Ms. Richards is an 82-year-old African American

Ms. Richards is an 82-year-old African American female who was brought to the emergency department by her son this evening when he found her confused and complaining of trouble with her vision. Ms. Richards has been ill for several days with complaints of nausea, dizziness, and weakness. Ms. Richards has a history of hypertension, diagnosed 40 years ago, and heart failure, diagnosed 30 years ago. Her current medications include furosemide, amlodipine, and digoxin. Ms. Richards is complaining of slight abdominal pain and nausea. She has not vomited. Her last set of vitals are: temperature: 37.1°C (98.7°F), pulse: 58/min, respirations: 22/min, blood pressure: 96/54 mmHg, and an SpO2 of 96% on room air. She has an IV of lactated Ringer’s infusing at 100 mL/hr through a 20-gauge IV catheter in her right arm. A blood sample has been drawn for evaluation of her digoxin level. Ms. Richards is being admitted for observation and is due for a vital signs check. Lab results just came back and should be reviewed. Please notify the provider about the results. Guided Questions: Tell us about your client. What were your professional findings of Mary Richards? Be sure to include pertinent normal and abnormal data. What do you suspect is going on with Mary Richards? Explain. What medications did you administer during the simulation experience? Explain your decision. What medication education did you provide to Mary Richards during the scenario? Did you provide additional patient education during the simulation experience? Explain.

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