Included In This Lesson

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Outline

Study Tools

Outline

The patient is a 45-year-old male who is a “frequent flyer” in the emergency room for abdominal pain. The patient always has a high ETOH level and demands to be given 3 macaroni and cheese dishes, 2 chicken sandwiches and 2 whole milk cartons. Vital signs are as follows:

HR 103

RR 20

BP 125/67

Temp 98.6°F orally

SpO2 98%

Critical Thinking Check

Bloom's Taxonomy: Application

Given that he will be admitted to the hospital for a few days without access to alcohol, what protocol medication needs to be ordered for this patient?

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Critical Thinking Check

Bloom's Taxonomy: Application

What question needs to be asked in regard to the patient’s alcohol intake?

View Answer

The patient reports he drank 2 pints of liquor and a 6-pack of beer tonight. The patient is telling the nurse that he is serious this time and is going to quit drinking for the holidays so that his family will let him come over for Christmas. The patient is slurring his speech and has a history of trying to elope from the hospital.

Critical Thinking Check

Bloom's Taxonomy: Application

What precautions does the nurse need to set up for this patient?

View Answer

The patient has an IV line, labs are drawn and the patient has their meal. The blood alcohol level comes back 395 mg/dL. The nurse knows that the patient will metabolize 100 mg/dL every four hours and that the patient is no longer legally intoxicated once it falls to less than 80 mg/dL.

Critical Thinking Check

Bloom's Taxonomy: Comprehension

When will this patient likely be no longer legally intoxicated? What is the implication of this time period?

View Answer

Critical Thinking Check

Bloom's Taxonomy: Analysis

What medications will the doctor likely order for this patient to replace vitamins?

View Answer

The patient has been in the hospital for 14 hours now and is no longer legally intoxicated. The vital signs have stabilized and the patient is alert and oriented x4. The patient remains hopeful to stop drinking and is asking for additional help to stay sober.

Critical Thinking Check

Bloom's Taxonomy: Application

What medication could be ordered for this patient to help keep him sober?

View Answer

Critical Thinking Check

Bloom's Taxonomy: Application

What education does this patient need in order to be successful on this medication?

View Answer

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Related Lesson

02.14 Alcohol Withdrawal (Addiction)

Nursing Case Studies

Course Description

Jon Haws, BS, BSN, RN, CCRN Alumnus

Miriam Wahrman, MSN/Ed, RNC-MNN

Chance Reaves, MSN-Ed, RN

Abby Rose, BSN, RN

This nursing case study course is designed to help nursing students build critical thinking. Each case study was written by experienced nurses with first hand knowledge of the “real-world” disease process. To help you increase your nursing clinical judgement (critical thinking), each unfolding nursing case study includes answers laid out by Blooms Taxonomy to help you see that you are progressing to clinical analysis.We encourage you to read the case study and really through the “critical thinking checks” as this is where the real learning occurs. If you get tripped up by a specific question, no worries, just dig into an associated lesson on the topic and reinforce your understanding. In the end, that is what nursing case studies are all about – growing in your clinical judgement.

Module Nursing Case Studies Introduction

Nursing Case Study Introduction

Module Cardiac Nursing Case Studies

Myocardial Infarction (MI) Case Study (45 min)

Questions: 6
Cheat Sheets: 1

Heart Failure Case Study (45 min)

Questions: 7
Cheat Sheets: 1

Hypovolemic Shock Case Study (OB sim) (60 min)

Questions: 5

Septic Shock (Sepsis) Case Study (45 min)

Cheat Sheets: 1

Hypertensive Crisis Case Study (45 min)

Endocarditis Case Study (45 min)

Questions: 4

Nursing Case Study for Rheumatic Heart Disease

Questions: 5

Nursing Case Study for Cardiogenic Shock

Questions: 5
Cheat Sheets: 1

Module GI/GU Nursing Case Studies

Acute Kidney Injury Case Study (60 min)

Questions: 4

Peptic Ulcer Disease Case Study (60 min)

Inflammatory Bowel Disease Case Study (45 min)

Questions: 2
Cheat Sheets: 1

Cirrhosis Case Study (45 min)

Questions: 8

Urinary Tract Infection Case Study (45 min)

Cheat Sheets: 1

Nursing Case Study for Hepatitis

Questions: 5

Nursing Case Study for Acute Kidney Injury

Questions: 6
Cheat Sheets: 1

Module Obstetrics Nursing Case Studies

Ectopic Pregnancy Case Study (30 min)

Questions: 5
Cheat Sheets: 1

Antepartum Testing Case Study (45 min)

Labor Progression Case Study (45 min)

Reyes Syndrome Case Study (Peds) (45 min)

Cheat Sheets: 1

Preeclampsia (45 min)

Disseminated Intravascular Coagulation Case Study (60 min)

Questions: 7
Cheat Sheets: 1

Emergent Delivery (OB) (30 min)

Nursing Case Study for Maternal Newborn

Questions: 8

Module Respiratory Nursing Case Studies

Chronic Obstructive Pulmonary Disease (COPD) Case Study (60 min)

Questions: 10

ARDS Case Study (60 min)

Questions: 4

Chest Tube Management Case Study (60 min)

Questions: 6

Tuberculosis (TB) Case Study (60 min)

Questions: 6
Cheat Sheets: 1

Nursing Case Study for Pneumonia

Questions: 7

Module Pediatrics Nursing Case Studies

Appendicitis Case Study (Peds) (30 min)

Questions: 6

Nephrotic Syndrome Case Study (Peds) (45 min)

Fever Case Study (Pediatric) (30 min)

Questions: 7
Cheat Sheets: 1

Varicella Case Study (Peds) (30 min)

Questions: 3
Cheat Sheets: 1

Reyes Syndrome Case Study (Peds) (45 min)

Cheat Sheets: 1

Nursing Case Study for Pediatric Asthma

Questions: 12
Cheat Sheets: 1

Module Neuro Nursing Case Studies

Cerebral Perfusion Pressure Case Study (60 min)

Questions: 2

Encephalopathy Case Study (45 min)

Questions: 2

Stroke Case Study (45 min)

Questions: 7
Cheat Sheets: 1

Spinal Cord Injury Case Study (60 min)

Questions: 4
Cheat Sheets: 1

Seizures Case Study (45 min)

Questions: 4
Cheat Sheets: 1

Nursing Case Study for Head Injury

Questions: 5

Module Mental Health Nursing Case Studies

Somatoform Disorder Case Study (30 min)

Alcohol Withdrawal Case Study (45 min)

Questions: 2
Cheat Sheets: 1

Schizophrenia Case Study (45 min)

Questions: 5
Cheat Sheets: 1

Nursing Case Study for Bipolar Disorder

Questions: 9
Cheat Sheets: 1

Nursing Case Study for (PTSD) Post Traumatic Stress Disorder

Questions: 5
Cheat Sheets: 1

Nursing Case Study for Mania (Manic Syndrome)

Questions: 5

Module Metabolic/Endocrine Nursing Case Studies

Cushing’s Syndrome Case Study (60 min)

Questions: 8

Diabetes Mellitus Case Study (45 min)

Questions: 6

Diabetic Ketoacidosis (DKA) Case Study (45 min)

Questions: 6

Hyperthyroidism Case Study (75 min)

Diabetes Insipidus Case Study (60 min)

Questions: 5

Chronic Kidney Disease (CKD) Case Study (45 min)

Questions: 8
Cheat Sheets: 1

Nursing Case Study for Type 1 Diabetes

Questions: 5
Cheat Sheets: 1

Nursing Case Study for Diabetic Foot Ulcer

Questions: 10

Nursing Care Plan (NCP) for Cushing’s Disease

Questions: 8

Module Other Nursing Case Studies

Disseminated Intravascular Coagulation Case Study (60 min)

Questions: 7
Cheat Sheets: 1

AIDS Case Study (45 min)

Questions: 4
Cheat Sheets: 1

Leukemia Case Study (60 min)

Questions: 5
Cheat Sheets: 1

Burn Injury Case Study (60 min)

Questions: 2

Gout Case Study (45 min)

Questions: 2

Nursing Case Study for Breast Cancer

Questions: 7

Alcohol Withdrawal Case Study (45 min)

Included In This Lesson

Study Tools

Outline

Given that he will be admitted to the hospital for a few days without access to alcohol, what protocol medication needs to be ordered for this patient?

What question needs to be asked in regard to the patient’s alcohol intake?

What precautions does the nurse need to set up for this patient?

When will this patient likely be no longer legally intoxicated? What is the implication of this time period?

What medications will the doctor likely order for this patient to replace vitamins?

What medication could be ordered for this patient to help keep him sober?

What education does this patient need in order to be successful on this medication?

Try NURSING.com Risk Free for 3 Days

Clear, Concise, Visual Nursing School Supplement

Nursing Case Studies

Module Nursing Case Studies Introduction

Module Cardiac Nursing Case Studies

Module GI/GU Nursing Case Studies

Module Obstetrics Nursing Case Studies

Module Respiratory Nursing Case Studies

Module Pediatrics Nursing Case Studies

Module Neuro Nursing Case Studies

Module Mental Health Nursing Case Studies

Module Metabolic/Endocrine Nursing Case Studies

Module Other Nursing Case Studies

Question 1 of 2

Question 2 of 2

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Alcohol Withdrawal Case Study (45 min)

Included In This Lesson

Study Tools

Outline

Given that he will be admitted to the hospital for a few days without access to alcohol, what protocol medication needs to be ordered for this patient?

What question needs to be asked in regard to the patient’s alcohol intake?

What precautions does the nurse need to set up for this patient?

When will this patient likely be no longer legally intoxicated? What is the implication of this time period?

What medications will the doctor likely order for this patient to replace vitamins?

What medication could be ordered for this patient to help keep him sober?

What education does this patient need in order to be successful on this medication?

Try NURSING.com Risk Free for 3 Days

Clear, Concise, Visual Nursing School Supplement

Nursing Case Studies

Module Nursing Case Studies Introduction

Module Cardiac Nursing Case Studies

Module GI/GU Nursing Case Studies

Module Obstetrics Nursing Case Studies

Module Respiratory Nursing Case Studies

Module Pediatrics Nursing Case Studies

Module Neuro Nursing Case Studies

Module Mental Health Nursing Case Studies

Module Metabolic/Endocrine Nursing Case Studies

Module Other Nursing Case Studies

Quiz

Question 1 of 2

Question 2 of 2

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