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NURSING II ADN 235- 60: Ethical Dilemma: Remain Intubated or Withdraw Life Support (Joyce Johnson, 58 years old). Case Study. 
 
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? 
I think the Doctors and ethical committee come in and take place for any decision making that needs to be mad...
Clinical Dilemma Activity: STUDENT 
Remain Intubated or Withdraw Life Support 
I. Scenario 
History of Present Problem: 
Joyce Johnson is a 58-year-old woman with a history of atrial fibrillation, COPD, and depression. A friend who had not 
heard from her for two days became concerned and went to her home. She found Joyce unresponsive on the floor of her 
living room. She had a large left middle cerebral artery (MCA) ischemic stroke. She is intubated and has remained in ICU 
since she was admitt...
Remain Intubated or Withdraw Life Support 
I. Scenario 
History of Present Problem: 
Joyce Johnson is a 58-year-old woman with a history of atrial fibrillation, COPD, and depression. A friend who had not 
heard from her for two days became concerned and went to her home. She found Joyce unresponsive on the floor of her 
living room. She had a large left middle cerebral artery (MCA) ischemic stroke. She is intubated and has remained in ICU 
since she was admitted to the hospital five days ago. Sh...
NURSING II ADN 235-60 -ATI Nursing Care of Children Practice A. 
ATI Nursing Care of Children Practice A 
Strabismus- A condition in wich the eyes do not align with one another when looking at an object. 
 
Treatment of strabismus includes covering the strong eye to strengthen the muscles in the weak eye.
NURSING ADN 621- Unit 6 Review/NURSING ADN 621- Unit 6 Review. 
Postpartum Assessment BUBBLE SHE 
 
-	Breast 
 
-	Uterus 
 
-	Bladder 
 
-	Bowel 
 
-	Lochia 
 
-	Episiotomy 
 
-	Support 
 
-	Homan's 
 
-	Emotional 
 
Postpartum Assessment-Lower extremities 
 
Edema, Pulses, Homan's, Color, Tenderness 
 
Postpartum Assessment-Vital Signs
NURSING ADN 621- UNIT 2 Study Guide/NURSING ADN 621- UNIT 2 Study Guide. 
Arterial Blood Gases I 
 
ABG’s 
 
Done for 2 reasons 
 
	Determine oxygenation 
 
	Determine acid base balance 
 
Usual site radial artery (wrist area thumb side) 
 
	also can use brachial and femoral arteries as well after blood drawn intervention 
 
	nursing or lab tech intervention apply pressure to site for 5-15min 
 
	assess color senstion, warmth, pulse, capillary refill
NURSING II ADN 235-60 - HESI HINTS/NURSING II ADN 235-60 - HESI HINTS. 
Pneumonia 
 
HESI Hint Fever can cause dehydration from excessive fluid loss in diaphoresis. Increased temperature also increases metabolism and the demand for oxygen. 
 
HESI Hint High Risk for Pneumonia Any person who has an altered level of consciousness, has depressed or absent gag and cough reflexes, or is susceptible to aspirating oropharyngeal secretions (including alcoholics, anesthetized individuals, those with brai...
NURSING ADN 621 - Unit 7 Review/NURSING ADN 621 - Unit 7 Review. 
Gastric Ulcer S/S 
- Left epigastric pain, may radiate to back. 
- Occurs 30 minutes after meals & lasts 1 to 2 hours. 
Duodenal Ulcer S/S 
- Mid back & mid-epigastrium, burning/cramping pain. 
- Occurs 2 to 4 hours after meals, pain relieved with eating. 
- Complaints of pain at night.
NURSING ADN 621- Unit 6 Study Guide/NURSING ADN 621- Unit 6 Study Guide. 
INTRAPARTUM 
 
Diagnostic Testing 
 
Assessment of the Client Who Has Diagnostic Testing 
 
G/P 
 
Maternal health problems 
 
o	key element to look for history of diabetes 
 
o	maternal diabetes is an indication for diagnostic procedures to make sure fetus is ok Current obstetric problems 
 
Prior obstetric problems 
 
History of substance abuse 
 
o	including alcohol and tobacco Client knowledge of test 
o	knowledge and ...
NURSING ADN 621 - Unit 1 Review/NURSING ADN 621 - Unit 1 Review. 
 
LPN TO RN / ROLE TRANSITION 
 
Use your LPN to RN textbook, it is a great reference!!! 
 
Many different guide lines. 
 
Thinking process is very different 
 
must undertand diffrences 
 
 
Three Phases / Returning to School Syndrome 
 
	Honeymoon Phase- excited confident new found purpose usually last first weeks. Material becomes more difficult or become overwhelmed with balance of school and life move into conflict phase