A 35-year-old man was brought to the Accident and Emergency Department (A/E) byhis wife with complaints of abdominal pain and diagnosed with pancreatitis. His familyhistory shows that he is married and has two children aged 8 years and 3 years Whilecompleting the nursing admission assessment, he tells the nurse that he drinks "acouple of cases of beer each week" He states his last drink was this morning. Whiledoing rounds, the evening shift nurse notices that he has tremors and is very anxiousand restless His vital signs are blood pressure 130/82 mm of Hg, pulse rate 88bpm,respiratory rate 16bpm, and temperature 99 68F (37 58C) The physician is notifiedDaily folic acid and thiamine, and lorazepam as needed, are prescribedDiscussionHow would you carry out the different roles of a nurse as stated below?Care giverTeacherAdvocateChange agentCommunicator

A 35-year-old man was brought to the Accident and Emergency Department (A/E) by his wife with…

Answered: A 35-year-old man was brought to the…

Phlebotomy Essentials

6th Edition

ISBN:9781451194524

Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)

Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)

Chapter1: Phlebotomy: Past And Present And The Healthcare Setting

Section: Chapter Questions

Problem 1SRQ

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A 57 year old male presented to the Tulane Emergency department at 4:00 AM with the acute onset of right-sided facial drooping, speech slurring, and difficulty with lifting his right upper extremity. Upon presentation, he is unable to communicate with medical staff, as he cannot get any words out; when asked about his birthday, he attempted to speak but was unable to produce any words, but he was able to write his birthdate down correctly when asked to do so. He was unable to lift his right arm, turn his head toward the right side, or He has a strong history of heart issues, dating back to his 40’s when he suffered from a myocardial infarction (heart attack) which required two stents placed in his left anterior descending (LAD) artery. He was prescribed Plavix (Clopidogrel) and aspirin 80 mg daily after his heart attack, and he was advised to stop smoking. He had successfully stopped smoking for 2 months prior to restarting. He currently smokes 2 packs of Marlboro Menthol Light…
A 62-year-old man who is a chronic smoker with a history of widespread atherosclerotic vascular disease complains of a 3-h history of severe midabdominal pain, accompanied by nausea and vomiting. He has a history of myocardial ischemia and peripheral vascular disease. On examination, he is writhing in pain. His abdomen has normal bowel sounds and minimal tenderness. A small amount of blood is present in the stool specimen. The electrolytes show a low bicarbonate level at 15 mEq/L, and the serum lactate level is high, which are indicative of tissue receiving insufficient oxygenation leading to tissue injury. A surgeon, who is concerned about mesenteric ischemia, has been called to evaluate the patient. Which of the following is the most likely diagnosis? Appendicitis Cholecystitis Gastritis Superior mesenteric thrombosis Amebic colitis
A 60-year-old woman comes to the physician because of a 2-month history of shortness of breath and cough and a 2- week history of progressive swelling of her face. The cough is productive of approximately /4 cup of mildly blood-tinged, white-to-yellow sputum daily. She has had a 2.3-kg (5-Ib) weight loss over the past 4 months. She has a 15-year history of hypertension treated with enalaprl. She has smoked 1 pack of clgarettes daily for 45 years. Her pulse is 90/min and regular, respirations are 20/min, and blood pressure is 135/90 mm Hg. Physical examination shows edema of the face and neck and jugular venous distention. Breath sounds are mildly decreased throughout all lung fields, and there are no cardiac murmurs. Her serum sodium concentration is 125 mEq/L. Which of the following is the most likely direct cause of this patient's facial edema? A) Angioedema from angiotensin-converting enzyme (ACE) inhibitors B) Impaired cardiac filling from cardiac tamponade C) Increased vascular…
Situation:Sara Lin is an 18-year-old patient who had an emergency appendectomy. It is day 2 postoperative, and Sara is expected to be discharged late this afternoon. We have discontinued her IV antibiotics after her morning dose. She will be getting oral meds today.Background:Sara presented in the ED 2 days ago with a 2-day history of nausea, vomiting, and increasing pain. She was taken to surgery that day and had an open appendectomy for a ruptured appendix. She has been stable since arriving to the unit. Her parents have been here with her most of the time and are very helpful and supportive.Assessment:Sara is alert and oriented. She needs to be reminded to use her incentive spirometer. Abdomen is soft and tender to touch. Bowel sounds active. She has progressed to regular diet, and she's eating small amounts. No nausea reported since postoperative day 1. The surgery team changed the abdominal dressing early this morning. The incision is closed with staples; the edges are well…
The perioperative nurse is providing care for a patient who is recovering on the postsurgical unit following a cholecystectomy. The patient has not started ambulating and states he needs to rest in bed. For what complication is the client most at risk? atelectasis shock anemia dehydration
The patient was admitted straight from her primary care physician's office to the medical floor. She is a 29-year-old woman without a history of chronic illnesses, household medications, or prior surgical procedures. She gave her primary care physician a 4-day history of fever, coughing, and appetite loss. She claims that for the previous two days, she has not eaten or drunk anything. The primary care physician observed that the patient was experiencing dyspnea in the office and proceeded to send the patient by ambulance to the hospital. Which conditions should the PN keep an eye out for in the client given the present course of treatment for fluid volume deficit? select all that apply Phlebitis Hypokalemia Hyperglycemia Diarrhea and vomiting Alkalosis Pulmonary edema Thrombocytopenia Hypovolemic shock
A 70-year-old client is seen in the emergency department with an urinary tract infection. The provider orderssulfamethoxazole /trimethoprim. Which medication should the nurse alert the provider about, if given with the medication combo sulfamethoxazole /trimethoprim?
What condition does this patient likely have?
At 8am, 52 year old female (patient X) is admitted to the medical ward you are assigned in due to uncontrolled hyperglycemia and a mild edema on her feet. She was previously diagnosed with Diabetes Mellitus type II. She has history of diabetes, hypertension and heart disease. You are assigned to her during the 6am-2pm shift. The attending physician ordered Diabetic Diet, Metformin 500mg tablet TID and a sliding scale of insulin if blood sugar is above 200mg/dl. Blood sugar monitoring is ordered every four hours for the first 24 hrs. It is also ordered 1L of PNSS for 12 hours and insert Foley catheter and monitor urine output. You successfully started the infusion at 9am. Since Patient X has missed the morning dose of metformin, you immediately gave her the morning dose with 100ml of water, the 1 pm; you gave her another dose with again 100ml water after her lunch. At 10am, you drained her urine bag and got 105 ml output and again, you drained 150ml at 2pm prior to leaving your patient.…
CASE STUDY: Nelson Amoah, 54-year-old male presents to the emergency department with abdominal pain, nausea, vomiting, abdominal distension and constipation which started 3 days prior to presentation. He denied fever, chills and headache. Except for peptic ulcer disease, he is otherwise healthy with no previous surgeries. He is a smoker, smoking a little less than a pack a day for twenty-two years. On examination he was afebrile, with a heart rate of 120 beats/min, blood pressure 130/80 mmHg and respiratory rate of 22 cycles/min. Abdominal examination revealed mild distension with generalized guarding and marked rebound tenderness in the epigastrium. There were no palpable masses and bowel sounds were absent. Erect and supine abdominal and chest radiographs were normal. However, abdominal ultrasonography revealed free fluid throughout the abdomen and pelvis. a. State at least FIVE questions that you would ask in analyzing Mr. Amoah’s pain b. Identify all;…
Hello, Can you please help me with this question? Any stage 3, stage 4, or unstageable pressure ulcers acquired after admission/presentation to a health care setting" (National Quality Forum, 2016) is considered a 'Never Event'. What is a 'Never Event'? What does that mean to your facility? (https://psnet.ahrq.gov/primer/never-events#:~:text=The%20term%20%22Never%20Event%22%20was,surgery%E2%80%94that%20should%20never%20occurLinks to an external site..) Thank you in advance!!
A 48 year old female is admitted with the diagnosis of pancreatitis. She is complaining of nausea, vomiting and severe muscle weakness. The electrocardiogram shows frequent premature ventricular contractions. Her symptoms are most likely due to

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