NURSING EXAM TEST
[Author name]
[COMPANY NAME] [Company address]
, 1
Jean Kelly is an 82-year-old woman who has been feeling more fatigued the last three days and has had a fever the last
twenty-four hours. She reports a painful, burning sensation when she urinates as well as frequency of urination the
last week. Her daughter became concerned and brought her to the emergency department (ED) when she did not
know what day it was. She is mentally alert with no history of confusion. While taking her bath today, she was weak
and unable to get out of the tub and used her personal life alert button to call for medical assistance.
Personal/Social History:
Jean lives independently in a senior apartment retirement community. She is widowed and has two daughters who are
active and involved in her life.
What data from the histories are important and RELEVANT and have clinical significance for the nurse?
RELEVANT Data from Present Problem: Clinical Significance:
Progressively worsening fatigue, fever, and Clinically significant symptoms of urinary tract infection prompting
painful, burning, and frequent urination. request for an order for a urinalysis.
Sudden onset of confusion (change in mental Confusion is a common presentation of UTI in the elderly, and change
status) with no prior history in mental status from baseline should always be fully investigated.
RELEVANT Data from Social History: Clinical Significance:
Lives in a senior retirement community with Jean has a strong support system and a safe place to return to after
daughters who are actively involved in her discharge that will provide support. Her life alert button provides the
life and wears a life alert button security she needs in the event of an emergency since she lives alone.
What is the RELATIONSHIP of your patient’s past medical history (PMH) and current meds? (Which
medications treat which conditions-indicate with numbers or some form that I can identify
PMH: Home Meds: Pharm. Classification: Expected Outcome:
Diabetes type 2 1. Allopurinol 100 mg PO 1. Antigout agent 1. Decreased production
of uric acid to reduce gout
Hyperlipidemia bid
flares
Hypertension (HTN) 2. ASA 81 mg PO daily
2. Reduce platelet
Gout
3. Pioglitazone 15 mg PO 2. Antiplatelet/salicylate aggregation and clumping
daily to prevent clotting
4. Simvastatin 20 mg PO 3. Reduces and controls
daily blood glucose levels
5. Metoprolol 25 mg PO bid 4. Reduces cholesterol/
3. Thiazolidinedione/anti blood lipid levels
6. Lisinopril 10 mg PO daily
diabetic 5. Reduces blood pressure
7. Furosemide 20 mg PO
daily 4. Antihyperlipidemic 6. Reduces blood pressure
8. Potassium chloride 20 7. Reduces BP through
5. Beta blocker diuresis
, 2 mEq PO daily 8. Replaces K in the body
lost through diuresis
6. Ace inhibitor
7. Loop diuretic
8. K supplement
[Author name]
[COMPANY NAME] [Company address]
, 1
Jean Kelly is an 82-year-old woman who has been feeling more fatigued the last three days and has had a fever the last
twenty-four hours. She reports a painful, burning sensation when she urinates as well as frequency of urination the
last week. Her daughter became concerned and brought her to the emergency department (ED) when she did not
know what day it was. She is mentally alert with no history of confusion. While taking her bath today, she was weak
and unable to get out of the tub and used her personal life alert button to call for medical assistance.
Personal/Social History:
Jean lives independently in a senior apartment retirement community. She is widowed and has two daughters who are
active and involved in her life.
What data from the histories are important and RELEVANT and have clinical significance for the nurse?
RELEVANT Data from Present Problem: Clinical Significance:
Progressively worsening fatigue, fever, and Clinically significant symptoms of urinary tract infection prompting
painful, burning, and frequent urination. request for an order for a urinalysis.
Sudden onset of confusion (change in mental Confusion is a common presentation of UTI in the elderly, and change
status) with no prior history in mental status from baseline should always be fully investigated.
RELEVANT Data from Social History: Clinical Significance:
Lives in a senior retirement community with Jean has a strong support system and a safe place to return to after
daughters who are actively involved in her discharge that will provide support. Her life alert button provides the
life and wears a life alert button security she needs in the event of an emergency since she lives alone.
What is the RELATIONSHIP of your patient’s past medical history (PMH) and current meds? (Which
medications treat which conditions-indicate with numbers or some form that I can identify
PMH: Home Meds: Pharm. Classification: Expected Outcome:
Diabetes type 2 1. Allopurinol 100 mg PO 1. Antigout agent 1. Decreased production
of uric acid to reduce gout
Hyperlipidemia bid
flares
Hypertension (HTN) 2. ASA 81 mg PO daily
2. Reduce platelet
Gout
3. Pioglitazone 15 mg PO 2. Antiplatelet/salicylate aggregation and clumping
daily to prevent clotting
4. Simvastatin 20 mg PO 3. Reduces and controls
daily blood glucose levels
5. Metoprolol 25 mg PO bid 4. Reduces cholesterol/
3. Thiazolidinedione/anti blood lipid levels
6. Lisinopril 10 mg PO daily
diabetic 5. Reduces blood pressure
7. Furosemide 20 mg PO
daily 4. Antihyperlipidemic 6. Reduces blood pressure
8. Potassium chloride 20 7. Reduces BP through
5. Beta blocker diuresis
, 2 mEq PO daily 8. Replaces K in the body
lost through diuresis
6. Ace inhibitor
7. Loop diuretic
8. K supplement
