SCENARIO OVERVIEW: Carl Rogers is a 67-year-old African American male with a 20-year history of type II diabetes mellitus. On Tuesday at 1530, he was directly admitted from his physician’s office to the medical unit with a stage II nonhealing ulcer on his right heel. The nursing admission paperwork has been completed, and pain medication has been administered. Additional orders for a dressing change and insulin administration have been written but not yet implemented. The scenario takes place on Tuesday at 1700.
Use information from the above scenario to answer questions. Make sure the answers are relevant to the patient in the scenario.
SCENARIO OVERVIEW: Cynthia Bennet is a 34-year-old African American female with a history of type 1 diabetes mellitus, end-stage renal disease, and hemodialysis. Early on Monday morning, she was admitted to the emergency department for a fever of unknown origin. She was subsequently admitted to the medical-surgical unit for further evaluation and treatment of a urinary tract infection (UTI). The scenario takes place on Monday at 1300 after Cynthia has returned from hemodialysis. The dialysis nurse has just started the first dose of IV ampicillin.
Use information from the above scenario to answer questions. Make sure the answers are relevant to the patient in the scenario.
SCENARIO OVERVIEW:
The patient is 61-year-old male with a history of hypertension and hyperlipidemia. His home medications include
enalapril, atorvastatin and baby aspirin daily. He weighs 100kg and smokes one pack of cigarettes per day. He is
allergic to penicillin. The patient presented to the Emergency Department (ED) three days ago with complaints of
abdominal pain and yellow skin and had an emergency open cholecystectomy for obstructive jaundice. He was
admitted to the Medical-Surgical Unit postoperatively. On the second postoperative day, his IV was converted to
a saline lock and clear liquid diet ordered. On the third morning, he has nausea, vomiting, absent bowel sounds,
urine output 250mL/12 hour shift, and low grade fever. He has not had a bowel movement. His surgical wound
is positive for methicillin resistant staphylococcus aureus (MRSA), which is now being treated with vancomycin.
He is in contact isolation.
Use information from the above scenario to answer questions. Make sure the answers are relevant to the patient in the scenario.
and dialysis.
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