Our Services

Get 15% Discount on your First Order

[rank_math_breadcrumb]

612 discussion 4

 

Case 4

An 82-year-old man recently returned to the long-term care facility after hospitalization for open reduction internal fixation of the right hip. He has been divorced for over 50 years and has two adult children who visit him frequently in the nursing home. He has a 5-year history of mild to moderate dementia and known urinary tract infections. His last recorded mini mental state examination (MMSE) registered 18, which was 3 months ago. While in the hospital, he did have an indwelling catheter for 4 days. He has been incontinent since his return to the hospital but the staff their attributes this to the catheter and his deconditioned state following hospitalization. His medications include donepezil, memantine, and acetaminophen for pain and fever as needed. He has no other known medical problems except a history of multiple urinary tract infections throughout his lifetime that, according to his son, have required extensive antibiotic treatment. He enjoys drinking regular coffee throughout the day, says it is a habit he has had since his days in the service years ago. His family members and the nursing staff report that he has been very restless and has been unable to use the urinal on time the past couple of days.

Vital signs: T 99°F, HR 80, RR 18, BP 128/78, BMI 22. 

Chief Complaint: Foul smelling urine, incontinence, restless

Discuss the following:

1) What additional subjective data are you seeking to include past medical history, social, and relevant family history?
2) What additional objective data will you be assessing for?
3) What are the differential diagnoses that you are considering?
4) What laboratory tests will help you rule out some of the differential diagnoses?
5) What radiological examinations or additional diagnostic studies would you order?
6) What treatment and specific information about the prescription that you will give this patient?
7) What are the potential complications from the treatment ordered?
8) What additional laboratory tests might you consider ordering?
9) What additional patient teaching may be needed?
10) Will you be looking for a consult?

 

Submission Instructions:

· Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources. 

image1.png

Share This Post

Email
WhatsApp
Facebook
Twitter
LinkedIn
Pinterest
Reddit

Order a Similar Paper and get 15% Discount on your First Order

Related Questions

System ip 1

Provide an overview of how healthcare in the United States has evolved since the post-industrial period.  How has the evolution of medical technology, graduate medical education, and the professionalization of medical and nursing staff affected the delivery of care?  Why has the United States been unsuccessful in evolving the current

System ip 2

Provide an overview and discuss the function of 1 publicly financed healthcare program in the United States.  How has that program evolved and influenced the entire U.S. healthcare system?  What are some of the accomplishments and challenges for that program?  What does that program do to focus on health prevention

nursing

You are a volunteer serving meals at a local homeless shelter. Being an astute nurse, you notice an approximate 5-inch-long cut on the right forearm of an older white man.  His forearm appears red and swollen. You walk over to where he is seated and ask how he got the

Db cap 3

In Week 1, you did a literature review. In your discussion, identify a project that you read about that most closely resembles the project that you are undertaking in this course. Answer the following: What characteristics of the project are similar to your organizational characteristics?  What goals of the project

Db cap 2

Each health care organization is unique in reference to its strengths and weaknesses. Assessing different aspects of the organization will assist in the implementation of your proposed project. Your assessment plan will put a larger emphasis on your topic of study within an additional overall assessment of the organization. Complete

NUR 640

NUR 640 Weekly Discussion FYI Remember… I am a Black Haitian American Female live in USA, FL Submission Instructions: • Your initial post should be at least 500 words, formatted, and cited in current APA style with support from at least 2 academic sources.  Your initial post is worth 8 points. Week

Week 4 BM

week 4 bm Initial Psychiatric Interview/SOAP Note Template There are different ways in which to complete a Psychiatric SOAP (Subjective, Objective, Assessment, and Plan) Note. This is a template that is meant to guide you as you continue to develop your style of SOAP in the psychiatric practice setting. Criteria

Telehealth.

Please see attached. Write a 4–6 page annotated bibliography where you identify peer-reviewed publications that promote the use of a selected technology to enhance quality and safety standards in nursing. Instruction: Assessment # 3. Review the technologies presented in the “Sentinel U: Telehealth Nursing Series Medical/Surgical: Lynn Tan” activity. There

Role of transition of adv NP

Support Evidence-Based Practice   Goal: The purpose of this assignment is to identify a theory or model which can be used as a framework for a future evidence-based project   Content Requirements:  1. Review literature regarding issues or concerns within your selected area of advanced practice nursing. 2. Select a

nursing

see file Create a poster presentation to communicate an implementation plan to bridge the gap between the evidence you will research and clinical practice. You have been asked to give a poster presentation based on your work and research on a clinical problem in your practice setting. Chosen topic: Staffing

Nursing Homework Help

ORIGINAL WORK ONLY! DUE 2/2/26 Discussion Board Assignment Discussion Topic: Critique of Articles on Reduction of Medication Errors Through Standardized Medication Reconciliation PICO: In hospitalized adult patients at admission (P), does implementation of a standardized medication reconciliation process (I) reduce medication discrepancies and adverse drug events (C) when compared to

My neighborhood: Daytona Beach

 Conduct an evaluation of your current neighborhood or place of work. Are there any population shifts? If so, what are the cultural demographics, and has healthcare made transitions to address these transitions.

Week 4 discussion

Advanced practice nurses apply continuous quality improvement (CQI) processes to improve client-centered outcomes. Select one of the following client-centered care initiatives that you would like to improve in your practice area: client clinical outcomes, client satisfaction, care coordination during care transitions, or specialty consultations for clients.    Include the following

EBP

Module 2:  Overview of EBP Process and Translation Instructions: As a DNP scholar, you are expected to perform an academic search of scholarly peer-review journal articles on a given topic. For this assignment, you will choose an article from a peer-review journal database, including but not limited to CINAHL, MEDLINE,

Nursing homework

Nursing Skills & Reasoning © 2023 KeithRN LLC. All rights reserved. No part of this case study may be reproduced, stored in retrieval system or transmitted in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, without the prior written permission of KeithRN Blood Transfusion 1. Which

Rwh soap

Rwh soap It  This file is too large to display.View in new window

Week 5_JOURNAL_DNP855

 There are many theories associated with organizational behaviors. Organizational behavior theories study how employees interact with each other and the healthcare  

Week 5_DNP855

 There are many theories associated with organizational behaviors. Organizational behavior theories study how employees interact with each other and the healthcare organization