You are a nurse in a general medical ward, and you are assigned to a 68-year-old male patient, Mr. John Smith, who was admitted with complaints of chest pain, shortness of breath, and fatigue. He has a history of hypertension, type 2 diabetes, and smoking. Mr. Smith lives alone and has limited social support. Patient 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 Assignment Tasks Part 1: Data Analysis and Validation 1. **Validating Accuracy and Reliability**: - Review the patient’s vital signs, medical history, and lab results. Identify any data that might require further validation. - Explain how you would validate the accuracy and reliability of the collected data. 2. **Making Inferences**: - Based on the given data, what can you infer about Mr. Smith’s current health status? Provide a rationale for your inferences. 3. **Clustering Related Data**: - Cluster the data into related groups (e.g., cardiovascular, respiratory,
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- Write about a cardiac disorder or disease of the human body. It must be over 100 words.arrow_forwardDonald has a history of DM I. There's an order to administer 10 units.The nurse is using a U-100 syringe. How many units should the nursedraw up in the syringe and administer?arrow_forwardAssuming that randi is suffering a myocardial infarction, discuss why it is important that she receive appropriate treatment quickly.arrow_forward
- Personal Information Name: Thomas Sykes Gender: Male Age: 17 Marital Status: Single Weight: 240 pounds (108.86 kg) Height: 5 ft. 11 in. (71 inches) Occupation: High School Student Address: New York, USA Race: African American Religion: Baptist Allergies: None Known Immunizations: Up to date Major Support Name: Keisha Sykes, age 31 Relationship: Sister Phone: 577-666-7890 Attending Provider/Team: Susan Henretty, DNP, CRNP, PPCNP-BC Past Medical History: Significant for chronic obesity and depression. History of Present Illness: Thomas was recently discharged from an inpatient psychiatric program for suicidal ideation. He has undergone group therapy, individual therapy, and is taking an SSRI antidepressant medication (escitalopram). Upon discharge he was feeling somewhat less depressed. He is continuing in counseling and states it is helping. He is working on a healthy eating weight-loss plan and was instructed on keeping a food log. Social History: Thomas lives with his sister,…arrow_forwardExplain well with proper answer.arrow_forwardMrs. Jones is a 43 yr old mother of three children, ages 8, 10, and 13. She has been married for 16 years, is employed at a salesclerk at a local department store, and is active at her local church. The family members are Jehovah witnesses. Mrs. Jones health have been deteriorating over the past few months, and she has now been admitted for surgery for her aortic value insufficiency. She and her husband discuss the upcoming surgery with the surgeon; both she and her husband relate to the surgeon that she will not accept blood or blood byproducts from other individuals. They are fully receptive to the use of cell-saver and auto-transfussion of her own blood, but will not sign the form for other blood transfusion. The informed consent is signed, noting that non-acceptance of any blood products other than the patient's own blood. Following the surgery, Mrs. Jones hematocrit and hemoglobin values continue to decline, and it becomes apparent that she will not survive without additional…arrow_forward
- Mrs. A has an IV of 1,000 mL D5W started at 0100. The IV is infusing at 100 mL/hr. The nurse would expect that____ mL would be in the IV bag at 0700. Enter the amount of IV fluid remaining in the IV bag at 0700. Enter only the numeral (not the unit) in your answer.arrow_forwardThe nurse decides to call the physician and receives a verbal order for “Give Sally Smith 5 mg morphine sulfate q6h PRN for pain.” The nurse should do the following actions. Select all that apply: Check medication rights and allergies prior to administering the medication Document the verbal order in the electronic medical record Ensure the verbal order is signed by the provider within 24 hours Ask the provider for additional order information Perform a check-back and verbally repeat the providers order while still on the phonearrow_forwardDescribe in detail how you would demonstrate respect for this patient in spite of her gender, age, appearance, economic status, race and religious beliefsarrow_forward
- Case Scenario/Description Case:Location: Medical-Surgical UnitTime: 0800Report from night shift charge nurse:Situation:Sara Lin is an 18-year-old patient who had an emergency appendectomy. It is day 2 postoperative, and Sara is expected to be discharged late this afternoon. We have discontinued her IV antibiotics after her morning dose. She will be getting oral meds today.Background:Sara presented in the ED 2 days ago with a 2-day history of nausea, vomiting, and increasing pain. She was taken to surgery that day and had an open appendectomy for a ruptured appendix. She has been stable since arriving to the unit. Her parents have been here with her most of the time and are very helpful and supportive.Assessment:Sara is alert and oriented. She needs to be reminded to use her incentive spirometer. Abdomen is soft and tender to touch. Bowel sounds active. She has progressed to regular diet, and she's eating small amounts. No nausea reported since postoperative day 1. The surgery team…arrow_forwardThe patient says, I take a nitro tab and place it under my tongue when I have severe chest pain." You write: The patient states that he takes nitroglycerin medication for chest pain. A/arrow_forwardThe nurse assesses that her client’s intravenous solution has infiltrated into the tissues. What action should she take first?arrow_forward
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