A 25 year old female patient presents to the clinic with complaints of unintentional weight loss and ongoing fatigue. The patient states that she has been feeling very weak for the past few months. Clinical exam is significant for patchy areas of skin which seem to have increased pigmentation and areas of skin which seem […]

John comes back to the clinic and is complaining of feeling sluggish and dizzy when standing up. What does the nurse suspect is happening to John? Based on John’s symptoms of feeling sluggish and dizzy when standing up, the nurse may suspect that he is experiencing adrenal insufficiency or Addisonian crisis due to decrease in […]

Martha J. is a 23-year old female, who was born with PKU (phenylketonuria), an enzyme deficiency that prevents the metabolism of phenylalanine.  Children born with PKU are ordinarily placed on a special diet during the early years of life (up to age 6) to prevent severe retardation.  Because Martha J. was placed on this special […]

Characters: • Mrs. Coutt- A 58-year-old patient was admitted to the hospital for laparoscopic appendicectomy. She is staying overnight as she is an insulin-dependent diabetic. Her blood sugars have been unstable. • Sarah: A student nurse attending Mrs.Coutt Situation: Mrs. Coutt’s friend has come to visit her. Both are laughing and reminiscing about an old […]

A transportation company from a long-term care facility arrives on the floor to transport an 86-year-old patient with a hip fracture who has been discharged by the RN one hour ago. This transport company is well known by the nurse. The nurse and several colleagues wave good-bye to the patient and wish the patient well […]