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4870 Cass Ave
Detroit, MI, United States
Urinary Disorders – 2025 0130 Admission nurses note RN Client arrived via EMS from long term care for evaluation of low
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Urinary Disorders – 2025
0130: Admission nurses note (RN): Client arrived via EMS from long-term-care for evaluation of “low blood sugar.” Pt. arrived confused (alert and oriented X 1) and is a known diabetic. Finger stick was 45. Orange juice and crackers, given repeat finger stick 104. Pt now alert and oriented X 4. Report from the charge nurse at the long-term-care facility indicates that the client has been having frequent bouts of hypoglycemia.
0530: (RN) Foley catheter inserted for incontinence–pt. “too weak” to get up to the bathroom and is experiencing bouts of incontinence.
600 mL clear yellow urine noted. The nurse indicates that the ER is “very busy” and “short-staffed.” 0545 (Admitting Physician) See history and physical. Pt. admitted to the medical-surgical service for evaluation of recurrent hypoglycemia.
View the ER chart before the pt. is transferred to the floor:
0730: (RN) Report is given to RN on 3 North.
Emergency Department Chart
Client: Mabel Simpson
DOB: 4/23/1941
Admission Date 8/16/2019
Medical Diagnosis: recurrent hypoglycemia
Allergies: None
Vitals/ Data Collection: Temp.- 97.3 PO
History: Diabetes (insulin dependent)
Medications: Insulin R titrated to finger sticks
Allergies: None
Vitals/ Data Collection: Pulse- 68
History: Hypertension
Medications: Furosemide 20 MG twice per day
Allergies: None
Vitals/ Data Collection: Respirations- 18
History: Atrial Fibrillation
Medications: Warfarin 5 Mg Mon, Wed, Fri 2 Mg Tues, Thurs
Allergies: None
Vitals/ Data Collection: Blood Pressure- 122/86
History: Rheumatoid Arthritis
Medications: Enalapril 5 Mg once per day
Allergies: None
Vitals/ Data Collection: No C/O pain
History: Mild Heart Failure (class 1)
Medications: Proventil inhaler as needed for wheezing
Allergies: None
Vitals/ Data Collection: Alert and oriented X 4
History: Former Smoker- smoked 1 pack per day X 40 years- last smoked 10 years ago
Medications: Methotrexate 2.5 Mg per day
Allergies: None
Vitals/ Data Collection: Lungs: No adventitious sounds
History: Appendectomy as a child
Medications: Tylenol 650 Mg as needed for pain or fever
Allergies: None
Vitals/ Data Collection: + Bowel sounds
History: Mobility (baseline): able to ambulate slowly with minimal assist
Clear yellow urine draining from Foley catheter in adequate amts.
Medications:
Allergies: None
Vitals/ Data Collection: Clear yellow urine draining from Foley catheter in adequate amts.
History:
Medications:
Allergies: None
8/16/2019
10:00: (RN) Pt received on 3 North. Alert and oriented X 4. Fingerstick 81. Eating breakfast. Offering no complaints.
8/17/2019 (Medical Assistant)
0130: Sleeping Soundly
0700: (LPN) alert and oriented Finger stick 124. Offering no complaints. Medications given as ordered. Foley catheter draining cloudy yellow urine- RN notified.
1100: (Case Manager note): Pt. alert and oriented. Blood sugar stable. Will speak to the physician about discharge tomorrow morning.
1300: (Physical Therapy): Ambulated to the hallway 200 feet. Ambulates slowly- baseline as per long-term-care facility charge nurse. Recommend physical therapy after discharge, however, ambulated well enough for discharge.
1600: (LPN) Pt found to be confused (alert and oriented X 1). RN notified. Fingerstick 130. Vitals 97.5 (axillary), 110, 24, 98/64
1800: (Medical assistant) 400 cc’s emptied from catheter bag.
0100: (RN) Pt confused and combative. Attempting to pull out her IV and repeatedly removing her gown. Pt’s physician was paged- ordered Lorazepam 1 MG IM. Medicated as ordered and slept the remainder of the night with no incident.
0700: (RN) Pt awake and alert but combative. Finger stick-124. Vitals: 98.9 (axillary), 116, 28, 90/55
1730: (LPN) Unable to administer medication. Pt appears extremely confused. RN notified.
1200: (LPN) Pt’s daughter at bedside. Daughter indicates that her mother is not normally confused and is concerned that she may have had a stroke and notes that her mom feels “very warm.” RN notified. Foley catheter draining cloudy urine.
1230: (Medical Assistant) Vital signs: T 103.6 (rectal), P=130, BP=84/43, resp rate=28
1300: (RN) Rapid response called (because of the change in condition) and client transferred to the ICU.
Update: The client spent 3 days in the ICU but unfortunately did not recover.
Please answer the following questions:
Impact Of Friends/family Support On Mental Health – 2025 Title of the Paper Author Student s Name Miami Regional University ENC2201 Report Writing and Research
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Impact Of Friends/family Support On Mental Health – 2025
Title of the Paper
Author/Student’s Name
Miami Regional University
ENC2201: Report Writing and Research Methods
Dr. Uliana Gancea
April 15, 2022
Abstract
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Keywords: enter five keywords
Title of the Paper
Hook
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Background Information
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Problem Statement
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Research Question
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Hypothesis
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Thesis Statement
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Literature Review
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Method
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Results
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Discussion
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Limitations and Implications
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Conclusion
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References
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Christianity Part 2 – 2025 Read section on Christianity and answer one of the questions at the end or one of the following bonus
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Christianity Part 2 – 2025
Read section on Christianity and answer one of the questions at the end or one of the following bonus questions. (Be sure to indicate which question you are answering.)
Bonus Questions:
1. Describe 1-2 primary doctrines or key beliefs about Jesus. How does this make Christianity unique among the world religions?
2. What makes Christianity unique among the world religions? Be sure to mention 2-3 characteristics in your response.
3. The resurrection of Jesus is a highly debated topic among religion scholars. In what ways does the Christian message hinge on the resurrection? Please explain your answer.
Submission Instructions:
Nursing Discussion – 2025 To support your work use your course and text readings as well as the South
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Nursing Discussion – 2025
To support your work, use your course and text readings as well as the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format. Patient or lay person medical information portals such as webMD, Medscape, Mayo Clinic, or any disease foundations, such as the arthritis foundation or the diabetic foundation, are not acceptable resources for your scholarly work.
Response # 2 Down Syndrome is another genetic disorder. Why is the Punnett Square not a good tool for predicting if offspring will have Down Syndrome? Why does the risk for Down’s Syndrome increase with maternal age?