Mr. Lyle is an 85-year-old long-time resident of Sunnyvale Nursing Facility who suffered a stroke several years ago, causing left hemiplegia and expressive aphasia. He requires moderate-maximum assistance with all his ADLs and is wheelchair bound. Since his stroke, he takes an oral blood thinner daily. He seems to enjoy the weekly visits from his […]

Serotonin and Norepinephrine Reuptake Inhibitor: Medications in this Class (generic and trade name and dose range) Neurotransmitter(s) targeted and level of imbalance ( or -) Mental Health Disorders treated by this class of medication (be specific i.e. bipolar mania, bipolar depression, depression, anxiety, binge-eating disorder, etc.) Most common/important side effects associated with this medication class […]

Mr. Lyle is an 85-year-old long-time resident of Sunnyvale Nursing Facility who suffered a stroke several years ago, causing left hemiplegia and expressive aphasia. He requires moderate-maximum assistance with all his ADLs and is wheelchair bound. Since his stroke, he takes an oral blood thinner daily. He seems to enjoy the weekly visits from his […]

An 8-year-old female client presents to the child psychiatry clinic with their family member. The child was referred by the family health care provider, who was concerned about her behavior at home and in school. The nurse checks the child’s vital signs, height, and weight. Vital Signs Heart rate: 121 beats/minute Respirations: 24 cycles/minute Blood […]

Mrs. Romero is a 67-year-old diabetic client who lives at home with her husband. She is 5’5″, weighs 360 lb., and takes oral diabetic medications. Her husband uses a mechanical lift to transfer her, she is incontinent of bowel and bladder, and wears a brief. Both she and her husband enjoy sugary treats and he […]

A 12-year-old female is scheduled to receive three vaccines during her annual wellness exam. Prior to administrating the vaccines, the nurse provides the patient’s parents with the appropriate Vaccine Information Statements (VIS). Select the description that best summarizes the purpose of these documents. To inform the recipient, parent, or guardian about the risks and benefits […]

Mr Slade is a new resident in the nursing home. The Clinical Nurse, Robyn, was assessing him as part of his initial Care Plan development. While walking with him to the interview room, she noticed he was limping and his trouser leg was slightly stained. She asked him about his limp and its cause. He […]

Carolina Samolis: 1. Carolina has severe Cerebral Palsy and is basically a nonverbal child. Explain ways to assess whether she is in distress or pain. 2. Carolina has pneumonia and a tracheostomy. What are some clinical indications that a patient needs to be suctioned? Should normal saline be instilled into the trach before tracheal suctioning? […]

Ben is 16. Ben has epilepsy which has recently become poorly controlled. Ben is currently taking phenobarbital and phenytoin for his epilepsy. His parents suspect Ben is drinking as of late, his behaviour is troublesome (unruly). Ben has had some blood tests. •Gamma glutamyl transferase (GGT) 82 U/L (<36 U/L adult) •Alkaline phosphatase (ALP) 520 […]

Mr Neil Smith, 75 years old had total hip replacement under general anaesthesia. He returned from recovery around one hour ago. He is on prophylactic IV antibiotics. He is complaining of nausea and started vomiting, it is written IV Ondansetron 4 mg bolus/push PRN in the post op order. You are required to administer the […]