Chapter 15- Dementia and Delirium H.D. is a 78-year-old man who comes to see his physician for an annual checkup. You are the nurse in the office. His clinical problems include obesity, hypertension, low back pain, peripheral neuropathy, atrial fibrillation and mild dementia. H.D.’s wife mentions she is most concerned about his driving. Upon the […]

Chapter 30 – Caring for Older Adults at the End of Life   You have very recently begun working as a hospice nurse and your first client is an 86-year-old with a diagnosis of terminal cancer. The client after discussing with family has decided to forgo any further treatments, and has expressed wishes to pass […]

Chapter 25 – Sleep and Rest   Instructions:   1. Read the Case Study – Part 1: Mrs. Z. at 66 Years of Age on page 518 and answer the following questions:   a. Are there myths or misunderstandings on Mrs. Z part and what are they if there are any present?   b. What […]

The nurse is sitting in on a treatment team meeting about reducing the risk of falls on the unit. In the last year, the unit has had five elderly people fall from bed or while getting up to void at night. Administration would like the treatment team to develop and implement a fall-prevention program. This […]

While out shopping with your friend, she shares that she has been taking care of her grandmother at her home quite frequently lately and that she has noted that the grandmother has been suffering with urinary incontinence at night when it has never been an issue previously. She also mentions that she decreased her grandmother’s […]

1. Mary is a 35-year-old woman that has been diagnosed with hypothyroidism. Her labs today show a TSH of 20, MCV 78, MCHD 26, Ferritin 9, TIBC 418. She has a history of iron deficiency anemia for 2 months. Current medications include Kelp tablets daily, ibuprofen 400 mg daily as needed, and ethinyl estradiol/norgestrel one […]

ASSIGNMENT: CASE STUDIES Case studies are a useful way for you to apply your knowledge of pharmacokinetics and pharmacodynamic aspects of pharmacology to specific patient cases and health histories.   For this Assignment, you evaluate drug treatment plans for patients with various disorders and justify drug therapy plans based on patient history and diagnosis.   […]

1. The NP is evaluating a patient with Parkinson’s Disease who has been taking Carbidopa/Levodopa for the past year. Which adverse reaction will the NP educate the patient about?   A. Dyskinesia   B. Glaucoma   C. Hypotension   D. Respiratory Depression       2. What STI is asymptomatic in 75% of women and […]

Jerry is a 24 year old in the ICU that was hit by a car while walking 7 days ago. This accident resulted He began to develop sepsis. Day 8 you notice petechiae on his torso and blood oozing from his past IV insertion sites. His suture lines from his hip surgery are oozing blood […]

Marie is a 27 year old female who is homeless. She arrives at the emergency department with complaints pain in her left foot. After an assessment you discover that she has an open wound on the bottom of her left foot that is red, swollen, and draining green fluid. Cellulitis is present up the leg […]