Carl Shapiro is a 54-year-old male who travels frequently. He was seen in the Emergency Department...

Carl Shapiro is a 54-year-old male who travels frequently. He was seen in the Emergency Department at 1:30 p.m. for complaints of chest pain, diaphoresis, and shortness of breath. He was treated in the Emergency Department with aspirin and two doses of sublingual nitroglycerin. Chest pain improved with nitroglycerin administration. IV infusion of normal saline was started in the Emergency Department and is running at 25 mL/hour. Ordered lab values are pending. Provider wants to be called as soon as the labs are available. Patient is receiving oxygen at 4 L/min with SpO₂ values at 97%. Chest pain was last rated as a "0" following second nitroglycerin dose and nitroglycerine patch 0.4 mg. He has been admitted to the Telemetry Unit.

Pt#2

Skyler Hansen is an 18-year-old male diagnosed with type 1 diabetes 6 months ago. He was brought to the Emergency Department by his friends. The friends report that he started acting "weird" while they were playing basketball. He has not eaten anything for 5 hours. Skyler told them that he felt lightheaded and was going to lie down on the cement. They became nervous and decided to bring him in to the Emergency Department. The patient is drowsy, wakes with stimulus, has slurred speech, is diaphoretic, and is acting irrationally

Pt#3

Doris Bowman is a 39-year-old female patient who underwent a total abdominal hysterectomy with bilateral salpingo-oopherectomy with general anesthesia. Patient tolerated the procedure without complications. She has an abdominal incision covered with a 4 × 4 gauze dressing with no drainage noted. IV of potassium chloride in 5% dextrose and normal saline is infusing at 125 mL/hr. Estimated blood loss was 400 mL. She was extubated in the operating room and is breathing spontaneously at 21 breaths per minute. Blood pressure is stable at 154/92. She has a Foley catheter placed with 200 mL urine output and compression stockings have been applied.

Questions

In what ways are the patients similar?

In what ways would their nursing care be similar?

In what ways are the 3 patients different?

How would their care be different? Why?

Solutions

Expert Solution

Nightingale answered 1 year ago

Next > < Previous

Related Solutions

Carl Shapiro is a 54-year-old male who travels frequently. He was seen in the Emergency Department...

A 54-year-old male patient arrives in the emergency department complaining of severe chest pain that radiates...

A 54-year-old male patient arrives in the emergency department complaining of severe chest pain that radiates to his mid-back along with dyspnea. He is morbidly obese, has smoked two packs of cigarettes a day for the past 20 years, and has two immediate family members who have died of heart disease. 1. What does the ED physician suspect is causing the patient’s symptoms? 2. What tests should the ED physician order? 3. Will surgical intervention be necessary, and if so,...

Mr. Schmidt is a 56 year old male patient who presented to the emergency department with...

Mr. Schmidt is a 56 year old male patient who presented to the emergency department with complaints of left foot pain and swelling, fever and chills for 2-3 days. The client reported increasing discomfort to the foot with noticeable redness that also seems to be worsening. He has an ulcer to the dorsum of the left foot. The client noted that he was seen by his family physician a week ago and a swab was done on the ulcer which...

Mr. Green is a 65 year old male who presented to the emergency department with complaints...

Mr. Green is a 65 year old male who presented to the emergency department with complaints of weakness and a temperature of 102.4. Subjective Data: · “I feel rotten – I don’t know if my counts are down. I just had chemotherapy 8 days ago”. · “I have small cell lung cancer and just received Cis-Platin and Etoposide. · “I was hospitalized with SIADH two months ago”. Objective Data: Physical examination · Cardiovascular: B/P – 82/62 AP – 118/min ...

Mr. Grinch is a 68 year old male who presented to the Emergency Department (ED) with...

Mr. Grinch is a 68 year old male who presented to the Emergency Department (ED) with severe shortness of breath (SOB), fatigue, and recent weight gain of 5 kg. It is two days after Thanksgiving and Mr. Grinch has been eating salted ham and a large amount of leftovers for every meal. He is having trouble speaking, but reports he has been having difficulty sleeping and states, “I feel like I’m drowning. I’ve tried using multiple pillows to get rid...

your patient is a 19- year old male who arrived by ambulance to the emergency department....

your patient is a 19- year old male who arrived by ambulance to the emergency department. He was sitting and talking on the sofa at his girlfriend's apartment when he had a single episode of collapse with seizure-like activity. 1. what are your primary concerns for this patient and what assessments and interventions would be associated with your concerns, and why? 2. what do you anticipate the patient's home medications prior to admission might be, and why? 3. what medications...

Jean is a 45-year-old male who presents to the emergency department complaining of a headache and...

Jean is a 45-year-old male who presents to the emergency department complaining of a headache and mild chest pain. He has no SOB or diaphoresis. The triage nurse takes his blood pressure and gets a value of 140/120. What is his pulse pressure and MAP? Are these values normal? If not, what is considered the normal range? What are some possible consequences if this is not corrected?

Jack Lane, a 54-year-old male client who teaches history at the local high school, is seen...

Jack Lane, a 54-year-old male client who teaches history at the local high school, is seen at the outpatient surgical center for a left inguinal herniorrhaphy via a laparoscopic approach. The client was moving to a different house and developed the hernia while lifting heavy objects 1 week ago. When the client is standing, the nurse sees bulging in the left inguinal area, which decreases when he is lying flat. The vital signs include T, 99° F; BP, 120/78 mm...

Carl is a 65 year old male who manages an independent grocery store. Carl works very...

Carl is a 65 year old male who manages an independent grocery store. Carl works very long days, arriving at the store at 5:30am most days and not leaving until 8pm. Carl is very hands on in the business and regularly unloads deliveries and stocks the shelves. Carl has early stages of heart disease that is manageable with medication. Carl is an ex-smoker, having smoked from the age of 18 – 53. Carl is a non-drinker and maintains a healthy...

Harrison Richmond at my 27 year old male is seen in the emergency room for a...

Harrison Richmond at my 27 year old male is seen in the emergency room for a sprain back (coccyx)suffered as a result of falling off a horse he was riding in the local public park. Principal Diagnosis: What is the correct diagnosis code? Principal External Cause Code: What is the correct diagnosis code? Second External Code: What is the correct diagnosis code?

Subjects