Chapter 1, Problem 1.2.4C

What is most likely the diagnosis of the patient? Explain your answer comprehensively by citing at least 3 references

What is the most likely cause of the patient's condition? What is the most likely causative agent? How did the patient contract the disease?

Ms. Ibrahim, 72, fell in the hall and injured her right leg. She needs to be transported by wheelchair to the X-ray department. You are assigned to get her ready to go.  How will you prepare Ms. Ibrahim for the transfer? What will you tell her? What clothing should she wear?

Ms. Ibrahim, 72, fell in the hall and injured her right leg. She needs to be transported by wheelchair to the X-ray department. You are assigned to get her ready to go. Consider these questions to determine how you will safely move Ms. Ibrahim.  How will you prepare Ms. Ibrahim for the transfer? What will you tell her? What clothing should she wear? How will you prepare the wheelchair? What safety preparation will you do? What comfort concerns will you consider?  On which side of the bed will you position the wheelchair? Why?  What assessments of Ms. Ibrahim are likely to be done before and after the transfer? Why?  How will you position yourself as you prepare to transfer Ms. Ibrahim? How will you move to prevent injury to yourself?

Ralph , is 5 months post congestive heart failure (CHF), he is... Ralph , is 5 months post congestive heart failure (CHF), he is confined to a wheel chair due to advanced peripheral neuropathy and foot drop. His care is managed at home by a family nurse practitioner (FNP) who visits once a week and as necessary. On one of her visits, the FNP notes that Ralph has developed a Grade 3 sacral decubitus ulcer, lower extremity edema, and dyspnea while sitting. He is also confused and not oriented to person, place or time. Questions 1. 2. What risk factors for tissue break down are present? Explain in detail, the cellular changes that led to the sacral decubitus, now with necrotic dermal tissue. (Hint: the etiology and pathogenesis of the ulcer from injury to cellular death)

Identify the error on these prescriptions and determine the type of incorrect prescription.

SITUATION:
Mr Chong was brought into Emergency Department (ED) last night by ambulance after collapsing at home. The ED Registered Nurse reported that Mr Chong was alert and orientated to person, time and place on admission. He has global aphasia, left gaze preference, right homonymous hemianopia (field cut), right facial droop, dysarthria, and right hemiplegia. CT angiography showed a left Middle Cerebral Artery (MCA) occlusion (Fig 1). 12-lead ECG showed Atrial Fibrillation (Fig 2).
BACKGROUND
Mr Chong has a past medical history of Coronary Artery Disease, Coronary Artery Bypass Grafting, Atrial Fibrillation and previous TIA (Transient Ischaemic Attack) three month ago. Mr Chong is retired and independent with activities of daily living. He speaks simple English. Mr Chong lives with his wife and two
sons.
ASSESSMENT
His last Glasgow Coma Scale (GCS) is between 13-14 (disorientated and occasionally confused to time and place) and other vital signs are within normal limits. His BGL:…

SITUATION:
Mr Chong was brought into Emergency Department (ED) last night by ambulance after collapsing at home. The ED Registered Nurse reported that Mr Chong was alert and orientated to person, time and place on admission. He has global aphasia, left gaze preference, right homonymous hemianopia (field cut), right facial droop, dysarthria, and right hemiplegia. CT angiography showed a left Middle Cerebral Artery (MCA) occlusion (Fig 1). 12-lead ECG showed Atrial Fibrillation (Fig 2). 
BACKGROUND
Mr Chong has a past medical history of Coronary Artery Disease, Coronary Artery Bypass Grafting, Atrial Fibrillation and previous TIA (Transient Ischaemic Attack) three month ago. Mr Chong is retired and independent with activities of daily living. He speaks simple English. Mr Chong lives with his wife and two
sons.
 ASSESSMENT
His last Glasgow Coma Scale (GCS) is between 13-14 (disorientated and occasionally confused to time and place) and other vital signs are within normal limits. His BGL:…

Order:   5 mg morphine sulfate IV q6h PRN for pain was ordered.   Dose on hand:  2 mg / ml The nurse draws up the medication in a syringe.  Click on the syringe that the nurse filled to the correct volume: Order:   5 mg morphine sulfate IV q6h PRN for pain was ordered.   Dose on hand:  2 mg / ml The nurse draws up the medication in a syringe.  Click on the syringe that the nurse filled to the correct volume: