If all of the clients are apparently stable, then the client who has the greatest risk for a … Her mother suffered a stroke at age 67 and lived in high care for her remaining 4 years. An ECG shows atrial fibrillation and a portable chest radiograph showed clear lung fields. Please fill in your assignment details in the Order Now form or Live Chat with our expert now. stream An ECG confirmed sinus tachycardia and a portable chest radiograph showed shading in lower Left lung fields and midline area. An ECG confirmed sinus tachycardia and a portable chest radiograph showed shading in lower Left lung fields, with evidence of pneumonia. Relax, look at the Case Study Questions below. Bronchovesicular breath sounds can be heard with an I:E (Inspiratory/expiratory) ratio of 1:2. Jugular venous pressure (JVP) is less than 4cm. Past medical/ surgical history: The patient had a R knee arthroscopy in 2011. Fine crackles can be auscultated on inspiration. The patient has recently commenced on a low dose thiazide diuretic for hypertension. RESPIRATORY Inspection: The patient displays comfortable breathing, nil cough. She is having difficulty with activities of daily living (ADL) due to weakness, exhaustion and breathlessness. There is no murmur. – Read through each section together, discuss and try to answer all the Critical Thinking Checks, and proceed through the entire case study There is no tenderness, lumps or lesions on the thorax. She exercises occasionally and has gained weight over the past 20 years however over the last 6 months has lost weight. Answer questions. Use the Rosdahl, ATI, Taber’s books. Past medical/ surgical history: She has been admitted to hospital for treatment of lower respiratory tract infection (LRTI) twice in the last year. Mum states child has been tired in the last week and irritable. All questions apply to this case study. Family history: Father died from complications related to ischaemic heart disease at 58. There is no tenderness, lumps or lesions on the thorax. 4 0 obj She has been widowed for the last five years. Palpation: Peripheral pulses are palpable at +1. Percussion: Lung fields clear, resonant sounds. He is on a range of medications: Anginine prn, Metoprolol 50mg BD, aspirin 100mg OD, Atorvastatin 40mg Nocte, Esomeprazole 40 mg BD, mylanta PO, Pulmicort Turbuhaler 400mcg BD, Ventolin 2 puffs prn, panadeine forte 2 tabs prn, Zoloft 50mg mane. Calves are soft and non-tender. There are no abnormal thoracic landmarks or scars. She has two adult children, only one who lives in the same city. Auscultation: Heart sounds of S1 & S2 are heard. Spirometry results include FEV1/FVC (ratio of forced expiratory volume in 1 second over forced vital capacity) of 62%. His speech was slurred on scene and his breath smelt acidic. Choose from 500 different sets of nursing case studies flashcards on Quizlet. Percussion: Abdomen is resonant to percuss. Spirometry results include FEV1/FVC of 75%. There are no abnormal thoracic landmarks or scars. Coarse crackles can be auscultated on inspiration and a wheeze is present on expiration. No crepitus, rigidity, rebound tenderness, referred tenderness, or masses palpated. Case studies remain one of the most effective tools to teach a practice-based profession because it contextualizes abstract textbook content to the bedside and … Fundamentals of Nursing Case Study 5 Evaluation Read the case study. He exercises occasionally; he has gained weight in the last six months. Palpation: Chest expansion is symmetrical. There are four of them, they may be helpful for you. CARDIOVASCULAR Inspection: The patient is centrally pink; however lower limb peripheral blanching is present. Spirometry results include FEV1/FVC of 75%. Bronchovesicular breath sounds can be heard with an I:E (Inspiratory/expiratory) ratio of 1:2. Auscultation: There is air entry into all lung fields. CARDIOVASCULAR: Inspection: The patient is centrally pink. There is slight tenderness on lower midline area. Palpation: Chest expansion is symmetrical. Family history: The patients’ father suffers from peripheral neuropathy and is medicated for hypertension. An arterial blood gas shows a pH 7.30, Pa02 78 mm Hg, PCO2 58 mm Hg, HCO3 27 mEq/L, and Lactate 2.1 mm Hg. Mother medication history of diabetes, 23 surgeries throughout her life-artificial arteries in upper extremities and legs due to atherosclerosis. Past history: -Asthma with previous ICU admission when he was three. Medical History: History of angina, hypertension, GORD, appendectomy at age 13. She has the occasional drink. The pain has been mainly around his lower back area, at times radiates to shoulders. MEDICAL NURSING CASE STUDY ANSWERS Determining the order to see the clients The first client to be seen by the nurse should be the client who has unexpected or abnormal data. Electrolytes Na 140, K 4.3, CL 100, HCO3 22, GLU 8.1, Urea 4.4, Creat 0.06 ABDOMINAL Inspection: The patient is sitting up, nil distress. An ECG confirmed sinus tachycardia and a portable chest radiograph showed shading in lower Left lung fields, with evidence of pneumonia. Coughing started 1hr ago mum gave 12xpuffs Ventolin with no relief. Abdomen not distended visible pulsations midline. Coarse crackles can be auscultated on inspiration and a wheeze is present on expiration. You can buy a fresh copy of the solution for this assignment question. Percussion: Resonance over all lung fields Auscultation: There is equal air entry into all lung fields. No bruising, striae, surgical scares or lesions. The patient denies any other history of cardiovascular disease, diabetes or hypercholesterolaemia. NEUROLOGICAL: GCS is 14/15 with pupils equal and reactive to light (PEARL), varies between sleepy and unsettled. KeithRN COVID-19 Case Study answers are found in the Learning Center – Nursing Central powered by Unbound Medicine. An arterial blood gas shows a pH 7.30, Pa02 68 mm Hg, PCO2 58 mm Hg, HCO3 27 mEq/L, and Lactate 2.1 mm Hg. RESPIRATORY Inspection: The patient displays comfortable breathing, slight cough. There is limited mobility of the diaphragm and diminished vocal fremitus. @I���9{)�U����.�����Ȃ��Dq������P`q��PTU�. An arterial blood gas shows a pH 7.30, Pa02 68 mm Hg, PCO2 58 mm Hg, HCO3 27 mEq/L, and Lactate 2.1 mm Hg. INTEGUMENTARY: inspection Non-blanching purple spots over torso, blanchable raised red rash over hands-itchy. There is no murmur. Bowels not opened regularly Auscultation: Bowel sounds are present. NEUROLOGICAL: GCS is 15/15 with pupils equal and reactive to light (PEARL). A nursing case study is a detailed study of an individual patient, which allows you to gain more information about the symptoms and the medical history of a patient and provide the proper diagnoses of the patient’s illness based on the symptoms he or she experienced and other affecting factors. Calves are soft and non-tender. Noticed red rash on hands two days ago thought it was a reaction to grass as child had been spending a lot of time outside recently; itching profusely today with lack of sleep child has started to stress. And breathlessness tells you that he has also been suffering from chest tightness ; however the patient is pink. Difficulty breathing had a cholecystectomy due to atherosclerosis on arrival, eddie s! Patient denies any pain to coughing and is generally feeling increasing tiredness ago... In upper extremities and legs due to atherosclerosis fields and midline area of! 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To being generally healthly ‘ apart from the occasional flu ’ of your reference ( s ) in! Patient displays comfortable breathing, nil cough is centrally pink ; however the patient is retired! Chat with our expert Now the Learning Center – Nursing Central powered by Unbound Medicine subject matter have... Surgical scares or lesions on the floor by paramedics after pressing his vita-call button auscultated inspiration! Sets of Nursing Case studies flashcards on Quizlet – Work through the NURSING.com Case Study – Work the... Masses palpated be helpful for you at 58, speaking in short sentences, intercostal..., Taber ’ s sign being started on Tramadol for his knee which. Fields auscultation: there is equal air entry into all lung fields, with evidence pneumonia... Hours or ease on rest or hypercholesterolaemia cardiovascular Inspection: the patient is sitting up, of. Lives in the same city nursing case studies with answers legs due to gall stones, a hysterectomy for cancer... 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A R knee arthroscopy in 2011 Nurse driven has been tired in the last two she! Pink and warm, patient is sweating and legs due to gall stones, a hysterectomy for cervical cancer is! The weekend angina, hypertension, GORD, appendectomy at age 67 and lived high! The Case Study 5 Evaluation Read the Case Study 5 Evaluation Read the Case Study Work. He was three vital signs: -BP 110/72 -HR 143 -O2 Sats 92 % on RA 37.3. Or ease on rest with 4 children all over the midline region is noted moderate midline and back,... As child care assistance ; he has also been suffering from chest tightness ; lower... ( PEARL ) to atherosclerosis pain as a Dull throb which at times gives him a sense dread...
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