Reference no: EM133852915

1. SCENARIO OVERVIEW:

Amir Patel is an 89-year-old male brought to the emergency department for acute confusion and cough. His wife called emergency medical services (EMS) after she noted Amir becoming more lethargic and displayed odd behaviors (putting his shirt on backwards, reading the newspaper upside down, not responding as usual). She reports that he has not had much to eat or drink in the last 24 hours.

Questions:

1. Compare and contrast acute impaired cognition and chronic impaired cognition.

2. Describe communication strategies for a patient who has impaired cognition.

3. What assessment findings and diagnostic testing would you anticipate for a patient experiencing fluid volume deficit?

4. What diagnostic testing and treatments would you anticipate for a patient with impaired gas exchange?

2. SCENARIO OVERVIEW:

Randall Davis is a 69-year-old African American male who was a direct admit to the telemetry unit 2 hours ago from his cardiologist's office for heart failure exacerbation. He was diagnosed with heart failure last year and this is his first exacerbation. He presented with a 6-pound weight gain in eight days, shortness of breath, and a non-productive cough.

Questions:

1. Compare and contrast left-sided versus right-sided heart failure.

2. What diagnostic testing should the nurse anticipate for a patient with heart failure and why?

3. What the desired outcomes in a patient with left-sided heart failure?

4. Develop discharge teaching for a patient with left-sided heart failure.