NUR2050 Bipolar/Depression Case Study with Answers (15 Solved Questions)
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Bipolar/Depression Case Study
RNUR 2050
Luis Chaves is a 22-year-old who migrated to Miami at the age of 2 years with his
parents. He is unemployed and lives with his sister. He is actively involved with an
intercity gang and depressed. Today he intentionally overdosed with paroxetine,
zolpidem, oxycodone and alcohol. He goes to his sister’s apartment to say goodbye
after taking the drugs and alcohol and confesses to overdosing. His sister
immediately calls 911 as be became unconscious. On the way to the emergency
room Luis was treated with naloxone, which produces a rapid improvement in his
level of consciousness. He becomes agitated and starts yelling that he “doesn’t
want to live anymore.”
This is the report from the emergency squad:
We responded to the residence at 2204. Upon arrival we found a 22-year-old male
unconscious. Sister reports that the client stated overdosing with paroxetine,
zolpidem, oxycodone, ibuprofen and alcohol. Patent airway and breathing
spontaneously at 8 resp. a minute, pulse 60 bpm, blood pressure 90/58 mmHg.
Naloxone administered during transport and client’s level of consciousness
increased. Began yelling “I don’t want to live anymore.” Respirations 20 breaths
per minute, pulse 90 bpm, blood pressure 148/988. Handoff report given to
emergency room nurse.
Answer the following questions related to the above information:
1.You have received report from the emergency squad, what are your top three
priority concerns?
1. Safety- pt tried to commit suicide and doesn’t want to live anymore, so suicide
precautions.
2. Blood pressure- elevated
3. Respiratory because of relapse of decreased respirations after Narcan wears off.
2. As the nurse triaging Luis what is your priority focused assessment?
1. Cultural preferences
2. Respiratory status
3. Suicide risk
4. Substance abuse history
3. Luis responded to naloxone on the way to the emergency department. Which of
the following substances would not react to naloxone? (Select all that apply)
RNUR 2050
Luis Chaves is a 22-year-old who migrated to Miami at the age of 2 years with his
parents. He is unemployed and lives with his sister. He is actively involved with an
intercity gang and depressed. Today he intentionally overdosed with paroxetine,
zolpidem, oxycodone and alcohol. He goes to his sister’s apartment to say goodbye
after taking the drugs and alcohol and confesses to overdosing. His sister
immediately calls 911 as be became unconscious. On the way to the emergency
room Luis was treated with naloxone, which produces a rapid improvement in his
level of consciousness. He becomes agitated and starts yelling that he “doesn’t
want to live anymore.”
This is the report from the emergency squad:
We responded to the residence at 2204. Upon arrival we found a 22-year-old male
unconscious. Sister reports that the client stated overdosing with paroxetine,
zolpidem, oxycodone, ibuprofen and alcohol. Patent airway and breathing
spontaneously at 8 resp. a minute, pulse 60 bpm, blood pressure 90/58 mmHg.
Naloxone administered during transport and client’s level of consciousness
increased. Began yelling “I don’t want to live anymore.” Respirations 20 breaths
per minute, pulse 90 bpm, blood pressure 148/988. Handoff report given to
emergency room nurse.
Answer the following questions related to the above information:
1.You have received report from the emergency squad, what are your top three
priority concerns?
1. Safety- pt tried to commit suicide and doesn’t want to live anymore, so suicide
precautions.
2. Blood pressure- elevated
3. Respiratory because of relapse of decreased respirations after Narcan wears off.
2. As the nurse triaging Luis what is your priority focused assessment?
1. Cultural preferences
2. Respiratory status
3. Suicide risk
4. Substance abuse history
3. Luis responded to naloxone on the way to the emergency department. Which of
the following substances would not react to naloxone? (Select all that apply)
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