I’m working on a nursing case study and need an explanation to help me learn.

Case Study A:

Answer the following questions:

1. What are the factors leading to this incident?

2. How could this incident be prevented?

3. What is the responsibility of the staff in dealing with this incident?

4. Based on professional commitments, what is the duty of nursing staff in such events?

5. What are the ethical issues of patient safety in this case?

6. What are the legal obligations and consequences of this case?

A female was arrested for drug trafficking and during her questioning by law enforcement, she clearly stated that she was pregnant. The woman’s medical history would reveal a previous miscarriage had occurred. While in custody, the patient would complain of vaginal bleeding and abdominal discomfort. She claims that she made the prison nurse aware of this at that time from her cell. She also claims to have made the nurse aware of her previous miscarriage and that her current symptoms were similar.

According to the documentation of the event, the nurse responded by taking the prisoner’s pulse and afterward informing the pregnant patient that she was “menstruating.” The nurse did no further assessment nor did she
grant the patient’s request for a “sanitary napkin.” She instructed her to “lay down” and then left.

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The patient’s abdominal pain would worsen, and she was unable to remain laying down. She continued to complain to the nurse about her pain. The nurse took no further action other than to inform the patient she would be transferred to another cell for being noncompliant.

Early in the night, the patient would have a miscarriage in her jail cell.

Case Study B

1. Stroke, or brain attack, involves brain tissue injury. Describe ischemic penumbra and what factors contribute to the survival of the neurons involved.

2. Compare and contrast hypoxia and ischemia. What condition is more dangerous to the brain? Explain your answer.

3. Knowing what you do about the effects of ischemia on the brain, why would someone with ischemic stroke develop cerebral edema?

Bonnie is a 70-year-old woman who lives alone. One evening, she felt light- headed and dizzy. When her head began to ache, she decided to take an analgesic and go to bed early. The following morning, upon awakening, she was unable to move the bed sheets with her right arm. At this point, she was experiencing tingling sensations in her limbs, and she had difficulty keeping her balance. She dialed 911 for help, and by the time the ambulance arrived, she was confused and unable to articulate her words although she knew what information he was asking of her. In the hospital, she was examined and treated for ischemic stroke.