Unfol - Study guides, Class notes & Summaries

Unfolding Clinical Reasoning Case Study:Postpartum Hemorrhage (PPH)Brenda Jackson, 22 years old with complete solution Brenda Jackson is a 22-year-old African American, G-1, now T-1 P -0 A- 0 L-1 who is Group B strep positive and was treated with four doses of penicillin G. She had a vaginal delivery over an intact perineum after 19 hours of labor at 39 weeks gestation. She has been clinically stable and is about to be transferred to the postpartum unit after a two-hour recovery period. Oxytoci...

UNFOLDING Clinical Reasoning Case Study: Sepsis/Septic Shock

Day 1, 8:00 AM 1. A 9-year-old boy has paravertebral fibrosarcoma of the right lumbosacral area, complicated by paraplegia, urine retention, constipation, and neuropathic pain. He has a 5-month history of progressive lower back pain and swelling and paralysis of the lower limbs. The patient received and responded well to chemotherapy and radiotherapy, with a 40% regression in his tumor. However, the patient continued to suffer severe “burning/piercing” pain in the lower extremities, especia...

Bipolar Depression/Man ia UNFOLDING Reasoning 2024

Cerebral Vascular Accident (CVA) - Unfolding Clinical Reasoning Case Study: ANSWER KEY I. Data Collection History of Present Problem: John Gates is a 59-year-old male who was at work when he had sudden onset of right-sided weakness, right facial droop, and difficulty speaking (dysarthric speech). He was transported to the emergency department (ED) where these symptoms persisted. During transport, he had increased agitation and became confused to place and time. It has been 30 minutes fro...

PEDS NR 328 Jack Anderson UNFOLDING Reasoning case study PEDS NR 328 Jack Anderson UNFOLDING Reasoning case study PEDS NR 328 Jack Anderson UNFOLDING Reasoning case study PEDS NR 328 Jack Anderson UNFOLDING Reasoning case study

Safe and Effective Care Environment Management of Care 17-23% Safety and Infection Control 9-15% Health Promotion and Maintenance 6-12% Psychosocial Integrity 6-12% Physiological Integrity Basic Care and Comfort 6-12% Pharmacological and Parenteral Therapies 12-18% Reduction of Risk Potential 9-15% Physiological Adaptation 11-17% 1 History of Present Problem: John Washington is a healthy 14-year-old African American male who weighs 150 lbs. (68.2 kg). He came...

Abruptio Placentae with Preterm Labor and Delivery UNFOLDING Reasoning Michelle Moore, 38 years old Primary Concept Perfusion Interrelated Concepts (In order of emphasis) 1. Reproduction 2. Ox ygenation 3. Pain 4. Clinical Judgment 5. Patient Education 6. Communication 7. Collaboration Abruptio Placentae with Preterm Labor and Delivery UNFOLDING Reasoning Michelle Moore, 38 years old Primary Concept Perfusion Interrelated Concepts (In order of emphasis) 1. Reproduction 2. Ox ygenation 3. Pain...

Joan Walker is an 84-year-old female who has had a productive cough of green phlegm that started four days ago that persists. She was started three days ago on prednisone 40 mg PO daily and azithromycin (Zithromax) 250 mg PO x5 days by her clinic physician. Though she has had intermittent chills, she had a fever last night of 102.0 F/38.9 C. She has had more difficulty breathing during the night and has been using her albuterol inhaler every 1-2 hours with no improvement so she called 9-1-1 ...

Diabetic Ketoacidosis-DKAUNFOLDING EXAM REASONING QUESTIONS AND ANSWERS Diana Humphries, 45 years old Primary Concept Fluid and Electrolyte Balance Interrelated Concepts (In order of emphasis) lOMoARcPSD| 1. Acid-Base Balance 2. Glucose Regulation 3. Infection 4. Pain 5. Clinical Judgment 6. Patient Education 7. Communication 8. Collaboration lOMoARcPSD| History of Present Problem: Diabetic Ketoacidosis (DKA) Diana Humphries is a 45-year-old woman with chronic kidney disease...