Nur3330 Study guides, Class notes & Summaries

Amanda Blaire Room 301 Amanda Blaire, 14-year-old female, who was in an ATV accident and now has a fractured tibia and fibula. Her vital signs are Temperature 98.6, HR 87, BP 111/72, RR 18, PaO2 97%. She is post-op day 1 with continuous traction and skeletal pins to immobilize leg. You responded correctly to 4 out of 6 evaluations: Category Your response Explanation Educational Needs Normal acuity Status Assessment reports fracture and surgery and rehabilitation needs. Health Normal acu...

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. You responded correctly to 4 out of 6 evaluations: Category Your response Explanation...

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 Explana Pain Normal acuity Status assessment reports no indication of increased Pain acuity Psych Normal acuity Status assessment reports does not give clear indication to incre Safety Increased acuity Status assessment reports not wearing ...

Elijah Williams Room 301 Elijah Williams, came to the clinic for a well-child visit the child is 4 years old and has not been seen for a well-child visit for a couple of years. He is entering pre-K and is needing an updated immunization record for school. The patient is playing with the toys in the waiting area. He is accompanied by his mother. You responded correctly to 2 out of 6 evaluations: Category Your response Explanation Educational Increased acuity Children should have annual we...

Exam (elaborations) Hayden Clark Room 302 (NUR3330) solved 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 low40’s. You responded correctly to 6 out of 6 evaluations: Category Your response Explana Pain Normal acuity Status assessment reports no indication of increased Pain acuity Psych Normal acuity Status assessment reports does not give clear indication to incre Safety Increased acuity S...

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 her ...

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...

Mark Robinson is a 52-year-old advertising executive. He presented to the Emergency Department complaining of abdominal pain with a history of black stools for 5 days. He is also complaining of lightheadedness when he tries to stand, and prior to that he has been extremely fatigued to the point that he had to take a couple days off work. He thought he was coming down with the flu, so he has been taking Motrin 800mg twice a day. He is currently on Prednisone 30 milligrams a day for Behcet...

Edward Martin , 44-year-old male recently discharged from an outpatient partial hospitalization for paranoid schizophrenia. He was experiencing delusions and causing a public disturbance. Edward was diagnosed with paranoid schizophrenia at age 28 and had one suicide attempt via overdose at age 32. Edward has had episodic hospitalizations for hallucinations and delusions resulting from non-adherence to his medication regimen. Edward’s comorbidities include generalized anxiety disorder and hyper...

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 her baby...