Blog

A Stage 2 Pressure Injury involves the epidermis, dermis, and hypodermis/subcutaneous tissue.   

Is this Type 1 or Type 2 Diabetes Mellitus? Treatment requires insulin injections or pumps.

Mr. Murphy is a 45 year old advertising executive who presents to the emergency room complaining of the passage of black tarry stools x 3 days and an associated lightheadedness. He also relates that he cannot keep up with his usual schedule because of fatigability. He further complains of recent worsening of a chronic epigastric burning which had been a problem off/on for years. He had doubled his usual dose of Tums without significant relief of the burning. He has 2-3 martinis at lunch and another cocktail before dinner. He takes NSAIDS as needed for back pain and recently started on one aspirin per day for cardiac prophylaxis. He smokes two packs of cigarettes per day and an occasional cigar. He has h/o ulcer in the distant past but had no specific evaluation or treatment. PMH is negative for abdominal surgery, bleeding tendencies or prior transfusion. PHYSICAL EXAMINATION: Examination reveals an alert, oriented, overweight male. He appears anxious and somewhat restless. Vital signs are as follows: BP 120/80 mmHg, HR 110/min in supine; BP 90/60 mmHg; HR thready in standing (Patient complains of dizziness upon standing). Respiratory Rate 20 breaths per minute; Temperature 98 F.  HE-ENT/SKIN: Facial pallor and cool, moist skin are noted. ABDOMEN/RECTUM: The abdomen reveals a rounded abdomen. Bowel sounds are hyperactive. There is moderate tenderness in the epigastrium.  LABORATORY TESTS:  Hemoglobin 9gm/dL, Hematocrit 27%, MCV 90. WBC 13,000/mm. PT/PTT normal. BUN 45mg/dL, Creatinine 1.0 mg/dL. Chest x-ray normal. X-ray of abdomen (KUB) is unremarkable.   Question: Mr. Murphy was diagnosed with a gastrointestinal bleed. What screening tool would the doctor order confirm a GI bleed in the emergency room?

During static standing analysis of a patient with a transfemoral examination it is best practice to observe:  

You are treating a patient who has been recently admitted with severe back pain. The patient suddenly becomes agitated, begins shouting, and threatens to harm themselves and others. What is the most appropriate action to take in this situation?

A 45-year-old female patient presents with widespread pain, fatigue, headaches, and difficulty with memory and concentration. Her medical record indicates that she is being assessed using tools recommended by the American College of Rheumatology. Which disorder is she most likely being evaluated for?

You are treating a patient who is a two-month old infant diagnosed with osteogenesis imperfecta. Which of the following outcomes should you recognize as the PRIMARY goal for this patient.   

During a routine physical therapy session in a rehabilitation hospital, a patient begins to express feelings of hopelessness and mentions the possibility of attempting suicide. What is the most appropriate action to take in this situation?

A 250 lb patient, post right cerebrovascular accident (CVA), requires moderate assistance from two people for bed mobility and lateral transfers to a bedside chair. Which of the following would most benefit the patient in transferring out of bed to the chair?

A nurse is teaching the client about ways to help facilitate regular bowel movements.  What information is correct?  SELECT ALL THAT APPLY