Nur3330 Study guides, Class notes & Summaries

Hector Jimenez-Walker Pediatric Case Hector Jimenez-Walker, 6-week-old infant who presented to the ED with acute dehydration and a history of projectile vomiting, irritability, and low urine output. Hector’s mother, who is an adult orthopedic surgeon, and father bring Hector to the ED. Hector’s father, Paul Walker, is the primary caregiver and said he visited their pediatrician one week ago due to concerns over frequent vomiting after feeds. Hector’s mother, Helena Jimenez, is breastfeedi...

Mary Jane , Mary Jane is a 21-year-old female who was recently discharged from the behavioral health unit. Mary Jane was engaging in cutting, sleeping excessively, was unable to complete tasks, and had feelings of worthlessness. While in the behavioral health unit, Mary Jane exhibited signs of severe anxiety. Mary Jane was diagnosed with major depressive disorder and prescribed Tofranil. Discharge plans included continuation of imipramine and outpatient therapy. Medications: imipramine (Tofranil...

Janeya Stone, nine-month-old infant brought to the children’s hospital by her parents as a direct admit from the pediatrician’s office. About two-weeks ago, Janeya started having periods when she was very “fussy” and inconsolable, long periods of irritability and vomiting not in response to feedings. At first Janeya’s father thought it was the “flu.” Last week the childcare provider noted an increase in irritability and vomiting, especially after being moved. The parents and childc...

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 he...

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...

Edward Martin Room 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 anxiet...

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...

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...

NUR 3330 Stephanie Gold Room 303 Med-Surg (ALL EVALUATIONS) Stephanie Gold, 19-year-old Caucasian female, G1 T0 P0 A0 L0, 32 weeks gestation. Uncomplicated pregnancy except for anemia treated with PO iron. States 3 times in last week has called on-call obstetrician about fatigue, body aches, mild nausea during the evening. The client reports, “I don’t feel well, I haven’t vomited, but nausea makes me not want to eat too much. I am drinking ok, just want to eat bland foods.” Rest an...

NUR 3330 ROGER CLINTON MED-SURG Room 306 (ALL EVALUATIONS ANSWERED CORRECTLY) Roger Clinton Room 306 Roger Clinton, 57-year-old male construction worker arrives at 0600 to be prepared for a partial thyroidectomy to determine if he has cancer. His past symptoms for three months have been that he noticed a slight hoarseness in speaking, a slight dry cough not related to a cold, and upon examination had a “pea-size lump on the center of his neck”. His Endocrinologist had a radioiodine s...