WriteMyStudy

Tonya examines Mr. Jacobs’ surgical incision and notices a 1.25-cm (0.5-inch) circle of yellowish drainage on the gauze dressing. On close inspection of the suture line, she also observes an area of swelling around two stitches. Mr. Jacobs notices Tonya’s expression as she looks at the dressing and asks, “Is anything wrong?” Tonya responds, “A small amount of drainage is coming from your incision. Don’t […]

You are a staff nurse on a 32-bed cardiac step-down unit. The hospital obtained Magnet recognition last year. You are assigned as the preceptor for Tony, RN, who is a new graduate nurse, who just started his nursing career on your floor.   ·          You and Tony just received morning shift report on your patients. You are assigned the following patients. Which patient do you […]

You are caring for a 17-year-old female African American patient with sickle cell disease who has been admitted for treatment of sickle cell crisis. Sickle cell disease is a genetic abnormality that affects hemoglobin in the red blood cells. The defect is found primarily in African Americans. In a sickle cell crisis weakened red blood cells clump together and impede blood flow, causing extreme pain. […]

Mrs. Andrews did well after her spinal surgery and was discharged home on the third postoperative day. Two weeks later she told her family that she was having increased pain in her back. She stated that she was not always wearing her back brace as instructed at the time of surgery because “it makes me sweat and itch.” When she wears the brace, she frequently […]

Mr. Coburn, the 56-year-old school teacher who was seen earlier in the week for hyperthermia, arrives at the walk-in health center complaining of feeling dizzy and nauseated. You immediately note that he appears to be having some difficulty catching his breath during coughing spells. A new graduate nurse takes Mr. Coburn’s admitting vital signs as: pulse 122, RR 14, BP 88/50 RA, tympanic temperature 38° […]

You receive morning report for Ms. Malone, age 63, admitted to the hospital yesterday with fatigue, a cough, and dyspnea; she is diagnosed with chronic heart failure. She states that she had increasing difficulty with shortness of breath and swelling in her legs. Pedal pulses are +1 bilaterally. On auscultation you hear bilateral crackles in the lung bases and an S3 gallop when auscultating the […]

On the second postoperative day you enter the room and find Mrs. Johnson crying. She states that she has just gotten off the phone with her 23-year-old daughter and has agreed to care for her 3-month-old granddaughter while the daughter returns to work. You were informed in shift report that Mrs. Johnson had a restless night and has not taken pain medication since 2030. You […]

As a part of your home care experience, you are assigned to visit Mrs. Johnson who, in addition to caring for her infant granddaughter, is also caring for her mother, who is increasingly agitated and aggressive secondary to Alzheimer’s disease. When you go to the home, you find Mrs. Johnson tearful. She says, “I can’t do this anymore. She doesn’t like anything I cook. She […]

Jose continues to regularly visit the human immunodeficiency virus (HIV)/acquired immunodeficiency syndrome (AIDS) clinic. The nurse wants to incorporate a spiritual assessment with the physical assessment. During the assessment the nurse asks Jose if he has any questions. Jose asks her about a Buddhist ritual that he heard about from a friend. The nurse has not heard about that ritual before and states, “I’m not […]

Carl is admitted to the hospital with a fractured hip sustained from a fall when he got up during the night to check on Evelyn who was wandering in the house. Before his injury he cared for Evelyn, who suffers from advancing Alzheimer’s disease. While he is hospitalized, Evelyn stays with a niece who lives 100 miles away, but this cannot be a permanent situation […]