Match the following patients to the appropriate medication….

Match the following patients to the appropriate medication. Randy Miles, age 23, has not been able to hold down a job. He states that, when he was in high school, he could not complete tasks, resulting in his not graduating. When attending a group activity, patient is unable to remain seated or focused. Anna Robertson, recent hurricane survivor who lost her home, presents to ER complaining of insomnia, night sweats, palpitations, and panic attacks. She has been unable to maintain consistent employment since the event.  A 26-year-old female, Macey Jenson, is accompanied by her mother who expresses concern that Marcia is losing weight and eating only very small amounts of food. She is 5 feet 10 inches and weighs 98 pounds. She is having heart palpitations. She excels in school and is an accomplished ballerina.  Russell McDougal, 70 years old, arrives at ER accompanied by his daughter who states her father is irritable, anxious, keeping to himself, and has problems sleeping. She states it is getting worse and is concerned about memory loss of recent events.  Betty LeFevre, 31 years old, upon awakening in the morning, goes to her son’s room and finds it empty. She becomes hysterical. She cannot remember what happened last week. Her husband reports that their 15-month-old son Steven contracted a virus and was hospitalized and placed on a ventilator. He died last week, and the funeral was three days ago. Betty remembers none of this.  John Norstrum, 18 years old, paces in the dayroom. During group, patient constantly interrupts, unable to wait for his turn to speak. He blurts out answers, oblivious to others in the group.  Sarah Schiff, 25 years old, states she will be an astronaut. She is exhibiting promiscuous behaviors, but is also very religious, evidenced by her constant preaching. Her speech is pressured. She is sleeping poorly, worrying about her large credit card debt. 

Lou Thao is a 43-year-old Vietnamese American male who has j…

Lou Thao is a 43-year-old Vietnamese American male who has just been transferred from the postanesthesia care unit (PACU) to the medical-surgical unit for recovery following laparoscopic sigmoid colon resection. You enter the PACU to perform an assessment. Lou Thao is lying in bed with the head of bed at 15 degrees. He is alert and oriented but groggy after surgery. He states, “I am dizzy and feel like I could pass out. The room is spinning around” His vital signs are as follows: T = 97.4 F (36.3 C) BP = 78/42 P = 132 RR = 22 O2 Sat = 95% (2 L/min via nasal cannula) He asks you for a drink stating he is very thirsty and just doesn’t feel right. Further assessment: Heart sounds: Regular Lung sounds: Clear Bowel sounds: Absent Pulses: 1+ bilaterally Pain: 6/10 Urine in indwelling catheter bag is concentrated and amber. Wound, lower abdomen: Clean, dry, and intact, with no drainage Part One: List the unexpected assessment findings (specific for Lou)? Something typically abnormal could be normal in his position. Part Two: What do these assessment findings indicate. Part Three: What is your recommendation to the provider? What order are you going to ask for?  

Edward Mitchell , 44-year-old male recently discharged from…

Edward Mitchell , 44-year-old male recently discharged from an outpatient partial hospitalization for paranoid schizophrenia. He was experiencing delusions and causing a public disturbance. Edward was diagnosed with paranoid schizophrenia at age 28 and had one suicide attempt via overdose at age 32. Edward has had episodic hospitalizations for hallucinations and delusions resulting from non-adherence to his medication regimen. Edward’s comorbidities include generalized anxiety disorder and hypertension. Medications: NKDA. Risperdal (risperidone) 3 mg one tablet twice daily by mouth Xanax (alprazolam) 0.5 mg one tablet daily by mouth. Melatonin one tablet daily one hour before bed Lisinopril 10 mg one tablet daily by mouth Surgical history: Appendectomy age 10 Social history: Edward lives alone and receives medication-monitoring services. He has worked at the meat packing plant for seven years. He received short-term disability during his outpatient partial hospitalization and is returning to work this week. The occupational health nurse at the meat packing plant where Edward works focuses on promotion and restoration of health, prevention of illness and injury, and protection from work-related and environmental hazards. Select the CORRECT interventions for the occupational health nurse to implement in preparing a safe return to work for Edward. (Select all that apply)

Annabell Flaherty, a 10-year-old Caucasian female, presented…

Annabell Flaherty, a 10-year-old Caucasian female, presented via ambulance to the emergency department at 1500 on Friday with a gunshot wound to the right shoulder after being unintentionally shot by one of her parents during a domestic quarrel. The x-ray revealed a fractured distal clavicle. Surgical repair is scheduled for the morning. Annabell’s grandmother is with her as her parents are being detained by authorities. An IV was placed and she was started on IV fluids, antibiotics, pain medications, and oxygen. Her wound has been packed and her right arm and shoulder are immobilized in a splint.  Assessments: Neurologic: Sensation is intactCardiac: Regular rate and rhythmRespiratory: Clear throughoutGI/GU: Bowel sounds active x 4Integumentary: Within normal limitsOrtho/Mobility: Within normal limits Blood work was done in the emergency department. The results are in the chart. No significantly abnormal labs. CT scan and chest x-ray indicate no lung involvement. The results are in the chart. IVs: Site: Left antecubitalType: 20-gauge Assessment: Patent, intact Fluid: Normal saline infusing at 68 mL/hrDrains and tubes: Site: None Type: Not applicableAssessment: Not applicableWounds: Site: Right shoulderType: Gunshot Assessment: Dressing is clean, dry, and intact. Last circulatory check indicated peripheral pulses strong and equal and capillary refill less than 2 seconds. Last neurologic check indicated that sensation is intact. Shoulder dressing is clean, dry, and intact. An ice pack has been applied over the dressing. Annabell’s grandmother, Grace, is in the room with her. They have both been sleeping on and off. Annabell was just up to the bathroom with some help; she should be tucked back in bed by now Anticipated surgery in AM for debridement, evaluation, and reconstruction. The scenario starts at 0320 Saturday. You enter the room to assess Annabell. As you begin your assessment Annabell asks you the following questions: Why did this happen to me? Will my mommy and daddy have to go to jail? Were they mad at me?  Part One: What will you say to Annabell at this time? After talking with Annabell, you continue your assessment. T = 98.2 F (36.8 C)BP = 90/60P = 114RR = 19O2 Sat = 94% (2 L/min via nasal cannula)• Heart sounds: Normal• Lung sounds: Clear• Abdominal sounds: Present• Pulses: Weak Annabell states: I feel funny. I think my ice pack is leaking, I’m all wet. Part Two: What are your three immediate interventions for Annabell?