Nursing care plan

Select one of the following case studies to complete care plan assignment:

Case study 1: John Doe, approximately 50 years old, is admitted to your unit for observation from the emergency department (ED) with the diagnosis of rule out hepatic encephalopathy with acute alcohol (ETOH) intoxication. This man was sent to the ED by local police, who found him lying unresponsive along a rural road. Examination and x-ray studies are negative for any injury, and you are awaiting the results of the blood alcohol level and toxicology tests. He has no identification and is not awake or coherent enough to give any history or to answer questions. He is lethargic, has a cachectic appearance, does not follow commands consistently, and is mildly combative when aroused. He smells strongly of ETOH and has a notably distended abdomen and edematous lower extremities. He has a Foley catheter and an IV of D5½NS with 20 mEq KCl and 1 ampule of multivitamins infusing at 75

mL/hr.

Case study 2: You are working in the internal medicine clinic of a large teaching hospital. Today your first patient is 70-year-old J.M., a patient who has been coming to the clinic for several years for management of coronary artery disease (CAD) and hypertension (HTN). He has had episodes of dizziness for the past 6 months and orthostatic hypotension, shoulder discomfort, and decreased exercise tolerance for the past 2 months. On his last clinic visit 3 weeks ago, a chest x-ray (CXR) showed cardiomegaly, and a 12-lead electrocardiogram (ECG) showed sinus tachycardia with left bundle branch block (LBBB)

Case study 3: D.M., a 25-year-old man, hops into the emergency department (ED) with complaints of right ankle pain. He states that he was playing basketball and stepped on another player's foot, inverting his ankle. You note swelling over the lateral malleolus down to the area of the fourth and fifth metatarsals, and pedal pulses are 3+ bilaterally. His vital signs are 124/76, 82, 18. He has no allergies and takes no medication. He states he has had no prior surgeries or medical problems: