NUR 401 (NUR401)

Case Study: Acute Respiratory Distress Syndrome (ARDS) NUR 401 Scenario: Rocky is a 56 y.o. aeronautical scientist who was involved in a motor vehicle crash (MVC). He was the driver of a vehicle that was hit head-on, pinning him behind the steering wheel. The airbag deployed. He was intubated on scene by pre-hospital personnel and air lifted to a Level I Trauma Center. In the emergency department (ED) the trauma examination and work up revealed bilateral flail chest, right hemopneumotho...

Case Study 103 Drug Overdose You are on duty in the emergency department (ED) when a "code blue" is called. As the code nurse, you grab the crash cart and run to the code, which is in the employee lounge of the operating room. On the couch, you find a nurse, Z.H., unconscious, dusky, and barely breathing. 1. What immediate assessment of Z.H. do you need to perform? Circulation, airway, breathing. Airway patent? Measure RR and O2. Check for aspiration, assess respiratory effort, auscultat...

Abdominal Trauma Case Study Mr. Lancaster is a 35-year-old client who was involved in a motor vehicle accident. Mr. Lancaster was wearing a seat belt and driving at a high rate of speed when he lost control of the car and hit an abutment. He was initially awake at the scene, but his level of consciousness declined while in transport to the hospital. Upon arrival to the emergency department he was already intubated orally with a # 8.0 endotracheal tube at 22 cm depth at the teeth, had bilate...

Head Trauma Case Study NUR 401 Scenario: J.R. is a 28-year-old man who was doing home repairs. He fell from the top of a 6-foot stepladder, striking his head on a large rock. He experienced a momentary loss of consciousness. By the time his neighbor got to him, he was conscious but bleeding profusely from a laceration over the right temporal area. The neighbor drove him to the emergency department of your hospital. As the nurse, you immediately apply a cervical collar, lay him on a stretc...

Spinal Cord Injury Case Study NUR 401 Scenario: T.W. is a 22-year-old man who fell 50 feet from a chairlift while skiing and landed on hard-packed snow. He is now at the emergency department (ED) with a suspected T5-T6 fracture with paraplegia. 1. Describe a plan for implementing these physician's orders.  First, I would apply oxygen and immobilize the cervical spine. Then, I would Perform a neuro assessment. Next, I would start IVs, place ECG monitoring, foley catheter and if needed...

Case Study 13 Coronary Artery Disease and Coronary Artery Bypass Surgery Difficulty: Advanced Setting: Hospital Index Words: coronary artery disease (CAD), heart failure (HF), coronary artery bypass graft (CABG), cardiac catheterization, hemodynamic monitoring, laboratory values, medications, assessment Giddens Concepts: Clinical Judgment, Coping, Gas Exchange, Patient Education, Perfusion HESI Concepts: Assessment, Clinical Decision Making—Clinical Judgment, Gas Exchange, Patient Educ...

Case Study 13 Coronary Artery Disease and Coronary Artery Bypass Surgery Difficulty: Advanced Setting: Hospital Index Words: coronary artery disease (CAD), heart failure (HF), coronary artery bypass graft (CABG), cardiac catheterization, hemodynamic monitoring, laboratory values, medications, assessment Giddens Concepts: Clinical Judgment, Coping, Gas Exchange, Patient Education, Perfusion HESI Concepts: Assessment, Clinical Decision Making—Clinical Judgment, Gas Exchange, Patient Educat...

Case Study 13 Coronary Artery Disease and Coronary Artery Bypass Surgery Difficulty: Advanced Setting: Hospital Index Words: coronary artery disease (CAD), heart failure (HF), coronary artery bypass graft (CABG), cardiac catheterization, hemodynamic monitoring, laboratory values, medications, assessment Giddens Concepts: Clinical Judgment, Coping, Gas Exchange, Patient Education, Perfusion HESI Concepts: Assessment, Clinical Decision Making—Clinical Judgment, Gas Exchange, Patient Educat...

NUR 401 Case 13 Coronary Artery Disease and Coronary Artery Bypass Surgery (CAD: CABG CASE STUDY) Scenario Your patient, 58-year-old K.Z., has a significant cardiac history. He has long-standing coronary artery disease (CAD) with occasional episodes of heart failure (HF). One year ago, he had an...

Case Study 13 Coronary Artery Disease and Coronary Artery Bypass Surgery Difficulty: Advanced Setting: Hospital Index Words: coronary artery disease (CAD), heart failure (HF), coronary artery bypass graft (CABG), cardiac catheterization, hemodynamic monitoring, laboratory values, medications, assessment Giddens Concepts: Clinical Judgment, Coping, Gas Exchange, Patient Education, Perfusion HESI Concepts: Assessment, Clinical Decision Making—Clinical Judgment, Gas Exchange, Patient Educat...