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Question.
1. Identify/Give 3 priority problems of John. (that can be used to create a Nursing Care Plan for John)
Thank you!
Step by step
Solved in 3 steps
- __________ medications are often used to treat patients with ADHD. Tranquilizer Antibiotic Stimulant Anti-seizureJohn Jones, age 33, has been admitted to the hospital for the third time with a diagnosis of paranoid schizophrenia. John had been taking haloperidol (Haldol) but stopped taking it weeks ago, telling his case manager it was “the poison that is making me sick.” Yesterday, John was brought to the hospital after neighbors called the police because he had been up all night yelling loudly in his apartment. Neighbors reported him saying, “I can’t do it! They don’t deserve to die!” and similar statements. John appears guarded and suspicious and has little to say to anyone. His hair is matted, he has a strong body odor, and he is dressed in several layers of heavy clothing even though the weather is warm. So far, John has been refusing any offers of food or fluids. When the nurse approached John with a dose of haloperidol, he said, “Do you want me to die?” Identify the three priorities, nursing diagnoses, and expected outcomes for John’s care with your rationales for the choices.John Jones, age 33, has been admitted to the hospital for the third time with a diagnosis of paranoid schizophrenia. John had been taking haloperidol (Haldol) but stopped taking it weeks ago, telling his case manager it was “the poison that is making me sick.” Yesterday, John was brought to the hospital after neighbors called the police because he had been up all night yelling loudly in his apartment. Neighbors reported him saying, “I can’t do it! They don’t deserve to die!” and similar statements. John appears guarded and suspicious and has little to say to anyone. His hair is matted, he has a strong body odor, and he is dressed in several layers of heavy clothing even though the weather is warm. So far, John has been refusing any offers of food or fluids. When the nurse approached John with a dose of haloperidol, he said, “Do you want me to die?” What additional assessment data does the nurse need to plan care for John? Identify the three priorities, nursing diagnoses, and expected…
- Jesus Martinez is a 46-year-old Hispanic male on your unit. He was admitted 2 days ago for exacerbation of his schizophrenia, and is positive for command auditory hallucinations. He has been paranoid and feels that the government is looking for him. His psychiatrist started him on clozapine on admission. The mental health worker assigned to this client has alerted you that the client’s temperature is 101ºF, an increase in a vital sign,andhe is diaphoretic. Additionally, he reports that the client is “not very alert;” his muscles are rigid with some dyskinesia and drooling. (Learning Objectives 10, 15) 1. What do you feel is happening to your client and why? 2. Describe what nursing actions you would need to take in this case and why? 3. Is this client in a crisis situation?Why or why not?Susan Watts, a 30-year-old female client, was diagnosed with schizophrenia and was treated with paliperidone (Invega) 9 mg PO every day and benztropine (Cogentin) 1 mg PO2× a day. The client arrives at the clinic and is exhibiting the following symptoms. She is repeating what is said to her (echolalia) and is telling you that the sirens are loud and the paramedics are working hard to save the man. She yells over at the paramedics, she sees and tells them they are doing a great job. She has a flat affect and is bouncing her knees up and down as she sits staring at the wall where she is seeing and hearing the hallucination. Her husband is with her and stated he is worried about his wife because she has not bathed, washed, or combed her hair for 2 days now. She has not gone to work for the past week. He stated that she keeps failing to take her medications even with reminding. The client’s husband asks the LPN/LVN if there is any way the drug therapy could be managed differently so his…Sgt. Eddie Johns leaned back against the chair in the outpatient... Sgt. Eddie Johns leaned back against the chair in the outpatient orthopedic clinic. His head was killing him! He wasn't sure which was worse, the "morning after" headache or not being able to sleep at night. At least when he had a few beers under his belt so he could catch a few hours of sleep. It had been like this since he was air evacuated back stateside from Afghanistan after the roadside bomb went off. He was thankful that he had only broken his leg in a couple of places and gotten a bad bump on the head. They called that traumatic brain injury but he didn't know what that was and really didn't believe them anyway. He was still thinking just fine. His friend Joe wasn't so lucky! How was Joe going to learn to walk on those artificial legs? He was still in the hospital in Washington, DC. That was pretty far from his home. Eddie wished he could visit Joe. They had been in the same platoon for 9 months. But, Eddie…
- The co-anchor for a local television station newscast comes to a clinic for a blood test. The phlebotomist recognizes her immediately. They have a pleasant conversation while the phlebotomist draws the speci- men. Later that evening the phlebotomist says to her husband, “Guess who I drew today?” She then pro-ceeds to tell him the co-anchor’s name, adding,“She is probably bipolar because I drew a lithium level on her.” Questions1. What mistake did the phlebotomist make? 2. What law was violated by her actions? 3. What legal action could result?Grenda Castillo is a 25-year-old woman who has been diagnosed with PTSD. She recently returned from three tours in the army infantry in Afghanistan and Iraq. Her mother invited her to live at home with her two younger sisters until she finds a job and a new residence. Grenda is found in the living room or on the porch early in the morning asleep. She states that she is unable to sleep in her bed. Her youngest sister has awakened to hear her Grenda screaming and yelling in her sleep. Her sister wakes her up to find her crying and shaking. Grenda will not explain why she wakes up with such fright, but it continues to happen night after night. Grenda barely eats and hardly gets out of the house when her friends call. Her mother has offered to get her counseling, but Grenda states it won't help. Discuss the implications this case has on each family member. What long-term consequences are there in this situation?The CaseAn 80-year-old man with a history of coronary artery disease, hypertension, and schizophrenia was admitted toan inpatient psychiatry service for hallucinations and anxiety. On hospital day 2, he had sudden onset ofconfusion, bradycardia, and hypotension. He lost consciousness, and a "code blue" was called.The inpatient psychiatry facility is adjacent to a major academic medical center. Thus, the "code team"(comprising a senior medical resident, medical intern, anesthesia resident, anesthesia attending, and criticalcare nurse) within the main hospital was activated. The message announced through the overhead speakersystem, "Code blue, fourth floor psychiatry. Code blue, fourth floor psychiatry."The senior resident and intern had never been to the psychiatry facility. "How do we get to psych?" the seniorresident asked a few other residents in a panic. "I don't know how to get there except to go outside andthrough the front door," a colleague answered. The senior resident and…
- Why is it preferable to start taking morphine before an operation instead of waiting until later?Matt has had schizophrenia for many years. When Matt receives a CT scan of his brain, it is found that are larger than normal. his pituitary glands his ventricles the left and right lobes of his thalamus his hippocampi his temporal lobesPlease match the altered state of consciousness with the patient it best describes. Delirious V [ Choose ] A patient who bumped there head during an automobile accident who is having trouble thinking clear A 63 year old wornan who has not taken anti-psychotic medications and is having an acute onset of H A car accident victim who was ejected from their vehicle and is not aroused by even painful stimuli A patient who has taken too much anti-anxiety medication and is now acting in a sluggish and uninter A patient with acute gastritis who is struggling to stay awake but responds to voice or touch An injured patient who contains to fall asleep unless forcefully shaken or yelled at Confused Obtunded [ Choose ) Stuporous [ Choose ] Lethargic [ Choose ]
