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Ruth Livingstone Case scenario- peripheral vascular; Ms. Livingston is an 80-year-old
Case scenario- peripheral vascular-: Ruth Livingston 
History of Present Illness 
Ms. Livingston is an 80-year-old female who was admitted to the orthopedic surgical unit from 
the emergency department because of a trip and fall accident at home. X-rays revealed a right 
femoral head neck fracture. Ms. Livingston has a history of osteoporosis. She went for an open 
reduction internal fixation (ORIF) late yesterday evening. Vital signs have been stable- 98.6 oral, 
72 pulse, 20 resp, 136/74. Her ...
- Case
- • 4 pages •
Case scenario- peripheral vascular-: Ruth Livingston 
History of Present Illness 
Ms. Livingston is an 80-year-old female who was admitted to the orthopedic surgical unit from 
the emergency department because of a trip and fall accident at home. X-rays revealed a right 
femoral head neck fracture. Ms. Livingston has a history of osteoporosis. She went for an open 
reduction internal fixation (ORIF) late yesterday evening. Vital signs have been stable- 98.6 oral, 
72 pulse, 20 resp, 136/74. Her ...
Valerie Cucina concept map worksheet on case GI bleeding
The patient, V.C., is a 78-year-old female experiencing an upper gastrointestinal bleed. This 
occurred due to her overuse of NSAIDs to manage her orthopedic pain. Additionally, she was taking 
an SSRI to manage depression since the recent loss of her husband. NSAIDs, such as ibuprofen or 
aspirin, are often associated with gastrointestinal perforation, ulceration, and bleeding. SSRIs, such 
as sertraline or fluoxetine, are also known to contribute to upper gastrointestinal bleeding. Using this ...
- Case
- • 7 pages •
The patient, V.C., is a 78-year-old female experiencing an upper gastrointestinal bleed. This 
occurred due to her overuse of NSAIDs to manage her orthopedic pain. Additionally, she was taking 
an SSRI to manage depression since the recent loss of her husband. NSAIDs, such as ibuprofen or 
aspirin, are often associated with gastrointestinal perforation, ulceration, and bleeding. SSRIs, such 
as sertraline or fluoxetine, are also known to contribute to upper gastrointestinal bleeding. Using this ...
Vsim Skylar Hansen; Hyperglycemia
DESCRIBE DISEASE PROCESS AFFECTING PATIENT 
(INCLUDE PATHOPHYSIOLOGY OF DISEASE PROCESS) 
DIAGNOSTIC TESTS 
(REASON FOR TEST AND RESULTS) 
PATIENT INFORMATION ANTICIPATED PHYSICAL 
FINDINGS 
ANTICIPATED NURSING INTERVENTIONS 
Insulin is a hormone secreted by beta cells, which are one of four types of cells in the islets of Langerhans in 
the pancreas. Insulin is an anabolic, or storage, hormone. When a person eats a meal, insulin secretion 
increases and moves glucose from the blood into muscle,...
- Case
- • 13 pages •
DESCRIBE DISEASE PROCESS AFFECTING PATIENT 
(INCLUDE PATHOPHYSIOLOGY OF DISEASE PROCESS) 
DIAGNOSTIC TESTS 
(REASON FOR TEST AND RESULTS) 
PATIENT INFORMATION ANTICIPATED PHYSICAL 
FINDINGS 
ANTICIPATED NURSING INTERVENTIONS 
Insulin is a hormone secreted by beta cells, which are one of four types of cells in the islets of Langerhans in 
the pancreas. Insulin is an anabolic, or storage, hormone. When a person eats a meal, insulin secretion 
increases and moves glucose from the blood into muscle,...
Tony Wallace sickle cell Case
Tony Wallace is a 24-year old young man with known sickle cell anemia who was admitted 
yesterday experiencing an acute pain episode. He has been treated with morphine, Toradol, 
Benadryl, and Phenergan. He has a peripheral IV with normal saline infusing at 100 mL/hour and 
a PCA with morphine running at 2 mg/hour. Tony is not happy to receive morphine as this drug 
causes severe itching. Tony has been sleeping most of the night, but he has requested Phenergan 
and Benadryl about every 4 or 5 ho...
- Case
- • 5 pages •
Tony Wallace is a 24-year old young man with known sickle cell anemia who was admitted 
yesterday experiencing an acute pain episode. He has been treated with morphine, Toradol, 
Benadryl, and Phenergan. He has a peripheral IV with normal saline infusing at 100 mL/hour and 
a PCA with morphine running at 2 mg/hour. Tony is not happy to receive morphine as this drug 
causes severe itching. Tony has been sleeping most of the night, but he has requested Phenergan 
and Benadryl about every 4 or 5 ho...
Advanced Medical-Surgical/Critical Care Case 4: Charles JonesDocumentation Assignments
Advanced Medical-Surgical/Critical Care Case 4: Charles Jones 
Documentation Assignments 
1. Document your initial focused assessment and vital signs for Charles Jones. 
ECG: Atrial Fibrillation, HR 107, pulse present, B/P 152/92, RR20, SpO2 95%, temp 
98.6. Occultation of heart the post was irregular but there was no abnormal 
heart sounds the lungs had crackles at both bases there was a lot of audible 
wheezing. 
2. Document the changes in assessment findings that occurred after the 
nitroglyc...
- Case
- • 2 pages •
Advanced Medical-Surgical/Critical Care Case 4: Charles Jones 
Documentation Assignments 
1. Document your initial focused assessment and vital signs for Charles Jones. 
ECG: Atrial Fibrillation, HR 107, pulse present, B/P 152/92, RR20, SpO2 95%, temp 
98.6. Occultation of heart the post was irregular but there was no abnormal 
heart sounds the lungs had crackles at both bases there was a lot of audible 
wheezing. 
2. Document the changes in assessment findings that occurred after the 
nitroglyc...
Maria Gonzalez clinical replacement Packet Vsim
- Case
- • 26 pages •
Guided Reflection Questions for Advanced Medical-Surgical/Critical Care Case 3: Liling Zhao
Guided Reflection Questions for Advanced MedicalSurgical/Critical Care Case 3: Liling Zhao 
Opening Questions 
How did the scenario make you feel? 
Unprepared, you never know how to start with the patient and what to do next. 
What do you think went well during the simulation? 
Doing her vital signs, and assessments, and following the doctor’s orders. 
Is there anything you would do differently? 
I would continue to do all my vitals and assessments at the same time and not be 
anxious about th...
- Case
- • 2 pages •
Guided Reflection Questions for Advanced MedicalSurgical/Critical Care Case 3: Liling Zhao 
Opening Questions 
How did the scenario make you feel? 
Unprepared, you never know how to start with the patient and what to do next. 
What do you think went well during the simulation? 
Doing her vital signs, and assessments, and following the doctor’s orders. 
Is there anything you would do differently? 
I would continue to do all my vitals and assessments at the same time and not be 
anxious about th...
Advanced Medical-Surgical/Critical Care Case 3: Liling ZhaoDocumentation Assignments
Advanced Medical-Surgical/Critical Care Case 3: Liling Zhao 
Documentation Assignments 
1. Document your initial focused neurologic, cardiovascular, and pain 
assessments, along with vital signs, for Lling Zhao. 
VS HR 61, BP 152/91, RR 21, and O2 97%. “pain is like a 6 all the time then goes to 
10 when the ICD goes off” 
2. Document the changes in assessment findings that occurred after Liling Zhao 
received a shock. 
VS HR 37, BP 118/70, RR 23, and O2 98%. 
3. Document Liling Zhao’s exp...
- Case
- • 2 pages •
Advanced Medical-Surgical/Critical Care Case 3: Liling Zhao 
Documentation Assignments 
1. Document your initial focused neurologic, cardiovascular, and pain 
assessments, along with vital signs, for Lling Zhao. 
VS HR 61, BP 152/91, RR 21, and O2 97%. “pain is like a 6 all the time then goes to 
10 when the ICD goes off” 
2. Document the changes in assessment findings that occurred after Liling Zhao 
received a shock. 
VS HR 37, BP 118/70, RR 23, and O2 98%. 
3. Document Liling Zhao’s exp...
Med-Surg: NLN II, Case5, Complex: Cerebral Vascular Accident/Ischemic Stroke:William Edwards
William Edwards is a 65-year old patient on a medical unit who recently experienced a 
cerebral vascular accident (CVA) within the past 90 days and is now showing signs of 
an acute ischemic stroke. 
Clinical judgment activity: You are the receiving nurse for Mr. Edwards in the 
emergency department (ED). You receive handoff report from the paramedic. In the 
report, the paramedic states Mr. Edwards had a stroke three months ago and that he is 
now showing signs of an ischemic stroke. What types...
- Case
- • 5 pages •
William Edwards is a 65-year old patient on a medical unit who recently experienced a 
cerebral vascular accident (CVA) within the past 90 days and is now showing signs of 
an acute ischemic stroke. 
Clinical judgment activity: You are the receiving nurse for Mr. Edwards in the 
emergency department (ED). You receive handoff report from the paramedic. In the 
report, the paramedic states Mr. Edwards had a stroke three months ago and that he is 
now showing signs of an ischemic stroke. What types...
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