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HESI Case Study- Management of a Medical Unit – Flashcards
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Faculty Case Studies
The purpose of this project was to develop a repository of NextGen NCLEX case studies that can be accessed by all faculty members in Maryland.
Detailed information about how faculty members can use these case students is in this PowerPoint document .
The case studies are in a Word document and can be modified by faculty members as they determine.
NOTE: The answers to the questions found in the NextGen NCLEX Test Bank are only available in these faculty case studies. When students take the Test Bank questions, they will not get feedback on correct answers. Students and faculty should review test results and correct answers together.
The case studies are contained in 4 categories: Family (13 case studies), Fundamentals and Mental Health (14 case studies) and Medical Surgical (20 case studies). In addition the folder labeled minireviews contains PowerPoint sessions with combinations of case studies and standalone items.
Family â–¾
- Attention Deficit Hyperactivity Disorder - Pediatric
- Ectopic Pregnancy
- Febrile Seizures
- Gestational Diabetes
- Intimate Partner Violence
- Neonatal Jaundice
- Neonatal Respiratory Distress Syndrome
- Pediatric Hypoglycemia
- Pediatric Anaphylaxis
- Pediatric Diarrhea and Dehydration
- Pediatric Intussusception
- Pediatric Sickle Cell
- Postpartum Hemmorhage
- Poststreptococcal Glomerulonephritis Pediatric
- Preeclampsia
Fundamentals and Mental Health â–¾
- Abdominal Surgery Postoperative Care
- Anorexia with Dehydration
- Catheter Related Urinary Tract Infection
- Deep Vein Thrombosis
- Dehydration Alzheimers
- Electroconvulsive Therapy
- Home Safety I
- Home Safety II
- Neuroleptic Maligant Syndrome
- Opioid Overdose
- Post Operative Atelectasis
- Post-traumatic Stress
- Pressure Injury
- Substance Use Withdrawal and Pain Control
- Suicide Prevention
- Tardive Dyskinesia
- Transfusion Reaction
- Urinary Tract infection
Medical Surgical â–¾
- Acute Asthma
- Acute Respiratory Distress
- Breast Cancer
- Chest Pain (MI)
- Compartment Syndrome
- Deep Vein Thrombosis II
- End Stage Renal Disease and Dialysis
- Gastroesphageal Reflux
- Heart Failure
- HIV with Opportunistic Infection
- Ketoacidosis
- Liver Failure
- Prostate Cancer
- Spine Surgery
- Tension Pneumothorax
- Thyroid Storm
- Tuberculosis
Community Based â–¾
Mini Review â–¾
- Comprehensive Review
- Fundamentals
- Maternal Newborn Review
- Medical Surgical Nursing
- Mental Health Review
- Mini Review Faculty Summaries
- Mini Review Training for Website
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- Pediatric Review
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Chapter 1:Â 10 Real Cases on Acute Coronary Syndrome: Diagnosis, Management, and Follow-Up
Nisha Ali; Timothy J. Vittorio
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Disclaimer: These citations have been automatically generated based on the information we have and it may not be 100% accurate. Please consult the latest official manual style if you have any questions regarding the format accuracy.
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Case review, case discussion.
- Clinical Symptoms
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Case 1: Diagnostic Evaluation of Chest Pain
A 65-year-old man presented to the emergency department with a complaint of left-sided chest pain radiating to his left arm. There were no alleviating factors. His past medical history included hypertension, uncontrolled diabetes mellitus, and hyperlipidemia. He denied any toxic habits. His baseline exercise tolerance is 2 city blocks limited by fatigue. Upon presentation, vital signs were stable and the physical examination was unremarkable. The chest pain was partially relieved by sublingual nitroglycerin. The 12-lead ECG showed nonspecific T-wave inversions in the inferolateral leads. He was administered aspirin, and the chest pain resolved shortly thereafter. Subsequently, he was admitted to the telemetry floor for further evaluation and observation. His serial cardiac biomarkers were negative. He did not have any recurrent chest pain and remained hemodynamically stable throughout the hospital stay. How would you manage this case?
In this clinical scenario, the patient does not fit the complete picture of anginal symptoms. However, the key here is the presence of risk factors and subtle 12-lead ECG changes, which place him at an elevated risk for coronary artery disease. He can be further evaluated by stress testing for risk stratification.
Angina consists of retrosternal chest pain increased by activity or emotional stress and generally relieved by rest or administration of nitroglycerin. The evaluation of chest pain begins with a thorough history and physical examination to delineate the etiology. The list of differential diagnoses is vast, and a detailed review of systems about pertinent diagnoses can narrow down the list. The presence of comorbid conditions and risk factors might hint toward a diagnosis of coronary artery disease. Both serial 12-lead ECG and highly sensitive cardiac troponin T testing should be performed before excluding ongoing ischemic coronary artery disease. Prior to stress testing, the patient should be chest pain free for 24 hours, without dynamic 12-lead ECG changes, and the highly sensitive cardiac troponin T level should be negative or trending downward.
The differential diagnosis of chest pain includes the following:
Coronary artery disease
Aortic dissection
Pericarditis
Pulmonary embolism
Costochondritis/rib fracture
Peptic ulcer disease
Acute cholecystitis
Cervical radiculopathy
Herpes zoster
Anxiety disorder
Chest pain should be classified as anginal or nonanginal based on the history.
Anginal symptoms can be considered in the setting of risk factors and should be evaluated by an appropriate stress modality if the symptoms are vague.
Serial 12-lead ECG and highly sensitive cardiac troponin T should be performed to exclude ongoing ischemic coronary artery disease before stress testing is performed.
Case 2: Diagnosis of Acute Coronary Syndrome
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The PN, assisted by the UAP, can safely monitor a confused client to prevent injury. A newly licensed RN who is assigned to the unit obtains the vital signs of the client with cellulitis whose WBC count has increased from 8,000 to 15,000 mm3. The RN reports the vital signs to Mr. Young as T 102 F (38.9 C), P 112, R 28 and BP 84/42.
7.5 mL. Which instruction should the nurse convey to the UAP? Report any changes in mental status, such as disorientation. Study with Quizlet and memorize flashcards containing terms like Which client situation requires the most immediate intervention by the charge nurse?, What action should Mr. Young take?, How should the charge nurse respond ...
Study with Quizlet and memorize flashcards containing terms like 1. Which client situation requires the most immediate intervention by the charge nurse?, 2. As he enters the client's room, Mr. Young learns that the ED needs to give report on a client to be admitted to the unit as soon as possible. What action should Mr. Young take?, 3. The UAP enters the room and informs Mr. Young that the ...
HESI: Management of a Medical Unit. The nurse manager is the 7:00 a. to 7:00 p. charge nurse on a general medical unit that includes five telemetry-monitored rooms. The nursing staff includes experienced nurses, newly-licensed nurses, practical nurses (PNs), unlicensed assistive personnel (UAPs), and a unit secretary.
A. A 56-year-old female client with anemia due to end stage renal disease who is scheduled for a hemodialysis treatment that afternoon. The nurse is administering an antibiotic to the client with ESRD. The prescription is vancomycin 1gm in 250mL IV to be administered by IV pump over 2 hours. At what rate would the nurse program the infusion ...
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manager In making initial client care assignments, which client can be assigned to a PN, rather than an RN? - A 2-day postoperative client with an abdominal incision and a Jackson-Pratt drain. A day shift nurse will be 30min late. How should the nurse's client care assignments be manages until the nurse arrives? - Assign an additional client to each of the day shift staff nurses Which ...
Study with Quizlet and memorize flashcards containing terms like Mr. Young identifies several problems that need attention: 1. Which client situation requires the most immediate intervention by the charge nurse? A. New onset ST segment elevation in a client admitted with angina B. A client with hyponatremia is becoming increasingly confused, disoriented, and agitated. C. The WBC of a client ...
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Faculty Case Studies. The purpose of this project was to develop a repository of NextGen NCLEX case studies that can be accessed by all faculty members in Maryland. Detailed information about how faculty members can use these case students is in this PowerPoint document PPTX. The case studies are in a Word document and can be modified by ...
Clients who are unable to obtain an accurate dose with an insulin pen may also be unable to obtain an accurate dose with a syringe. This data is important in determining the best strategy for client teaching. NU372 HESI Case Study: Management of a Medical Unit (week 7) Learn with flashcards, games, and more — for free.
A. Instruct the client with angina to call if further assistance is needed and help with the confused client. B. Remain with he client who has angina and assign a PN to monitor the confused client while the UAP obtains a bed alarm. C. Assess the confused client and assign the UAP to the client with angina.
Read chapter 1 of Patient Management in the Telemetry/Cardiac Step-Down Unit: A Case-Based Approach online now, exclusively on AccessMedicine. AccessMedicine is a subscription-based resource from McGraw Hill that features trusted medical content from the best minds in medicine.
Study with Quizlet and memorize flashcards containing terms like 1. Which client situation requires the most immediate intervention by the charge nurse?, 2. As he enters the client's room, Mr. Young learns that the ED needs to give report on a client to be admitted to the unit as soon as possible. What action should Mr. Young take?, 3. The UAP enters the room and informs Mr. Young that the ...
Terms in this set (27) The nurse manager is the 7:00 a.m. to 7:00 p.m. charge nurse on a general medical unit that includes five telemetry-monitored rooms. The nursing staff includes experienced nurses, newly-licensed nurses, practical nurses (PNs), unlicensed assistive personnel (UAPs), and a unit secretary.
Study with Quizlet and memorize flashcards containing terms like How should Ms. Hatch respond to this situation?, The night charge nurse states "That UAP is incompetent." As the day shit charge nurse, how should Ms. Hatch respond?, In making initial client care assignments, which client can be assigned to a PN, rather than an RN? and more.
NU371 Week 7 HESI Case Study: Management of a Pediatric Unit - 24 questions. The nurse manages a medical center satellite walk-in pediatric clinic in a low-income area. The clinic provides services to a nearby day care facility for children of homeless families. The clinic is staffed by registered nurses (RNs), licensed practical nurses (LPNs ...
Study with Quizlet and memorize flashcards containing terms like How should Ms. Young respond?, Which action should the charge nurse implement in response to this information?, What is the best response by the charge nurse? and more. ... HESI Case Study- Management of an Oncology Unit Ms. Young. 24 terms. yulochkaps. Preview. Knee: Soft tissue ...
Study with Quizlet and memorize flashcards containing terms like How should Ms. Hatch respond to this situation?, The night charge nurse states "That UAP is incompetent." As the day shit charge nurse, how should Ms. Hatch respond?, In making initial client care assignments, which client can be assigned to a PN, rather than an RN? 1. vomiting client, with NG tube set to low intermittent ...