Focused Exam End Of Life (Part 3 of 3) Regina Walker ED Nursing Note Final Practice Exam Questions 2024.

Focused Exam End Of Life (Part 3 of 3) Regina Walker ED Nursing Note Final Practice Exam Questions 2024. Chief Complaint - correct answer Ms. Walker has severe pain related to Stage IV breast cancer mets to bone and liver. Orientation - correct answer Alert and Oriented x 4 History of Present Illness - correct answer Ms. Walker is a 69-year-old African American woman with a history of Stage IV breast cancer with metastases to the bone and liver. Additional history positive for HTN diagnosed at 44. Ms. Walker present to the ER today with complaints of bone pain. She has not had a bowel movement in 4 days. The pain is at a level of 4/10, constant and sharp even with pain medication. Pain was 9/10 upon arrival. She is weak and fatigued. Her appetite is decreased as she is only drinking sips of ginger ale at this time. The husband brought her into the ER since Ms. Walker was in too much pain at home. Her medications were not working. Ms. Walker has stopped all chemotherapy and radiation treatment modalities. Allergies - correct answer Penicillin Past Medical History - correct answer Stage IV breast cancer with mets to bone and liver Mastectomy, with radiation and chemotherapy age 64 years HTN diagnosed age 44 Past Surgical History - correct answer Mastectomy, with radiation and chemotherapy age 64 years Medication History - correct answer Long-acting morphine 60 mg every 12 hours Immediate release morphine 20 mg for breakthrough pain PRN HCTZ/losartan 100/25 mg, 1 tab P.O. daily for high blood pressure. Last dose: yesterday Family History - correct answer Mother: deceased, age 73, stroke, history of HTN, high cholesterol Father: deceased, age 65, heart failure, HTN, high cholesterol, and Type II diabetes