what am I missing

[paula1975]

---

Members don't see this ad.

I am a nurse caring for patient Will Smith. I note the admitting resident has documented the patient as having 3+ pitting edema of the lower extremities, dyspnea, cyanosis, and generalized chest pain.
I assess the patient and note via palpation, diffuse abdominal pain, hyperactive bowel sounds, and tachycardia. I double check the patient's identify with the arm band, his date of birth (DOB), and his medical record number. I ask the patient his name and DOB.

I call the resident to share my findings. What do you think happened in this case? Assuming the nurse is correct, what do the symptoms of Will Smith seem to indicate? What other symptoms would you suspect he is having? Diagnosis?

 

[Rendar5]

i'm confused. is this hw help, a lesson in why nurses check identifying information,or something else?

 

[calvnandhobbs68]

So many cool stories on here today

 

[airplanes]

Your patient is most likely suffering from fulminant Fibromyalgia.

 

[DrSnips]

i'm confused. is this hw help, a lesson in why nurses check identifying information,or something else?

It's a lesson in HIPAA. Note that the nurse reveals the patient's name is Will Smith. This is a HIPAA violation.

However, let us also notice what the nurse did right. Will Smith is a very recognizable celebrity, but the nurse does not rely on this to identify the patient. She carefully goes and confirms that his wristband and verbal response indicate he is indeed the former Fresh Prince.

TL;DR HIPAA violations bad. Meticulous patient identification good.

 

[kpcrew]

clinical acumen probably

 

[link2swim06]

Um you are missing the rest of the vitals. Just don't tell me every patient on the floor has a respiration rate of 16.

 

[DrSnips]

Um you are missing the rest of the vitals. Just don't tell me every patient on the floor has a respiration rate of 16.

They don't, some have rates of 18.

 

[VenusinFurs]

Maybe his dictation got routed to the wrong patient or something.

 

[dr zaius]

The fault clearly lies with Obama.

 

[VenusinFurs]

Maybe the resident was one of the 47%.

 

[SpecterGT260]

Does one of the answers involve misdiagnosis due to palpating bowel sounds? 😀

 

[calvnandhobbs68]

Does one of the answers involve misdiagnosis due to palpating bowel sounds? 😀

lol

 

[evilbooyaa]

What is this I don't even

It says you're a medical student, but you say you're a nurse.

There's your error!

 

[dr zaius]

Does one of the answers involve misdiagnosis due to palpating bowel sounds? 😀

I like to hold my hands over the patient's abdomen and feel the movement of the air caused by the sub-gram scale forces of each individual smooth muscle cell.

 

[DrSnips]

I like to hold my hands over the patient's abdomen and feel the movement of the air caused by the sub-gram scale forces of each individual smooth muscle cell.

That's nothing, I can hear complement activation.

 

[SpecterGT260]

That's nothing, I can hear complement activation.

Its like.... a rush of politeness, right?

 

[kpcrew]

Its like.... a rush of politeness, right?

 

[dr zaius]

Its like.... a rush of politeness, right?

The original Sarcastoball!

 

[DrSnips]

Its like.... a rush of politeness, right?

well played

 

[evilbooyaa]

Its like.... a rush of politeness, right?

👍

 

[tiedyeddog]

step 1. make SDN account.
step 2. post homework question to allopathic forums.
step 3. ????
step 4. profit!

 

[evilbooyaa]

step 1. Make sdn account.
Step 2. Post homework question to allopathic forums.
Step 3. have most if not all students ridicule your ridiculous question with ridiculous answers
step 4. ???
Step 5: Profit!

ftfy

 

[p30doc]

It's lupus.

 

[SpecterGT260]

It's lupus.

its NEVER lupus!

 

[evilbooyaa]

its NEVER lupus!

For some reason I thought lupus was this super rare disease that I would be lucky to see one case of in my entire life.

Damn you House, you liar!

 

[FunnyCurrent]