Nur 3330 - Study guides, Class notes & Summaries

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...

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...

NUR 3330 Renee Wilson maternal Case Study 26 y/o G1P0 admitted four hours ago to the Birthing Center

Exam (elaborations) NUR 3330 ROGER CLINTON MED-SURG Room 306 (ALL EVAL 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 scan performed that showed a ...

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...

NUR 3330 Baby Strickland CASE STUDY ALL 5 SCENARIOS

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 and acetaminophen were recommended. Client is first-year nursing...

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...

Charlie Raymond, 65-year-old male who was admitted to a negative pressure room on Med-Surg for COVID precautions.. He has a history of COPD, hypertension, diabetes type II, and a recent myocardial infarction. He is a retired postal worker who lives at home with his wife. He is on Claforan (cefotaxime) 2 g IV q4hr and sliding scale insulin. Initially this cardiologist was concerned about congestive heart failure and Mr. Raymond is receiving Furosemide (Lasix) 20 mg IV twice a day for pulmonar...

Trey Johnson Room 306 Trey Johnson, Mr. Johnson was admitted for severe abdominal pain. He is HIV positive and has had a full diagnosis for the past 6 months. He has been receiving covalow for the past 6 months. While he has been compliant with good results reducing his viral load, he recently returned from an extended visit to Asia. His nausea and abdominal discomfort started two weeks ago. His VS are stable with a slightly elevated Temperature of 100.2 F, 37.9 C. He has been admitted fo...