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Admitting Diagnosis: Autism Spectrum Disorder
Sam is a 16-year-old young man with ASD and significant cognitive delays. Sam attends a
public school special day class that offers frequent instruction in varied settings to foster
independence in the community. (more details on the attached pics)
Question:
1. Create 2 NCP for patient Sam.
- Asessment-Subjective and Objective Data
- Diagnosis, Planning/Goal, Interventions with Rationale, Evaluation
Step by step
Solved in 2 steps
- A 57 year old male presented to the Tulane Emergency department at 4:00 AM with the acute onset of right-sided facial drooping, speech slurring, and difficulty with lifting his right upper extremity. Upon presentation, he is unable to communicate with medical staff, as he cannot get any words out; when asked about his birthday, he attempted to speak but was unable to produce any words, but he was able to write his birthdate down correctly when asked to do so. He was unable to lift his right arm, turn his head toward the right side, or He has a strong history of heart issues, dating back to his 40’s when he suffered from a myocardial infarction (heart attack) which required two stents placed in his left anterior descending (LAD) artery. He was prescribed Plavix (Clopidogrel) and aspirin 80 mg daily after his heart attack, and he was advised to stop smoking. He had successfully stopped smoking for 2 months prior to restarting. He currently smokes 2 packs of Marlboro Menthol Light…Upon presentation:An 18-month-old female arrives by ambulance at the emergency department. Theparamedics report that there was no known history of any recent trauma, and no knownfever, vomiting, or other unusual behavior. There were no known ingestions ormedications in the household. There was no evidence of trauma.Interview and History:At 9 PM the previous night, Ella was described by her mother as appearing more quietthan usual. They had spent the day traveling from the grandmother's house and Ella hadbeen carsick so had not eaten very much during the day. When they got home, Ella hadsome water and went to bed. Ella slept longer than usual and was found unresponsive by her mother at 9AM; at this time her mother called 911.Follow-up tests:1. Blood glucose: 23 mg/dL (normal range 90 – 125 mg/dL)2. Repeat blood glucose: 50 mg/dL following administration of glucagon3. Urinary acids: Markedly elevated levels of glutaric, ethylmalonic, and dicarboxylicacids; ketones absent4. Serum free…Shirley Smith Age: 52Race: CaucasianGender: FemaleHeight: 68 inchesWeight: 153 lb. (69.4 kg) Occupation: Retired Marital Status: Widowed Religion: AgnosticAllergies: None knownAddress: Assisted Living facilityImmunizations: Up to date HistoryShirley's husband died unexpectedly 2 months ago, which is the time she enteredan assisted living facility. Shirley states she has become depressed from the lossof her husband and the inability to physically do activities she desires due to theCOPD.Shirley presents to the ER with difficulty breathing and shortness of breath atrest, and increased fatigue. The patient is currently on 2 Liters of oxygen nasalcanula at all times. Shirley smoked cigarettes for 32 years and just recently quit 2months ago when she was put on full-time oxygen.Past medical history: hysterectomy at the age of 48, Gastroesophageal refluxdisease (GERD), and Atrial Fibrillation. MedicationsPrednisone (HOLD) 20 mg oral DailyPantoprazole 40 mg oral DailyWarfarin 5 mg oral…
- Admitting Diagnosis: Autism Spectrum Disorder Sam is a 16-year-old young man with ASD and significant cognitive delays. Sam attends a public school special day class that offers frequent instruction in varied settings to foster independence in the community. (more details on the attached pics) Question: 1. Describe Autism Spectrum Disorder with a minimum of 300 words that includes: definition, epidemiology, signs and symptoms, treatment and management.Shirley Smith Age: 52Race: CaucasianGender: FemaleHeight: 68 inchesWeight: 153 lb. (69.4 kg) Occupation: Retired Marital Status: Widowed Religion: AgnosticAllergies: None knownAddress: Assisted Living facilityImmunizations: Up to date HistoryShirley's husband died unexpectedly 2 months ago, which is the time she enteredan assisted living facility. Shirley states she has become depressed from the lossof her husband and the inability to physically do activities she desires due to theCOPD.Shirley presents to the ER with difficulty breathing and shortness of breath atrest, and increased fatigue. The patient is currently on 2 Liters of oxygen nasalcanula at all times. Shirley smoked cigarettes for 32 years and just recently quit 2months ago when she was put on full-time oxygen.Past medical history: hysterectomy at the age of 48, Gastroesophageal refluxdisease (GERD), and Atrial Fibrillation. MedicationsPrednisone (HOLD) 20 mg oral DailyPantoprazole 40 mg oral DailyWarfarin 5 mg oral…N.H. is a 76-year-old male admitted to the hospital through the emergency department. He fell outside his home. It appears that he may have sustained a fracture to his left hip. He has a history of type 2 diabetes mellitus and has a 40 pack-year smoking history that is now complicated by chronic obstructive pulmonary disease. Data Collected (use only those that apply) Complains of excruciating pain and tenderness in left hip Pain not relieved with morphine BP 166/94 mmHg Diaphoretic and pale skin Respiratory rate 36; crackles, expiratory wheeze X-ray of left hip reveals extracapsular fracture Hematocrit 30%; hemoglobin 15g/dL; WBC 15,000/uL Discussion Questions: Considering the nursing process, list in order the steps in transferring patient from bed to chair post operatively.
- A visiting nurse is performing a family assessment of ayoung couple caring for their newborn who was diagnosedwith cerebral palsy. The nurse notes that the mother’s hairand clothing are unkempt, the house is untidy, and themother states that she is “so busy with the baby that I don’thave time to do anything else.” What would be the priorityintervention for this family?a. Arrange to have the infant removed from the home.b. Inform other members of the family of the situation. c. Increase the number of visits by the visiting nurse.d. Notify the care provider and recommend respite care forthe mother.Discuss the specific care requirements for a neonate with a congenital heart defect.KINDLY PROVIDE 2 SIGNIFICANT DIFFERENCES EACH TERMS
- what are the nursing considerations for shunt temporary repair of a child with tetralogy of fallotM.H. is an 80-year-old Caucasian female who is married and lives with her spouse. She presents to your office today with her spouse, feeling “coocoo, I just don’t feel right.” Currently she is taking rosuvastatin prescribed by her cardiologist for hyperlipidemia and a daily 325 mg aspirin. She drinks 3–6 hard liquor drinks a day, 3–4 times a week in the evening, and has a 65-year smoking habit, currently smoking two packs per day (ppd). She has no known allergies. Past surgical history includes hysterectomy for a benign fibroid. Family history of breast cancer in three sisters, Type 2 diabetes and CVA in one sister, cancer of unknown origin in one brother. All siblings and parents are deceased. Her husband reports that she is hard of hearing. He feels that it is due to cerumen build-up in her ears. She refuses to have the buildup removed. Her husband is also worried about her memory—states that she “just does not remember things like she used to. She keeps asking me the same questions…SUBJECT: HEMATOLOGY What are the indications of histograms with left elevation?