are you going to tell the triage nurse? * Possible DIC, 38 year old female had a ruptured appendix 10 days ago with subsequent peritonitis. She was discharged 9 days postoperative with a left PICC for IV antibiotics.
Mrs. Patricia Robinson is an 85-year-old woman who is Australian born and currently resides with one of her two daughters and has since her husband passed away. She was admitted to hospital with acute confusion. Her vital signs were: * BP 95/50 * Temp 38 * Respirations 28 * Pule 122 * BGL 32mmol/L * Oxygen Saturation 90% Mrs. Robinson was diagnosed with a UTI, which has since been resolved. She has an IV insitu of N/Saline and an IDC. She is on sliding scale insulin and required thickened fluids and a diabetic diet due to dysphagia.
Pt: 44 y/o WM CC: Pt was short of breathe and gets tired quickly. Rapid heart rate and feels a little weak. HPI: Patient presents with mental status changes and was found to be in atrial fibrillation with rapid ventricular rate. He was on medication but has not been taken them for over a year because he thought he was all better. Patient is visiting aunt and was brought into the ER and was mini-altered.
Cheryl McCollin vs. The Judge Rotenberg Center The Judge Rotenberg Center (in Massachusetts) is geared towards disruptive and self-destructive children. For over twenty years the Center has used extensive tactics such as the electroshock therapy to questionability produce a positive change in the children. In October 2002, Andre McCollin (who had previous mental conditions) was tied up and shocked thirty-one times over seven hours. The method of so-called therapy landed Andre McCollin in the hospital in a nonresponsive state for three days.