A3 Benjamin a 21yearold male is brought to the emergency.pdf

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23. A process has an in-control fraction nonconforming of p=0.02. What sample size would be required for the fraction nonconforming control chart if it is desired to have a probability of at least one nonconforming unit in the sample to be at least 0.95 ? SS 7.28. A fraction nonconforming control chart with n=400 has the following parameters: UCLCenterlineLCL=0.0809=0.0500=0.0191 a. Find the width of the control limits in standard deviation units. b. What would be the corresponding parameters for an equivalent control chart based on the number nonconforming? c. What is the probability that a shift in the process fraction nonconforming to 0.0300 will be detected on the first sample following the shift?.

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A3. Benjamin, a 21-year-old male is brought to the emergency department by his parents who
state that he has "not been himself" for the past 18 hours. He is a college student who was home
for the weekend complaining of headaches. The parents inform the phyician that their son has no
past medical history. They are not aware that he is taking any medication. History and physical
findings per the physician are positive for headaches and altered mental status with a tactile fever
during the past two days. Body temperature on examination is 38C orally; heart rate of 115 beats
per minute, blood pressure 112/70, and a respiratory rate of 22 breaths per minute. His oxygen
saturation is 97% on room air. His head and neck exhibited nuchal rigidity. Results of a CT scan of
the brain shows no mass, shift, bleeding, or edema. Opening pressure of a lumbar spinal tap is >
190mmHO (normat <180mmH2O) Laboratory resuits: Comments: Indicates the presence of
WBCs, RBCs, bacteria, and protein 1. What is the significance of a lower than normal cSF/serum
glucose result? 2. Identify the abnormal findings in this patient's history and physical 3. What are
the patient's abnormal CSF analysis test results? 4. What is the most likely diagnosis and why?

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Hart City Case Study – Scenario 9 © 2020 Walden University 1 Hart City Case Study – Scenario 9 Program Transcript MALE SPEAKER: Look who it is. It's little Jimmy. MALE SPEAKER: Hi, Dan. My name is James, not Jimmy. MALE SPEAKER: You know, I'm not sure how you were promoted to the services coordinator. You never have good ideas. And you're not the best organized. To tell you the truth, anyone would have been better than you. I wouldn't trust you to supervise paint drying. And they trust you to oversee a unit. Oh, is little Jimmy getting mad? What are you going to do about it? MALE SPEAKER: I am getting really tired of him. He never quits. The name calling and insults are really frustrating. How should I handle this? [MUSIC PLAYING] Hart City Case Study – Scenario 9 Content Attribution Name: AdobeStockLicense_238412363.jpeg Credit Line: JackF/ Adobe Stock Name: AdobeStockLicense_308761990.jpeg Credit Line: Prostock-studio/ Adobe Stock Document: Provider Notes – NURS 6512 Name: Focused Exam: Chest Pain Type your narrative-style documentation for each section of the assignment into the corresponding dialogue boxes below. When you are ready to submit your documentation, ‘Save As’ with this title format: “[LastName_FirstName] Shadow Health Documentation Template - Focused Exam_Chest_Pain - NURS 6512” Subjective Objective Assessment - 1 - Copyright © 2019 || Shadowhealth.com Name: Focused Exam: Chest Pain Subjective Type your narrative-style documentation for each section of the assignment into the corresponding dialogue boxes below. When you are ready to submit your documentation, ‘Save As’ with this title format: “[LastName_FirstName] Shadow Health Documentation Template - Focused Exam_Chest_Pain - NURS 6512” S. CC: “Chest pain” HPI: The patient is a 58-year-old white American male who reports pain in the mid chest every no-and-then for the past month. The patient states the pain “feels like tightness than sharp pain” Patient reports pain is in the middle of the chest over the heart and has occurred three times in the past month and goes away after a couple of minutes. Patient rates pain six out of ten in terms of intensity but is currently a zero intensity. The pain is aggravated by physical activity and relieved by rest. The denied taking any medication to relieve the pain. PMH: Positive for high blood pressure and high cholesterol, checks BP during check-up visits to the doctor every 6months, last labs were drawn 3 months ago. Believes he takes Lisinopril 20mg daily and Atorvastatin 20mg daily for high BP and high cholesterol, respectively. Takes 1200mg fish oil daily, Ibuprofen or Tylenol for pain occasionally, allergy to Codeine causes nausea and vomiting. Denies previous hospitalizations or surgeries. FH: Dad died at 75 from colon cancer but was overweight and had high blood pressure and high cholesterol prior to death. Mom is 80 and has type 2 diabe ...

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Example Focused SOAP Note for a patient with chest pain S. CC: “Chest pain” HPI: The patient is a 65 year old AA male who developed sudden onset of chest pain, which began early this morning. The pain is described as “crushing” and is rated nine out of 10 in terms of intensity. The pain is located in the middle of the chest and is accompanied by shortness of breath. The patient reports feeling nauseous. The patient tried an antacid with minimal relief of his symptoms. PMH: Positive history of GERD and hypertension is controlled FH: Mother died at 78 of breast cancer; Father at 75 of CVA. No history of premature cardiovascular disease in first degree relatives. SH : Negative for tobacco abuse, currently or previously; consumes moderate alcohol; married for 39 years ROS General--Negative for fevers, chills, fatigue Cardiovascular--Negative for orthopnea, PND, positive for intermittent lower extremity edema Gastrointestinal--Positive for nausea without vomiting; negative for diarrhea, abdominal pain Pulmonary--Positive for intermittent dyspnea on exertion, negative for cough or hemoptysis O. VS: BP 186/102; P 94; R 22; T 97.8; 02 96% Wt 235lbs; Ht 70” General--Pt appears diaphoretic and anxious Cardiovascular--PMI is in the 5th inter-costal space at the mid clavicular line. A grade 2/6 systolic decrescendo murmur is heard best at the second right inter-costal space which radiates to the neck. A third heard sound is heard at the apex. No fourth heart sound or rub are heard. No cyanosis, clubbing, noted, positive for bilateral 2+ LE edema is noted. Gastrointestinal--The abdomen is symmetrical without distention; bowel sounds are normal in quality and intensity in all areas; a bruit is heard in the right para-umbilical area. No masses or splenomegaly are noted. Positive for mid-epigastric tenderness with deep palpation. Pulmonary-- Lungs are clear to auscultation and percussion bilaterally Diagnostic results: EKG, CXR, CK-MB (support with evidenced and guidelines) A. Differential Diagnosis: 1) Myocardial Infarction (provide supportive documentation with evidence based guidelines). 2) Angina (provide supportive documentation with evidence based guidelines). 3) Costochondritis (provide supportive documentation with evidence based guidelines). Primary Diagnosis/Presumptive Diagnosis: Myocardial Infarction P. This section is not required for the assignments in this course (NURS 6512) but will be required for future courses. © 2014 Laureate Education, Inc. Page 2 of 2 © 2014 Laureate Education, Inc. Page 1 of 2 Episodic/Focused SOAP Note Template Patient Information: Initials, Age, Sex, Race S. CC (chief complaint) a BRIEF statement identifying why the patient is here - in the patient’s own words - for instance "headache", NOT "bad headache for 3 days”. HPI: This is the symptom analysis section of your note. Thorough documentation in this section is essential for patient care, coding, a.

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