Case Study Question 6 of 6 A 23-year-old male with bipolar…
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Cаse Study Questiоn 6 оf 6 A 23-yeаr-оld mаle with bipolar disorder has follow-up health maintenance appointment 2 months later. Nurses’ Notes 4/1 Telemedicine visit. Client appeared onscreen in a positive mood, was well groomed; shaved; clothes neat, and non- wrinkled. His speech had a normal cadence, was organized, and logical. No slurring or stuttering. Occasional tongue thrusting noted while speaking that was reported to have started 1 day ago. Fine hand tremor noted when client smoothed hair back during conversation. Client reports that he is still attending school and is doing well. He is working a part time job on weekends for local restaurant. States that he has been taking his meds as directed, he has no thoughts of self- harm, but he has had difficulty sleeping more than a few hours per night. He complains that he has gained weight (10 lbs. / 4.53 kg) recently and has not had the energy to work out. Self-obtained home vital signs of 128/72, HR 82, RR 20. 6/1 In person visit. Vitals 135/72, HR 82, RR 16, temp 98.6 F (37 C). Appears unkept, wearing a ripped t-shirt. Speech- slurred and slow. No tongue thrusting or other uncontrolled orofacial movements noted. States he has been unable to work for the past 2 weeks and is “taking a break from school and work.” Said, “I really don’t like work anymore and school is a bore.” Reports taking his meds as directed. Denies thoughts of self-harm. He has lost 5 pounds(2.27kg) since the last visit. Medications Medication Dosage/Frequency/ Route Time Lithium Carbonate 900 mg twice per day by mouth 0800 1800 Risperidone 2 mg once daily at bedtime by mouth 2100 Discontinued 4/1 Laboratory Report Lab Results Reference range Cholesterol (Total) 220 240 mg/dL high BUN 15 10-20 mg/dL Creatine (Serum) 1.2 0.9 to 1.4 mg/dL Glucose (fasting) 125 Normal 126mg/dL Preterm infants 40mg/dL-60mg/dL HgbA1C 5.7% Normal 6.5% Hematocrit 44 Males: 42-52%;Females: 35-47% Hemoglobin 15 Males: 13-18 g/dL; Females:12-16 g/dL WBC 6 4.5 – 10.5 x 103 cells/mm3 Platelets 180,000 140,000 to 450,000/ mm3 Potassium(serum) 4.2 3.5 to 5 mEq/L Sodium (serum) 140 135 to 145 mEq/L Lithium level 0.8 0.8-1.2 mEq/L The nurse evaluates the effectiveness of the treatment plan. For each finding, click to specify if the finding indicates that the client’s status has improved, declined, or is unchanged. Finding Improved Declined Unchanged No suicidality noted X Slovenly appearance X No tongue thrusts X Taking meds as ordered X Stopped working and going to school x
If yоu cоrrectly аnswer the fоllowing Anаtomy аnd Physiology questions, you might earn some bonus points! Due Date/Time: 11:59 PM WEDNESDAY MAY 7, 2025. Maximum Time Limit = 10 Minutes (in one sitting) Must be taken in one 10-minute sitting/session. 412526 Spelling counts. Reminder: If students do not submit exams by the scheduled due date and time, then they won't earn any points. REMINDERS: Exams, tests, and quizzes are closed books, closed notes, closed slides, closed assignments, and taken individually. No additional devices allowed other than the one (1) being used for the exam/test/quiz. Only the test/exam/quiz screen should be open. A simple, basic calculator can be used (not phones). No other windows, websites, programs are permitted. “Cheating = The act or attempted act of deception by which a student misrepresents that he/she has mastered information on an academic exercise that, in fact, has not been mastered." If you are found to be cheating on an exam or assignment at the very least, you will receive a grade of “0” for that exam or assignment. This may also lead to a failing grade in the course and disciplinary action by the college and the Dean of Academic Affairs. Please do not diminish your learning experience by cheating.