WN9

See Attached!

Q1 – Your patient is a 23-year-old female with a history of headaches. This morning she was experiencing a really bad headache as her boyfriend was driving her to the university. He thought she was sleeping and by the time they got to the school, 45 minutes later, she was not waking up. She was diagnosed with a cerebral aneurysm, and you are taking care of her in the Neurological ICU.

· What testing do you expect to be performed to diagnose brain death?

· What is the procedure when a patient is determined to be brain dead?

· Who should approach the family about organ donation?

The family is approached about organ donation. The patient indicated on her driver’s license that she wanted to be an organ donor. Her mother refuses to consent for organ donation.

· Do you think donation should happen anyway? Why or why not?

· What will be the ethical consequences of your decision?

Q2- Please use the concept map to plan care for Mr. Jackson. Mr. Jackson is a 38-year-old African American that presents with an altered level of consciousness (ALOC). He has been having headaches for the last three months but due to a hectic work schedule he has not been able to go to see his medical practitioner. During his last visit two years ago, his blood pressure was slightly elevated, but he never followed up. Upon arrival to the ED a CT scan is completed, and it shows a large bleed near the frontal lobe. What should Mr. Jackson’s plan of care include?

Student’s Name
Rasmussen NPR Concept Plan
Date

Nursing Interventions

Possible Nursing Diagnosis

Clinical Manifestations

Subjective:

Objective:

Medical Diagnosis

Patient Data/Risk Factors

Possible Medications

Patient Education

Diagnostic Data

Pathophysiology

Medical Interventions

[Type text]

0413

Q1- For patients with liver failure due to cirrhosis liver, transplantation may be the only possible treatment.

· How is the care for the patient undergoing liver transplantation different from the care of a regular surgical patient?

· What patient teaching is needed after a patient receives a liver transplant?

· Should the patient with alcoholic cirrhosis be a candidate for a liver transplant?

· Should government funds be used in the care of patients with cirrhosis who continue to consume alcohol?

Q2- Your patient is a 52-year-old male with a history of smoking and alcohol abuse. He presents to the ED with complaints of “my skin looks yellow, my stomach hurts, and I feel nauseous”. He is taken to CT and a tumor near the pancreas is observed. It appears to be blocking the common bile duct. Develop a plan of care for the patient. Use the attached concept map.