1. What other information is needed to assess N.C.’s condition? 2. How should questions related to these areas be addressed? 3. What other clues should the nurse be alert for in assessing N.C.’s drug use?
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please answer the case study
CASE STUDY Cocaine Toxicity Patient Profile N.C. is a 34-year-old man who was admitted to the emergency department with chest pain, tachycardia, dizziness, nausea, and severe migraine-like headache.
Subjective Data
• He thinks he is having a heart attack.
• Admits he was at a party earlier in the evening drinking alcohol, smoking pot, and snorting cocaine.
• States he became irritable and restless.
• States he has experienced an increased need for cocaine in the past few months.
Objective Data
• Appears extremely nervous and irritable
• Appears pale and diaphoretic
• Has tremors
• BP 210/110, HR 100 bpm, RR 30
Discussion Questions
Answer the following questions:
1. What other information is needed to assess N.C.’s condition?
2. How should questions related to these areas be addressed?
3. What other clues should the nurse be alert for in assessing N.C.’s drug use?
4. What emergency conditions must be carefully monitored?
5. Priority Decision: What are the priority nursing interventions?
6. What is the best way to approach N.C. to engage him in a treatment program?
7. Priority Decision: Based on the assessment data presented, what are the priority nursing diagnoses? Are there any collaborative problems
Step by step
Solved in 4 steps
- CASE STUDY Cocaine Toxicity Patient Profile N.C. is a 34-year-old man who was admitted to the emergency department with chest pain, tachycardia, dizziness, nausea, and severe migraine-like headache. Subjective Data • He thinks he is having a heart attack. - Admits he was at a party earlier in the evening drinking alcohol, smoking pot, and snorting cocaine. States he became irritable and restless. States he has experienced an increased need for cocaine in the past few months. Objective Data Appears extremely nervous and irritable · Appears pale and diaphoretic •Has tremors · BP 210/110, HR 100 bpm, RR 30 3. What other clues should the nurse be alert for in assessing N.C.'s drug use?CASE STUDY Cocaine Toxicity Patient Profile N.C. is a 34-year-old man who was admitted to the emergency department with chest pain, tachycardia, dizziness, nausea, and severe migraine-like headache. Subjective Data • He thinks he is having a heart attack. • Admits he was at a party earlier in the evening drinking alcohol, smoking pot, and snorting cocaine. • States he became irritable and restless. • States he has experienced an increased need for cocaine in the past few months. Objective Data • Appears extremely nervous and iritable • Appears pale and diaphoretic • Has tremors • BP 210/110, HR 100 bpm, RR 30 2. How should questions related to these areas be addressed?CASE STUDY Cocaine Toxicity Patient Profile N.C. is a 34-year-old man who was admitted to the emergency department with chest pain tachycardia, dizziness, nausea, and severe migraine-like headache. Subjective Data • He thinks he is having a heart attack. Admits he was at a party earlier in the evening drinking alcohol, smoking pot, and snorting cocaine. States he became irritable and restless. States he has experienced an increased need for cocaine in the past few months. Objective Data • Appears extremely nervous and irritable • Appears pale and diaphoretic Has tremors • BP 210/110, HR 100 bpm, RR 30 5. Priority Decision: What are the priority nursing interventions?
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- Give me a rationale about this case scenario CASE SCENARIO #2 – The Client with Cognitive Disorder (Delirium) Meredith, who is 75 years old, and frail is admitted to the hospital with a fractured hip. She undergoes surgery to repair the hip and subsequently is sent to a general surgical unit. She appears alert and oriented, although she is in pain. She is receiving intravenous fluids and has an indwelling urinary catheter, both of which are to be discontinued in the morning. The evening of the first postoperative day, Meredith tells the nurse that bugs are on the walls and that she wants to leave this place. The nurse questions her and records that Meredith is no longer oriented to place or time: she also is having visual hallucinations. During the questioning, Meredith becomes mildly agitated and tells the nurse to get out. The nurse notifies the physician of the change in Meredith’s mental status. The physician orders CT Scanning to rule out a possible injury sustained in the…Patients discharged from the hospital are usually prescribed drugs that they have to take at home. Discuss 1 potential harm that can happen to the patient if they are not given appropriate health education about these drugs. Be very specific. Explain briefly.Make short term objectives about remotivational technique/therapy to patient or residents in geria ward
- When assessing a patient receiving a continuous opioid infu-sion, the nurse immediately notifies the physician when the patient has:a. A respiratory rate of 10/min with normal depthb. A sedation level of 4c. Mild confusiond. Reported constipationCase scenario A 90-year-old woman with Alzheimer’s lives in a nursing facility. A nurse notices that she has been coughing frequently and seems warm to the touch. She performs an evaluation on the woman and confirms a fever with a dry cough. She also notices that her throat seems inflamed and irritated. The woman is unable to answer questions about how she has been feeling lately to provide a history for the nurse. The nurse ensures that the woman is comfortable and returns to the nursing station to review that patient’s chart. The nurse finds that within the year that the patient has been in the nursing facility, she has had two respiratory infections diagnosed as pneumonia. The nurse calls the physician, worried that the patient may be developing pneumonia again. Review the CBC results for this patient.Case scenario A 90-year-old woman with Alzheimer’s lives in a nursing facility. A nurse notices that she has been coughing frequently and seems warm to the touch. She performs an evaluation on the woman and confirms a fever with a dry cough. She also notices that her throat seems inflamed and irritated. The woman is unable to answer questions about how she has been feeling lately to provide a history for the nurse. The nurse ensures that the woman is comfortable and returns to the nursing station to review that patient’s chart. The nurse finds that within the year that the patient has been in the nursing facility, she has had two respiratory infections diagnosed as pneumonia. The nurse calls the physician, worried that the patient may be developing pneumonia again. Review the CBC results for this patient. 1. Pneumonia is an infection of the lung that can be caused by a virus, bacteria, or fungi. What initial laboratory analysis would help to determine whether an infection is present?…