Answer: (C) Take the patient to your ambulance.
( The patient is needed hospitalization so as the healthcare professionals can directly provide the treatment and the blood pressure is lowered, the patient requires breathing support.)
8543 - A man, sitting outside, was stung by a bee while drinking a soda. When...
16. You are receiving a patient from recovery (PACU). He is a 71-year-old man who just underwent a surgical repair of a fractured femur. Medical history: hypertension, emphysema, and a 40 pack-years of smoking. Patient has productive cough and slightly labored breathing Surgery was complicated by excessive bleeding, and he is receiving IV fluids. Patient has poor turgor and BP is stbll very low. Skin and mucous membranes are dry and pale. Patiet complains of pain 6/10 at the surgical...
16. You are receiving a patient from recovery (PACU). He is a 71-year-old man who just underwent a surgical repair of a fractured femur. Medical history: hypertension, emphysema, and a 40 pack-years of smoking. Patient has productive cough and slightly labored breathing Surgery was complicated by excessive bleeding, and he is receiving IV fluids. Patient has poor turgor and BP is stbll very low. Skin and mucous membranes are dry and pale. Patiet complains of pain 6/10 at the surgical...
While working in the Emergency Department, you are assigned as the Triage Nurse, who is to screen "walk-in" patients, assign an ESI priority level to each patient, and prioritize which patient should be assigned to an available treatment area first. There are currently three open beds in the department. The following 10 patients are waiting to be seen. "This morning, I stepped on a rusty nail, and it went right through my shoe into my foot. I washed it really...
Jim Mueller, 13 years old, is at a family picnic and drinking soda out of a can. When Jim swallows some soda, he realizes that a bee was in the soda can because he feels it sting him inside his throat. Jim has a history of allergy to bees. His mom rushes him to the emergency room. Data Obtained From Nursing Assessment Vital signs: pulse, 100; respirations, 24 and shallow; blood pressure, 88/58 Dyspnea Lung sounds barely audible at bases...
put
N/A where necessary
CASE #2 A 63 year old man with type 2 diabetes has an average BP of 151/92 over the span of several weeks of measuring at home and in the clinic. He also has albuminuria. Stage 2 Hypertension: The BP treatment goal patients with diabetes and HTN is less than 130/80. While some patients can be effectively treated with a single agent, serious consideration should be given to starting with 2 drugs of different classes, especially...
physiology
CASE #1 A 59-year-old man with type 2 diabetes presents with concerns about high blood pressure (BP). At a recent visit to his dentist he was told his BP was high. He was reclining in the dentist's chair when his BP was taken, but he doesn't remember the exact reading. He has no symptoms. He has never taken medications for high BP. He takes metformin for type 2 diabetes. His BP is measured once at 146/95 mm Hg in...
Clinical Simulation Mrs. Julia Davis is a 76 year old woman with a history of CAD and frequent UTIs. She is admited to the medical- surgical unit from the ER with SOB, lower abdominal pain, chest pain lasting less than S minuties and relieved with nitroglycerine. Her vital signs are: BP 17090, AR 106, R 28, T 102.3 Provider's orders: Bedrest 02/2L via nasal cannula Vital signs every hour for first 4 hrs, then every 4 170-90, Temp 102 peripheral...
A 64 year-old man compliants of pain in is lower legs when his dog. Pain is releived with rest . His past medical history includes hypertension and hyperlipidemia. he smokes one pack of cigarettes per day . o physical examination , his vital signs are temperature 99.2,respiratory rate 20, heart rate 94, and blood pressure 148/86. His feet are pale and coolto touch. He has diminished pedal and posterior tibial pulses 1+/4 and decreased sensation. he has a quater size...
Ms. K.W., is a 21-year-old university coed, was rushed to the emergency room 35 minutes after being stabbed multiple times in the chest and abdomen by unidentified assailant. A witness telephoned 911. Paramedics arriving at the scene found the victim conscious but in severe acute distress. Vital signs were obtained and the results are: HR 128 (baseline 80), BP 80/55 (baseline 115/80), RR 37 and labored. Chest auscultation revealed decreased breath sounds in the right lung consistent with basilar atelectasis...
Brief Patient History Mr. P is a 24-year-old man who was water-skiing when he was hit by a boat. He was rescued from the water by friends. He was immobilized and transported to the hospital by paramedics called to the scene. Clinical Assessment Mr. P is admitted to the emergency department with abrasions and bruising to his head and shoulders. He is having difficulty breathing and is unable to move his extremities. He is complaining of neck pain and has...