By Gina M. Ankner, Patricia M. Ahlschlager, Tammy J. Hale
Bridge the space among wisdom and scientific program with DELMAR'S CASE reports sequence: MEDICAL-SURGICAL NURSING second version. This selection of twenty-two distinctive and provocative real-life situations emphasizes holistic nursing care because it is helping sharpen severe considering abilities and strengthens scientific competence. each case includes an introductory "blueprint" of variables that needs to be thought of whereas comparing a specific scenario--pertinent info in regards to the buyer, nursing protocol, and surroundings of care. each one blueprint and case is varied, simply as each one scientific state of affairs is exclusive. As you simulate the particular decision-making approach, you are going to achieve necessary adventure making trained scientific judgments. The accompanying solutions and rationales for every case offer perception into very good nursing perform and will be used for remediation and dialogue.
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Additional resources for Delmar's Case Study Series: Medical-Surgical Nursing, 2nd Edition
Prioritize five nursing diagnoses that the visiting nurse should consider for the recent events regarding Mrs. Yates’s care. 19 This page intentionally left blank CASE STUDY 8 Ms. Fox GENDER SPIRITUAL/RELIGIOUS Female PHARMACOLOGIC AGE ■ 20 SETTING ■ Hospital ETHNICITY ■ Black American LEGAL CULTURAL CONSIDERATIONS ■ Acetaminophen (Tylenol); hydroxyurea (Droxia); morphine sulfate (MS contin); ibuprofen (Advil, Motrin); acetaminophen 300 mg/ codeine 30 mg (Tylenol with codeine No. 3); meperidine hydrochloride (Demerol); hydromorphone hydrochloride (Dilaudid) Increased risk for sickle cell disease ETHICAL PREEXISTING CONDITION ■ Sickle cell disease ALTERNATIVE THERAPY COEXISTING CONDITION ■ Breathing techniques; relaxation; distraction; transcutaneous nerve stimulation (TENS) COMMUNICATION PRIORITIZATION DISABILITY DELEGATION SOCIOECONOMIC ■ Risk for substance abuse Level of difficulty: Difficult Overview: This case requires the nurse to define different types of anemia, recognize the symptoms of a sickle cell crisis, and discuss short- and long-term management of sickle cell disease.
What instructions should the nurse provide regarding activity, diet, and medications? © Getty Images/Photodisc PART TWO The Respiratory System This page intentionally left blank CASE STUDY 1 Mrs. Hogan GENDER SOCIOECONOMIC Female ■ AGE Husband employed in asbestos removal SETTING PHARMACOLOGIC ■ Walk-in health care center ■ ETHNICITY ■ Albuterol (Proventil, Ventolin); beclomethasone dipropionate (Beconase) White American LEGAL CULTURAL CONSIDERATIONS ETHICAL PREEXISTING CONDITION ■ Mild persistent asthma ALTERNATIVE THERAPY COEXISTING CONDITION PRIORITIZATION COMMUNICATION ■ DISABILITY Ensuring a patent airway; monitoring for status asthmaticus DELEGATION THE RESPIRATORY SYSTEM Level of difficulty: Easy Overview: This case requires that the nurse recognize appropriate interventions for an asthma attack and understand the actions of respiratory medications.
9. Provide a rationale for why Mrs. Darsana was given sublingual nitroglycerin and aspirin en route to the hospital. 10. Briefly discuss the laboratory tests that are significant in the determination of an acute myocardial infarction (AMI). 11. 2 ng/mL CASE STUDY 6 ■ MR S . 7 ng/mL Are Mrs. Darsana’s laboratory results consistent with those expected for a client having an acute myocardial infarction? 12. Describe four pharmacologic interventions you anticipate will be initiated/considered during an acute MI.