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NURS6630: Final Exam - Week 11, Answered-Benzodiazepines can be withdrawn abruptly despite duration of therapy/abuse. Response Feedback: Benzodiazepines should never be stopped suddenly; Page 194 “Under no circumstances should benzodiazepines be stopped abruptly.” Which medication below would you use in addition to benzodiazepine treatment if the patient is experiencing psychosis during alcohol withdrawal delirium? Response Feedback: “Haloperidol 50 to 10 mg PO...

NURS6630 study guide for final exam-Patient is a 10-year-old female with diagnosed ADHD who was started on Ritalin 5 mg twice a day over 2 months ago. She is still experiencing the triad of symptoms associated with ADHD (impaired attention, impulsivity, and excessive motor activity). Her mother reports that she is now having difficulty in falling asleep since starting the medication. She has been on no other anti-ADHD medications and the mother reports full compliance with medication regimen. Wh...

NURS 6630 Week 10 Assignment: Assessing and Treating Patients With Impulsivity, Compulsivity, and Addiction / A Puerto Rican Woman with Comorbid Addiction.-The client is a 53-year-old Puerto Rican female presenting to the clinic with comorbid alcohol use disorder and gambling disorder symptoms. Mrs. Maria Perez states that she has struggled with alcohol addiction since her late teens following her father's death. Little research has been conducted on the effects of a parent's loss and its caus...

NURS 6630 Week 9 Assessing and Treating Clients With Attention Deficit Hyperactivity Disorder – Young Girl With ADHD/ Katie is an 8 year old Caucasian female.-Attention-deficit/hyperactivity disorder (ADHD) is one of the most common mental disorders affecting children and many adults with an estimated 8.4 percent of children and 2.5 percent of adults with ADHD (American Psychiatric Association, 2018). ADHD symptoms, such as high activity levels, difficulty remaining still for long periods of t...

Seneca College PNR PNR 300/ PNR300 Exam (solutions) Latest, All answers verified and graded already.-2. Jeffrey is a 60 year old who had knee surgery 1 day ago. Ashley the night nurse informs Jalpa the day nurse that Jeffrey received one dose of morphine 2 hours ago and has been sleeping since then with no pain. Jalpa assesses Jeffrey and finds he has no vital signs, a Code Blue is called and Jeffrey is declared deceased. On chart review Ashley did not assess Jeffrey at any time after giving mo...

NURS 6630 Week 8 Assignment 2: Assessing and Treating Patients with Sleep/Wake Disorders ( a 31-year-old male who presents to the office with a chief complaint of insomnia.)-a 31-year-old male who presents to the office with a chief complaint of insomnia. SUBJECTIVE Patient is a 31-year-old male. He states that his insomnia has gotten progressively worse over the past 6 months. Per the patient, he has never been a “great sleeper” but is now having difficulty both falling asleep and staying a...

NURS 6630 Week 8 Assignment 1: Short Answer Assessment, Answered-As a psychiatric nurse practitioner, you will likely encounter patients who suffer from various mental health disorders. Not surprisingly, ensuring that your patients have the appropriate psychopharmacologic treatments will be essential for their overall health and well-being. The psychopharmacologic treatments you might recommend for patients may have potential impacts on other mental health conditions and, therefore, require addi...

NURS 6630 Week 7 Assignment: Assessing and Treating Patients With Psychosis and Schizophrenia; a 34-year-old Pakistani female who moved to the United States in her late teens/early 20s. She is currently in an “arranged” marriage-The client is a 34-year-old Pakistani female who moved to the United States in her late teens/early 20s. She is currently in an “arranged” marriage (her husband was selected for her when she was 9 years old). She presents following a 21-day hospitalization for wh...

Nurs6630n Discussion: Treatment for a Patient With a Common Condition(Case: An elderly widow who just lost her spouse.) Answered-Case: An elderly widow who just lost her spouse. Subjective: A patient presents to your primary care office today with chief complaint of insomnia. Patient is 75 YO with PMH of DM, HTN, and MDD. Her husband of 41 years passed away 10 months ago. Since then, she states her depression has gotten worse as well as her sleep habits. The patient has no previous history of d...

NURS6630; Week 7 Discussion Case 1: Volume 2, Case #16: The woman who liked a late-night TV-Case 1: Volume 2, Case #16: The woman who liked a late-night TV The patient is a 70-year-old woman who exhibits symptoms of depression due to loneliness. Her son and aide assist in her care. She is hard of hearing and has other cardiological problems. She also has a family history of depression. Her ailment worsened because she was unable to sleep and consequently has s restless leg syndrome. The thre...

Assessing and Treating Patients with Anxiety Disorders / NURS 6630 Week 6 Assignment: Assessing and Treating Patients With Anxiety Disorders_Examined Case Study: A Middle-Aged Caucasian Man With Anxiety-The patient is a 46-year-old white male who reports to the emergency room complaining of shortness of breath, chest tightness, and feeling of impending doom. The patient's PCP refers him to me, and he indicates that he has some mild hypertension that is treated with a low sodium diet. After revi...

NURS 6630 week 5 Assignment: Assessing and Treating Patients With Bipolar Disorder >The patient is 26 yr. An old female of Korean descent came to her first appointment following 21 days of hospitalization for acute mania onset-The patient is 26 yr. An old female of Korean descent came to her first appointment following 21 days of hospitalization for acute mania onset. The patient is alert, oriented with impaired insight. The patient denies any suicidal and homicidal ideation. The patient deni...

NURS 6630 Week 4 Assignment: Assessing and Treating Pediatric Patients With Mood Disorders-The client is an 8-year-old African American male who arrives at the ER with his mother. He is exhibiting signs of depression. Client complained of feeling “sad” Mother reports that teacher said child is withdrawn from peers in class Mother notes decreased appetite and occasional periods of irritation Client reached all developmental landmarks at appropriate ages Physical exam unremarkable Laboratory s...

NURS 6630 week 2 Discussion: Foundational Neuroscience, latest Solutions-As a psychiatric nurse practitioner, it is essential for you to have a strong background in foundational neuroscience. In order to diagnose and treat patients, you must not only understand the pathophysiology of psychiatric disorders but also how medications for these disorders impact the central nervous system. These concepts of foundational neuroscience can be challenging to understand. Therefore, this Discussion is desig...

NURS 6630 Week 1 Assignment: Short Answer Assessment (Solved)-As a psychiatric nurse practitioner, before you can recommend potential pharmacotherapeutics to address a patient’s condition or disorder, you must understand the basic function and structure of the neuron and central nervous system. For this Assignment, you will review and apply your understanding of neuroanatomy by addressing a set of short answer prompts. To Prepare: Review the Learning Resources for this week in preparation to c...

NUR 401 CRITICAL CARE CASE STUDIES ALL TOGETHER (Sepsis, Head Trauma, Abdominal Trauma, Overdose, Spinal Cord, ARDS, CAD:CABG)

Case 13 Coronary Artery Disease and Coronary Artery Bypass Surgery (CAD: CABG CASE STUDY)-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 anterior wall myocardial infarction (MI). In addition, he has chronic anemia, hypertension, chronic renal insufficiency, and a recently diagnosed 4-cm suprarenal abdominal aortic aneurysm. Because of his severe CAD, he h...

Case Study: Acute Respiratory Distress Syndrome (ARDS) -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 hemo- pneumothorax, splenic...

Spinal Cord Injury Case Study-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 I would appl...

Overdose Case Study-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? A- Check her airway to see if it is patent B- Make sure she is able to efficiently breath C- Monitor for impaired perfusion (presence...