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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 )

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