CASE STUDY

Oral and Parenteral Medication Administration Skills & Reasoning Jerry Williams, 62 years old Primary Concept Perfusion Interrelated Concepts (In order of emphasis) x Gas Exchange x Clinical Judgment x Patient Education NCLEX Client Need Categories Percentage of Items from Each Category/Subc...

Advanced Cardiovascular Life Support Exam Version B (50 questions) Please do not mark on this exam. Record the best answer on the separate answer sheet. 1. What should be done to minimize interruptions in chest compressions during CPR? A. Perform pulse checks only after defibrillation. B. Conti...

UNFOLDING Reasoning Case Study: STUDENT Heart Failure History of Present Problem: JoAnn Smith is a 72-year-old woman who has a history of myocardial infarction (MI) four years ago and systolic heart failure secondary to ischemic cardiomyopathy with a current ejection fraction (EF) of only 15%. S...

UNFOLDING Reasoning Case Study: STUDENT Hypertension History of Present Problem: Mike Kelly is a 51-year-old Caucasian male who is 6 feet tall and weighs 275 pounds (BMI 37.3) with an abnormal distribution of weight around his abdomen. He does not regularly exercise, does not like to cook, and e...

UNFOLDING Clinical Reasoning Case Study History of Present Problem: John Kelly is a 77-year-old male with a history of osteoarthritis, asthma, early stage dementia, and heart failure who had a right total hip arthroplasty and is post-operative day one. Since surgery he has been on path, resting ...

History of Present Problem: Minnie Taylor is a 62-year-old African-American female with a history of diabetes mellitus type II, hypertension, and peripheral arterial disease who had a left below the knee amputation (LBKA) three days ago. She had two small loose, watery stools last night and a t...

History of Present Problem: Jack Anderson is a 9-year-old boy who presents to the emergency department because he has been more sleepy and his breathing is “not normal;” it is deeper and faster, according to his parents. Jack was sick with a respiratory virus two weeks ago but has since recov...

History of Present Problem: Mandy Gray is a two-month-old infant born with a large ventricular septal defect (VSD) that was diagnosed by her pediatrician during her two-week infant check-up. The parents called her pediatric cardiology clinic because Mandy was breathing faster and showed signs of ...

Joyce Johnson, 58 years old Overview When a patient has a stroke, is intubated, and unable to wean off the ventilator, what can be done to ensure the patient’s autonomy when there is no living will and no family that can be contacted to guide this decision-making process of a vulnerable adult?...

Anthony Robinson, 67 years old Primary Concept Perfusion/Gas Exchange Interrelated Concepts (In order of emphasis) • Clinical judgment NCLEX Client Need Categories Covered in Case Study NCSBN Clinical Judgment Model Covered in Case Study Safe and Effective Care Environment Step 1: Recog...

Morgan Adams, 72 years old Primary Concept Cognition Interrelated Concepts (In order of emphasis) • Pain • Mood and Affect • Psychosis • Clinical Judgment • Patient Education • Communication • Collaboration NCLEX Client Need Categories Percentage of Items from Each Category...

The case study focuses on Ms. Perez a Puerto Rican Woman struggling with Comorbid Addiction commonly referred as an “embarrassing problem”. The woman is 53 years old with major complaints that she is struggling with co-morbid addictions of gambling and alcoholism. The woman claims that she ha...