30TH CASE SCENARIO. (NURSING)PSYCHOSOCIAL. (Questions and Answers).

(1)A patient in the psychological unit asks the nurse. Am I in a special radioactive shelter?.When was it last checked for radioactivity?.Which of the following responses, if made by the nurse should be the most appropriate?. Answer: I am sure your safety is of concern to you, but this is hospital. Question: (2)A patient with […]

27TH CASE SCENARIO. (NURSING) Abdominal Wall Abscess/Pneumonia/Coughing.

Age/Sex. : 58years Male. Unit : Q00000035 Admitted :10/12/2011 Location :4EAST. Room Number. 4003 Attending doctor. DON’T, HATE. CODE STATUS: Full code. Diagnosis : Abdominal Wall abscess/Pneumonia/Coughing. I &D with iodoform packing at the bedside by the doctor Miller,Spermide Secondary Diagnosis:Chronic IV drug abuse COPD, Schizophrenia and bipolar, 2gm herone every day. Weight 140lbs,height 5ft […]

28TH CASE SCENARIO. (NURSING)ACUTE CHOLECYSTITIS.

Age/Sex 54years old man. Name Mike Hubby. Attending doctor: Dr. Hessey Rub. CODE STATUS: Full Code. Location : Medical/ Surgical. Admitting Diagnosis: Acute Cholecystitis. This is inflammation of the gallbladder, a small digestive organ beneath the liver. Signs and symptoms are pain in upper middle area radiating around to the back,jaundice, Nausea and Vomiting, flatulence, […]

26TH CASE SCENARIO. (NURSING) Rheumatoid Arthritis.

Age/Sex 52years woman. Patient name:Ignorez,Maggi. Doctor: Dr.Garcia, Nonyez. MR :Q00000005. Chief Complaint: Rheumatoid arthritis. A 52years old woman with Rheumatoid arthritis comes to the clinic with her husband for a routine visit. The wife ask the nurse to explain Rheumatoid arthritis to her husband. The nurse answer should be based on the knowledge that rheumatoid […]

25TH CASE SCENARIO.(NURSING) CHEMOTHERAPY Side Effects.

Age/Sex 30years old,Male. Admitted 01/23/2001. Attending doctor: Dr. Gardener, Love. CODE STATUS: Full code. Location: Med/Oncology. Room 31134. Diagnosis: Lung cancer. Secondary Diagnosis: Diabetes, HLD,Hypertension. A 30years old man receiving Chemotherapy for cancer of the lung. Patient is placed on reversed Isolation. The patient tells the nurse. “I am really upset about missing my son’s […]

24TH CASE SCENARIO. (NURSING) DEPRESSION.

Age/Sex 65years Male. Patient name: Butler,David. Admitted 06/12/2004. MR : Q000099923236 Admitting Doctor: Abraim ,Jesus. Location: 2West CODE STATUS Full code. Height :5ft 9inches. Weight: 125lbs. Admitting Diagnosis: Depression. Signs and symptoms of depression are withdrawn, regressive behavior, psychomotor retardation. A 65years old man recently retired salesman is brought in Psychiatric Hospital by his wife.His […]

23RD CASE SCENARIO.(NURSING) BLOOD TRANSFUSION.

Age/Sex 60years female. Admitting Doctor:Mountain,Ray. Admitting Diagnosis Hemoglobin 6.9,Hematocrit of 22.1 Location: Medical/Surgical floor. Room Number: 30041 MR. Q0000999322. TREATMENT: Alert and oriented x4. GCS 15 02 2L NC. Transfuse 2uints of PRBC. Vital sign Q4hours. Vital sign :15minutes before transfusions. BP 140/71,Hr 67,Resp 18,02 saturation with 02 at 2 Liter NC. 98°F. Tylenol 650mg […]

22ND CASE SCENARIO. ( NURSING) THROMBOPHLEBITIS LEFT LEG.

Age/Sex 66years.Female Name of patient: Winter,Peter. Admitted 02 /19/13. Admitting Doctor: Dr. Don’t Hate. MR: Q0000889664 Unit # Q00000006 Location: 5NorthEast Room5105A. CODE STATUS:Full Code. Diagnosis: Thrombophlebitis of the left leg. Alert and oriented x4 Allergy NKDA . Activity: Bedrest. Room air. Maintain 02 saturation >92%. Thrombophlebitis is the inflammation of blood vessels. Signs and […]

21ST CASE SCENARIO.(NURSING)CONGESTIVE HEART FAILURE.

Age/Sex 60years ,male Admitted 05/23/2015. Attending Doctor: Dr. DON’T HATE. Location : MedTelemetry .RM 4023 CODE STATUS : Full code. Allergy : NKDA. Diagnosis : Left sided CHF. CHF is the failure of the heart to pump blood effectively to meet metabolic demands.Some Signs/Symptoms of CHF are dyspnea, orthopnea,weight gain,Pulmonary edema,distended neck veins, crackles. Treatment: […]

20TH CASE SCENARIO. (NURSING)SKULL FX.

Mrs Theresa Ngozi Tuan. 66years.Female. Full code. MR: Q0000999667 Location: Trauma unit Room 3042NorthEast. Admitted: 09/14/2012. Diagnosis: Intracranial Hemorrhage and Skull Fracture. Due to Car accident. SAH,Skull fracture. Bruises bilateral eyes, especially right eye.Frontal bone fracture with pneumocephaly. Right orbital wall fractures. Headache. Facial lacerations. Suture right upper eyelid. 02 2Liter NC. Live alone since […]