Nur 3330 Study guides, Class notes & Summaries

Jim Goodman, A home health nurse is scheduled to see a new client, Jim Goodman, for weekly home health visits. Jim is a 77-year-old male with endstage steroid-dependent COPD. He has had five hospitalizations over the past six months for COPD exacerbations. He is 69 inches tall and weighs 155 pounds. His comorbidities include hypertension, asthma, anxiety, and tobacco abuse. There is concern about the client’s adherence to the medication regime. The client is occasionally disoriented to place a...

Renee Wilson, 26 y/o G1P0 admitted four hours ago to the Birthing Center. She has had an uncomplicated pregnancy, but her obstetrician has expressed the concern about needing a c-section because of the anticipation of a large baby. Her last ultrasound estimated fetal weight at 9 lbs. 6 oz. She and her husband have attended Lamaze Prepared Childbirth Classes and their Birth Plan includes the desire to have an unmedicated labor and vaginal birth. She also desires skin to skin contact with he...

Stephanie Gold, 19-year-old Caucasian female, G1 T0 P0 A0 L0, 32 weeks gestation. Uncomplicated pregnancy except for anemia treated with PO iron. States 3 times in last week has called on-call obstetrician about fatigue, body aches, mild nausea during the evening. The client reports, “I don’t feel well, I haven’t vomited, but nausea makes me not want to eat too much. I am drinking ok, just want to eat bland foods.” Rest and acetaminophen were recommended. Client is first-year nursing...

Charlie Raymond, 65-year-old male who was admitted to a negative pressure room on Med-Surg for COVID precautions.. He has a history of COPD, hypertension, diabetes type II, and a recent myocardial infarction. He is a retired postal worker who lives at home with his wife. He is on Claforan (cefotaxime) 2 g IV q4hr and sliding scale insulin. Initially this cardiologist was concerned about congestive heart failure and Mr. Raymond is receiving Furosemide (Lasix) 20 mg IV twice a day for pulmonar...

Trey Johnson Room 306 Trey Johnson, Mr. Johnson was admitted for severe abdominal pain. He is HIV positive and has had a full diagnosis for the past 6 months. He has been receiving covalow for the past 6 months. While he has been compliant with good results reducing his viral load, he recently returned from an extended visit to Asia. His nausea and abdominal discomfort started two weeks ago. His VS are stable with a slightly elevated Temperature of 100.2 F, 37.9 C. He has been admitted fo...

Roger Clinton, 57-year-old male construction worker arrives at 0600 to be prepared for a partial thyroidectomy to determine if he has cancer. His past symptoms for three months have been that he noticed a slight hoarseness in speaking, a slight dry cough not related to a cold, and upon examination had a “pea-size lump on the center of his neck”. His Endocrinologist had a radioiodine scan performed that showed a suspicious area. The plan is to obtain a biopsy from several areas of the t...

Mark Quinn Room 302 Mark Quinn, 9-year-old male comes to the school nurse with complaints of abdominal pain and nausea. Vital signs: Temperature 98.2, HR 87, BP 104/ 67, RR 22, PaO2 97%. The nursing assessment reveals diffuse lower abdominal pain, tenderness, and normoactive bowel sounds. After consultation with the child and the parents, the child is sent home with a possible viral intestinal infection.

NUR 3330 Renee Wilson maternal Case Study 26 y/o G1P0 admitted four hours ago to the Birthing Center

Hayden Clark Room 302 Hayden Clark, 6-year-old male, weighing 44 lbs., comes to school looking disheveled, and not wearing a coat with the outside temperature in the low 40’s. You responded correctly to 6 out of 6 evaluations: Category Your response Explanation Pain Normal acuity Status assessment reports no indication of increased Pain acuity Psych Normal acuity Status assessment reports does not give clear indication to increase Safety Increased acuity Status assessment reports not wea...

Hayden Clark, 6-year-old male, weighing 44 lbs., comes to school looking disheveled, and not wearing a coat with the outside temperature in the low 40’s. You responded correctly to 6 out of 6 evaluations: Category Your response ExplanaPain Normal acuity Status assessment reports no indication of increased Pain acuity Psych Normal acuity Status assessment reports does not give clear indication to increSafety Increased acuity Status assessment reports not wearing coat which places patientEd...