38TH CASE SCENARIO (NURSING)MATERNITY/ PEDIATRIC. QUESTIONS

(1) A 28years old woman delivers an 8lb 2oz baby via spontaneous vaginal delivery. The nurse assists the patient with her first breast feeding experience. Which of the following should be the highest priority?. Answer: (A) check to if her bread is adequate. (B) Talk about her spontaneous vaginal delivery. (C)Stay with the mother and […]

37TH CASE SCENARIO. (NURSING)FOUND DOWN BY DAUGHTER.

Age/Sex 56years.male. Unit Q000000015. MR Q000098944.Attending doctor Dr. DON’T HATE. CODE STATUS Full code. Found down by daughter, Seizures, Cough, Etoh withdraw. Secondary Diagnosis Hypertension, seizures disorder and diabetes. Family history of hypertension and high cholesterol. Blood AC and HS. CIWA Protocols. Ativan 2mg IV Q8hrs. Ativan 1mg po Q4hours prn agitation. Room Air Lungs […]

CASE SCENARIO (NURSING) MEDICATIONS ADMINISTRATION QUESTIONS.

There are ten GOLDEN RULES of medications administration safety. There has to be doctor’s orders. First, Administration of the right medication. Remember that some medications look alike and sound alike. So administer the right medications. Secondly, Administration of medications to the right patients. Make sure that the medication is not labeled with another patient name. […]

CASE SCENARIO. (NURSING)TRAUMA (Found down by sister).

AGE/SEX 51years Male. Unit: Q00000017 Admitted 12/17/2008 Attending doctor: Coronae,Vincent. Medical record number:Q00009594332 Location : Transfer from ICU South to MedTelemetry . FULL CODE: Full Code. Diagnosis Found down,ICH,IVH(resolved).Seizure disorder. Found down by sister. Right hemiparesis.Aphasia, Nonverbal, dysphagia. Secondary Diagnosis: Hypertension. Weight 162lbs Height 5ft 6inches. TREATMENT: Head CT : left basal ganglion bleed with […]

36TH CASE SCENARIO (NURSING) COLOSTOMY.

Colostomy is a surgical operation in which a piece of the colon is diverted to an artificial opening in the abdominal wall,so as to bypass part of the bad colon. Colostomy can be temporary or permanent.(Most cancer patients with colostomy tend to be permanent )It is done after bowel injury or surgery. It is an […]

35TH CASE SCENARIO SENSATION/ PERCEPTION.CVA

CVA is Cerebrovascular Accident. CVA (Medical term)is another name for a stroke.This happens when there is shortage of blood supply to the brain due to rupture of blood vessels or blockage. Without the oxygen in the blood, the brain cells will die.Symptoms of stroke depends on the part of brain affected. There are two types […]

33ND CASE SCENARIO. (NURSING)BIPOLAR DISORDER.

QUESTIONS: (1)35years old female with a history of bipolar disorder is admitted to the psychiatric hospital. She was found by the Police attempting to climb onto the wing of a plane at the airport. She told the police officers ” I thought that this would be a fast way to travel to California.Her husband reports […]

32ND CASE SCENARIO (NURSING)COMFORT MOBILITY.(Questions)

(1)A 68years woman is admitted to the hospital complaining of persistent lower back pain.The nurse puts her bed in semi Fowler’s position with hips and knees moderately flexed.The rationale for this position is to : Answer: Relieve tension at the lumbosacral region. Knee flexed relieves pressure on Sciatic nerve. (2)The nurse performed dietary teaching as […]

31ST CASE SCENARIO (NURSING)SCHIZOPHRENIA.

Questions: (1)Haloperidol(Haldol) 5mg po tid is ordered for patient with Schizophrenia. Two days later the patient complain of tight jaws and a stiff neck.The nurse should recognize that these complain are: Answer: (A)Early Symptoms of extrapyramidol reactions to the medications. (B )That is normal for this patient. (C) None of the above. (D) All of […]