NU 460 (NU 460)

NU 460 Parkinson's Disease Case Study ► L.C. is a 78-year-old man with a 4-year history of Parkinson's disease (PD). He is a retired engineer, is married, and lives with his wife in a small farming community. He has four adult children who live close by. Since his last visit to the clinic 6 months ago, L.C. reports that his tremors are “about the same” as they were; however, further questioning reveals that he feels his gait is perhaps a little more unsteady, and his fatigue is slig...

NU 460 Inflammatory Bowel Disease With Small Bowel Obstruction C.W., a 36-year-old woman, was admitted several days ago with a diagnosis of recurrent inflammatory bowel disease (IBD) and possible small bowel obstruction (SBO). C.W. is married, and her husband and 11-year-old son are supportive, but she has no extended family in-state. She has had IBD for 15 years and has been taking mesalamine (Asacol) for 15 years and prednisone 40 mg/day for the past 5 years. She is very thin; at 5 feet 2 i...

NU 460 Mechanically Ventilated Patient Case Study ► P.W., a 33-year-old woman diagnosed with Guillain-Barré syndrome (GBS), is being cared for on a special ventilator unit of an extended care facility because she requires 24-hour-a-day nursing coverage. She has been intubated and mechanically ventilated for 3 weeks and has shown no signs of improvement in respiratory muscle strength. Her ventilator settings are assist- control (A/C) of 12 breaths/min, tidal volume (V T ) 700 mL, FiO 2 0.5...

NU 460 Percutaneous Coronary Intervention Case Study You are in the middle of your shift in the coronary care unit (CCU) of a large urban medical center. Your new admission, C.B., a 47-year-old woman, was just flown to your institution from a small rural community more than 100 miles away. She had an acute anterior wall myocardial infarction (MI) last evening. Her current vital signs (VS) are 100/60, 86, 14. After you make C.B. comfortable, you receive this report from the flight nurse:...

NU 460 Status Epilepticus Case Study You are the nurse on a medical unit taking care of a 40-year-old man, A.A., who has been admitted with peptic ulcer disease secondary to chronic alcoholism. He also has a history of “street” drug abuse. You enter A.A.'s room and find him having a generalized convulsive (tonic-clonic) seizure.

NU 460 Mechanically Ventilated Patient P.W., a 33-year-old woman diagnosed with Guillain-Barré syndrome (GBS), is being cared for on a special ventilator unit of an extended care facility because she requires 24-hour-a-day nursing coverage. She has been intubated and mechanically ventilated for 3 weeks and has shown no signs of improvement in respiratory muscle strength. Her ventilator settings are assist-control (A/C) of 12 breaths/min, tidal volume (V T ) 700 mL, FiO 2 0.50, and positive end...