Southwest Tennessee Community College
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This is a literacy narrative
Jack Holmes, 72 years old 
Primary Concept 
Perfusion 
Interrelated Concepts (In order of emphasis) 
 Inflammation 
 Infection 
 Tissue Integrity 
 Clinical Judgment 
 Patient Education 
 Communication 
NCLEX Client Need Categories Percentage of Items from Each 
Category/Subcategory 
Covered in 
Case Study 
Safe and Effective Care Environment 
 Management of Care 17-23% 
 Safety and Infection Control 9-15% 
Health Promotion and Maintenance 6-12% 
Psychosocial Inte...
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These are key terms one may study.
Case 
Case Study Sepsis, Septic Shock, RAPID Reasoning Case Study, STUDENT, Jack Holmes, 72 years old, (Latest 2021) Correct Study Guide, Download to Score A 
 
History of Present Problem: Jack Holmes a 72-year-old Caucasian male brought to the ED by ambulance from a skilled nursing facility (SNF). According to report from the paramedic, when the SNF nursing staff attempted to wake him this morning, he would not respond, and his BP was 74/40 with a MAP of 51. He has a history of Parkinson’s di...
History of Present Problem: 
Jack Holmes a 72-year-old Caucasian male brought to the ED by ambulance from a skilled nursing facility (SNF). 
According to report from the paramedic, when the SNF nursing staff attempted to wake him this morning, he would not 
respond, and his BP was 74/40 with a MAP of 51. He has a history of Parkinson’s disease, COPD, CHF, HTN, 
depression, and a stage IV decubitus ulcer on his coccyx that developed three months ago. He does not follow 
commands, is unresponsiv...
1) A nurse is caring for a client with hyperparathyroidism and notes that the client's serum 
calcium level is 13 mg/dL. Which medication should the nurse prepare to administer as 
prescribed to the client? 
 1. Calcium chloride 
 2. Calcium gluconate 
 3. Calcitonin (Miacalcin) 
 4. Large doses of vitamin D 3. Calcitonin (Miacalcin) 
Rationale: 
The normal serum calcium level is 8.6 to 10.0 mg/dL. This client is experiencing hypercalcemia. 
Calcium gluconate and calcium chloride are medication...
Heart Failure Clinical Reasoning Case Study- Carlos Boccerini,68 yrs old/Heart Failure Clinical Reasoning Case Study- Carlos Boccerini,68 yrs old Carlos Boccerini is a 68-year-old male who has a 5-year history of systolic heart failure secondary to ischemic cardiomyopathy with a current ejection fraction (EF) of only 15%. He presents to the emergency department (ED) for shortness of breath (SOB) the past 3 days. His shortness of breath has progressed from SOB with activity to becoming SOB at res...