Phlebotomy Essentials
6th Edition
ISBN: 9781451194524
Author: Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher: JONES+BARTLETT PUBLISHERS, INC.
expand_more
expand_more
format_list_bulleted
Question
The EMT transports a 56 year old male to the ER, he is unconscious when he arrives. The EMT reports that the patient was in the grocery store when he abruptly fell to the ground. The EMT noted he was displayed generalized tonic- clonic seizure symptoms. The ER nurse was unable to get a history. He was unresponsive to commands and seemed very confused. His BP was 175/92, pulse 107, temp. 37.5 C , and his respiratory rate was 19 breaths per min. His pupils were 3mm and reactive, diminished movement on his left side and he had bilateral Babinski reflexes.
What is a Generalized tonic-clonic seizures?
Seizure disorders are produced by what underlying causes, and which one might you expect in this patient?
This patient seizures pathophysiology is probably what?
Expert Solution
This question has been solved!
Explore an expertly crafted, step-by-step solution for a thorough understanding of key concepts.
This is a popular solution
Trending nowThis is a popular solution!
Step by stepSolved in 3 steps
Knowledge Booster
Similar questions
- Mrs. Dunbar is a 90-year-old female patient admitted to the Women's Health Unit at RIH. She lives at home with her son Michael. Michael states that she was in her frequency. He states that she is normally alert and oriented, but this morning she is confused and not sure where she is. Her son called the PCP this am. The PCP recommended that she go to the emergency room for further evaluation. Upon arrival at the ED, pt was lethargic and febrile. VS as follows: Rectal Temp: 103.1, BP: 84/58, Pulse: 60 and regular, RR: 10 U/A and culture were sent: Culture grew out E. Coli This is my assessment report: Temp 99 02:96 BP: 80/55 HR:40 RR:23 The patient is alert and oriented. Patient Catheter had 25ml of gross hematuria, pain at her private area on scale of 0-10 is 9. Abdomen is distended because she is retaining urine, she has a UTI. This is her lab values: UWBC: 100,000 BUN/Creat: 60/3.0 K+: 5.9 Nat: 135 CXRAY: left lower lobe atelectasis EKG: I-wave changes throughout, These are the…arrow_forwardYou and your partner are dispatched for a report of an unresponsive 77-year-old male in a senior’s apartment complex. The time of the call is 08:36 am.Upon arrival, a home health aide greets you at the apartment door and informs you the patient is in the bedroom. As she leads you towards the bedroom, the aide begins to tell you she arrived for work about an hour ago and found the patient in his bed. “He normally is awake when I get here, but today I found him still in his bed. I thought he was only wanting to sleep in so I decided I would give him a little time, but he didn’t respond when I tried to wake him a few minutes ago.”She tells you she routinely visits Mr. Oliveira twice a week to help with cleaning and cooking. She says, “The last time I saw him was 3 days ago and he was sick at the time. I thought he might have come down with a bad cold because he was coughing a lot and I tried to encourage him to see his physician.”As you approach the patient’s bedside, you observe a thin,…arrow_forwardThe nurse is caring for a 20-year-old female client, Rose Jones, who was admitted to the surgical floor after being the unrestrained (no seat belt) driver in a head-on motor vehicle accident. When Rose initially arrived in the emergency department, she was tachycardic, tachypneic, and anxious. She reported sharp chest pain and severe dyspnea with a pulse oximetry reading of 88% on room air. Before being transferred to your unit, Rose had a chest tube placed on the left side, after a chest x-ray showed a pneumothorax resulting from multiple rib fractures. She is currently ordered oxygen at 4 LPM via nasal cannula. (Learning Objectives 4, 5, 6, 10) 1. Describe the purpose of a chest tube for a client with a pneumothorax. 2. Describe key assessments that should be completed on a client with a chest tube and necessary equipment that should be kept available. 3. Describe the assessment findings that would suggest the client is hypoxic. What nursing interventions would be helpful for…arrow_forward
- Mr. X is a 64-year-old male admitted to the unit with acute myocardial infarction (AMI) after emergent left (L)-sided heart catheterization/percutaneous coronary intervention (PCI). Past history includes type 2 diabetes mellitus, heart failure, hypertension, andosteoarthritis. Home medications include furosemide (Lasix), digoxin (Lanoxin), captopril (Capoten), carvedilol (Coreg), Byetta (exenatide), metformin (Glucophage), and ibuprofen (Motrin).Clinical AssessmentTwenty-four hours after admission to the unit, Mr. X is alert; oriented to person, place, and time; and pain free. His only complaint is shortness of breath and swelling in his ankles, feet, and hands. Physical assessment reveals bilateral breath sounds with basilar crackles; dressing at catheter site; right femoral clean, dry, and intact; peripheral pulses 2+ bilaterally; and 2+ edema noted in lower extremities. Mr. X has a body mass index (BMI) of 35 kg/m2 and weighs 100 kg. IV fluids have been discontinued, and saline lock…arrow_forwardPathophysiology Ron Strauss has smoked for many years and has developed chronic bronchitis. He also has a history of pulmonary hypertension and secondary polycythemia vera. His arterial blood gas (ABG) reveals respiratory acidosis with a PaO2, at 50 mm Hg and a PaCO2, at 60 mm Hg; At this clinic visit, it is noted on his chest x-ray, RS has an enlarged heart and diaphragm flattening. Why has RS developed secondary polycythemia vera?arrow_forwardPatient Information- **Name**: John Smith- **Age**: 68- **Medical History**: Hypertension, type 2 diabetes, smoking- **Current Complaints**: Chest pain, shortness of breath, fatigue- **Social History**: Lives alone, limited social support- **Vital Signs**: BP: 150/95 mmHg, HR: 90 bpm, RR: 22 breaths/min, Temp: 98.6°F, SpO2: 92% on room air- **Lab Results**: HbA1c: 8.5%, LDL: 160 mg/dL, HDL: 35 mg/dL, Troponin: 0.02 ng/mL (normal), Creatinine: 1.2 mg/dL Create a detailed care plan for Mr. Smith, including short-term and long-term goals, interventions, and expected outcomes.arrow_forward
- Could you please answer this ekg question thank you so much. Regularity- Rate- P waves present Y or N PRI- QRS- Interpretation-arrow_forwardWhat scientific developments has Canada made to advance the knowledge the world has on Stroke? State the names of the institutions and scientists involved, names of the projects, funding allocated for this matter, and any other relevant information. *not writing assgiment just q&a*arrow_forwardJohn is a 55 year old officer with the Greenville Police Department who comes to the HPL for an evaluation. The plan is to complete an EKG stress test with John as part of the HPL assessment to determine if he is physically healthy enough to continue his job duties. His basic health information - resting BP: 128/86; HR rest: 75; Weight: 165lbs; BMI: 28.5 kg/m2. You inquire as to how he is feeling, and he responds that he had a cough, congestion, and body aches the day before but has taken some DayQuil to help him feel better. He says despite the cough and running nose he feels that he can exercise today. Would you test this person, yes or no? If yes, please indicate what protocol you would choose and whether or not the test would be maximal or submaximal? Please include your rationale.arrow_forward
- The patient says, "Ever since I had my stroke, I still have difficulty swallowing and due eating." You write: The patient is complaining of to impairment from a past stroke. AVarrow_forwardFirst part of the scenario Carol Brady is 65-year-old female who has been admitted to your ward overnight, following a fall from a ladder while she was cleaning windows at home yesterday. She has a fracture to her left tibia and a laceration above her left eyebrow, which received four sutures in ED. Her husband witnessed the fall and reports there was brief LOC. Phx: GORD, HT, Migraines. You receive the following information during handover: Carol slept well intermittently overnight, waking with complaints of a headache and pain at # site. Analgesia was given by RN at 0400hrs. Dressing insitu above left brow and POP insitu left leg. We have not been able to assess her mobility as she has been sleeping most of the night and didn't want to disturb her. Q1. Describe the nursing assessments you would perform on Carol The second part of the scenario During your nursing assessment you find the following: That Carol has complaints of a headache and 8/10 pain at # site. On…arrow_forwardHello Can you please help me with the next question? (The main concept is pain) Helen Mellum is a 78-year-old female who suffered a right fractured hip after falling on the ice. She had a right hip pinning done and has just arrived on the orthopedic floor from the recovery room where she received a dose of hydromorphone (Dilaudid) IV two hour ago. Orders include Dilaudid 1mg every 2 hours prn. She has a history of chronic obstructive pulmonary disease (COPD) and hypertension (HTN). Vital signs: BP 114/62, HR 72, RR 16, temp 37.2, O2 saturation 96%. She is drowsy, but arouses easily. Lung sounds are clear. When sleeping breathes with her mouth open. Heart tones are distant but regular. Feet are cool to touch bilaterally with pedal pulses at 2+. Capillary refill at 1 second. Skin turgor elastic, tongue is dry. Right hip incisional dressing is dry and intact. She complains of constant, sharp incisional pain, rated at 7 on scale of 0-10. She indicates the intensity goes up to a 10 when she…arrow_forward
arrow_back_ios
SEE MORE QUESTIONS
arrow_forward_ios
Recommended textbooks for you
- Phlebotomy EssentialsNursingISBN:9781451194524Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)Publisher:JONES+BARTLETT PUBLISHERS, INC.Gould's Pathophysiology for the Health Profession...NursingISBN:9780323414425Author:Robert J Hubert BSPublisher:SaundersFundamentals Of NursingNursingISBN:9781496362179Author:Taylor, Carol (carol R.), LYNN, Pamela (pamela Barbara), Bartlett, Jennifer L.Publisher:Wolters Kluwer,
- Fundamentals of Nursing, 9eNursingISBN:9780323327404Author:Patricia A. Potter RN MSN PhD FAAN, Anne Griffin Perry RN EdD FAAN, Patricia Stockert RN BSN MS PhD, Amy Hall RN BSN MS PhD CNEPublisher:Elsevier ScienceStudy Guide for Gould's Pathophysiology for the H...NursingISBN:9780323414142Author:Hubert BS, Robert J; VanMeter PhD, Karin C.Publisher:SaundersIssues and Ethics in the Helping Professions (Min...NursingISBN:9781337406291Author:Gerald Corey, Marianne Schneider Corey, Cindy CoreyPublisher:Cengage Learning
Phlebotomy Essentials
Nursing
ISBN:9781451194524
Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher:JONES+BARTLETT PUBLISHERS, INC.
Gould's Pathophysiology for the Health Profession...
Nursing
ISBN:9780323414425
Author:Robert J Hubert BS
Publisher:Saunders
Fundamentals Of Nursing
Nursing
ISBN:9781496362179
Author:Taylor, Carol (carol R.), LYNN, Pamela (pamela Barbara), Bartlett, Jennifer L.
Publisher:Wolters Kluwer,
Fundamentals of Nursing, 9e
Nursing
ISBN:9780323327404
Author:Patricia A. Potter RN MSN PhD FAAN, Anne Griffin Perry RN EdD FAAN, Patricia Stockert RN BSN MS PhD, Amy Hall RN BSN MS PhD CNE
Publisher:Elsevier Science
Study Guide for Gould's Pathophysiology for the H...
Nursing
ISBN:9780323414142
Author:Hubert BS, Robert J; VanMeter PhD, Karin C.
Publisher:Saunders
Issues and Ethics in the Helping Professions (Min...
Nursing
ISBN:9781337406291
Author:Gerald Corey, Marianne Schneider Corey, Cindy Corey
Publisher:Cengage Learning