The nurse observes that the patient has a shuffling gait and tremors and is drooling. The nurse will ask the patient’s provider about which course of action? a.|Administering a direct dopamine antagonist| b.|Giving an anticholinergic medication| c.|Increasing the dose of the antipsychotic drug| d.|Stopping the antipsychotic drug| ____ 3. A patient is taking an FGA for schizophrenia. The nurse notes that the patient has trouble speaking and chewing and observes slow, wormlike movements of the patient’s tongue.
Other manifestations of a basilar skull fracture include tinnitus, facial paralysis, hearing difficulty, epistaxis, and CSF (cerebral spinal fluid) leakage from the nose or ears. The nurse is concerned about the rhinorrhea that Jeff is experiencing. 2. What methods can the nurse use to determine if the drainage is CSF? A) Measure the specific gravity of the drainage.
In the article “Gender Bender by Jill Vollbrecht we learn about a diabetic woman and her hairier problem. Her deep voice, furry arms and her bald spot points to a hormonal imbalance, but a deeper look into her problem reveals an even better explanation to why this is happening. As we read on we learn about Judy, the diabetic patient and her doctor visit. Dr. Vollbrecht seemed to been having a busy day. She had just finished seeing what seemed like a hundred diabetic patients, one after the other.
B) Observe the area behind Jeff's ears. Other manifestations of a basilar skull fracture include tinnitus, facial paralysis, hearing difficulty, epistaxis, and CSF (cerebral spinal fluid) leakage from the nose or ears. The nurse is concerned about the rhinorrhea that Jeff is experiencing. 2. What methods can the nurse use to determine if the drainage is CSF?
Risk Assessment: Cor Pulmonale NR 282 Pathophysiology II Spring B – 2013 Cor Pulmonale Introduction My patient is a 42 year old Hispanic female with a past medical history of pneumonia and hypertension. She is a single mother with one child (son) and is employed as a cleaner in a general hospital. She denies smoking but drinks alcohol occasionally. She denies using recreational drugs. The patient presented to her physician’s office with shortness of breath, chest pain, excessive coughing, and excessive fatigue and states that, “she has fainted on occasion before”.
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?
Cardiac case study Case Study #2 Professor: Methavichit Sandra Martin 10/01/2013 Case Study Questions: Myocardial Infarction 1. What is the significance of an elevated ST segment inversion on an EKG and the PVCs the nurse sees on the monitor? It is Hypoxic Injury. Rapid discharges that record on the monitor as back-to-back PVCs tells us that his heart is getting ischemia. Usually requires more aggressive treatment such as reperfusion therapy.
WGU Accreditation Audit RAFT Task 2: Root Cause Analysis of a sentinel event A Root Cause Analysis (RCA) of a sentinel event is completed to immediately investigate and respond to possible inductions involving the death or injury of a patient. (Joint commission, 2013). Purpose of this report - To execute a Root Cause Analysis for a Sentinel Event occurrence at Nightingale Hospital. Sentinel Event - Child Abduction Date of Issue/Incident – Thursday September 14, at 12:30 PM Background of Issue/Incident - A three year old female patient was brought to Nightingale Hospital by her mother for an outpatient surgical procedure. The mother asked the pre-op nurse how long the procedure would take, because she had to tend to another child and would need to leave for a short while.
Care of Geriatric Patient Multisystem Failure Stephanie Beck Western Governors University Geriatric Care A. Assessments Mrs. Baker is a 73 year old female, presenting to the emergency room after collapsing outside with dyspnea, increased pulse and respiratory rate. She arrives confused and upset and becomes unresponsive and has increased dyspnea. The initial assessments would be to check her ABC’s. Her airway should be assessed by listening for stridor or gurgling sounds, checking for obstruction, performing a jaw thrust, removing loose fitting dentures.
When a resident is observed to have a condition change, the nurse performs an assessment and makes a decision whether or not to notify the physician and the resident’s family or guardian. The most common symptoms that resulted in the transport of residents to a hospital emergency room were respiratory distress, altered mental status, gastrointestinal symptoms, and falls (Ackermann, Kemle, Vogel & Griffin, 1998). The changes in mental status could