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.
The patient knew this colleague worked at the hospital. Over the next six weeks, the patient noticed an increase in cancelations of appointments with his patients. The dentist called a few of his long term patients and they explained that though the sympathized with him, they no longer feel safe in his care. Within two months after, the dentist’s practice virtually collapsed. The colleague, who the dentist knew, signed an affidavit stating that the nurse’s aide in the radiology holding area called him the day of the biopsy and informed him of the dentist’s HIV status.
investigated the effects of naturalistic stressors on measure of immunity. Measures of natural killer cells (NK) were taken from blood samples of 75 medical students 1 month before their finals (low stress) as well as during their exams (high stress). These students also completed a questionnaire on negative life events and social isolation. It was found that NK
According to articles online about half of patients with kidney failure receive treatment and are cured. Scenario B Chronic renal failure: Mr. Hodges, a 73-year-old man, has had congestive heart failure for the past 5 years. His doctor has told him that his heart is not functioning well, needing more and more medicine to maintain circulatory function. He has noticed that he
The nurse notes that Amanda's fasting 1 hour glucose screening level, which was done 2 days previously, is 158 mg/dl. 2. The nurse recognizes that what information in the client's history supports a diagnosis of gestational diabetes? A) Maternal great-aunt has insulin dependent (Type 1) diabetes. INCORRECT Family history of diabetes is not considered a risk factor unless it is a first degree relative.
There are no signs of breathing problems. Cheat Sheet For Acid/Base Balance Page 3 of 4 www.NCLEXPreceptor.com to learn how to pass NCLEX on your 1st try Case Study 8 An 79 year old man is seen in the emergency department at a private hospital. He states that he took many tablets of aspirin (salicylates) over the last 24-hour period because of a severe headache. He is unable to urinate. His vital signs are: Temp = 98.6; apical pulse = 94; respirations = 32 and deep.
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.
Imagine a healthy man, sixty years old, recently retired, with many years left to spend with his wife, four children, ten grandchildren, and two great-grandchildren. Then one day he begins experiencing difficulty swallowing and slurred speech. After being told by his daughter that these could be symptoms of a stroke, he turns to his doctor for answers. As his swallowing and speech worsen, each diagnostic test is inconclusive. Finally, after several months of increasing frustration and decreasing health, he is diagnosed with amyotrophic lateral sclerosis, or ALS.
Last year, the patient was hospitalized more than 4 months total for the problem. He is from Atlanta. He is coming to visit his aunt accompanied with his mom and his sister. Patient states “he has to go to University Hospital Emergency Room for cyclic vomiting syndrome on Sunday 7/15/12 at 1pm. 2.
Chamberlain College of Nursing Clinical Patient Preparation Worksheet NR324/NR325 Student: Joycelyn Arnett Date of care: 7/29/2013__________________ Client Initials:____D.A.______Age__48_______ Gender ____Male____ Race/Ethnicity: ___African American____ Allergies: NKDA____________________________________________________________________________________________________ Social History:no smoking or recreational drugs_______________________________________________________________ Pertinent Past medical History: hypertension__________________________________________________________________ Chief Complaint&date: Abdominal pain_________________________________________________________________________ Primary medical diagnosis: Perforated