Our Services

Get 15% Discount on your First Order

[rank_math_breadcrumb]

NR 283

Nursing Note: Client was playing basketball, injured his right ankle, “I made this great jump shot, and when I landed, I felt something pop in my right ankle.” Right ankle with slight swelling, no obvious deformity, toes warm with capillary refill less than 3 seconds. +active ROM in toes and denies increased numbness or change in tingling. Has had numbness and tingling in both feet for the past year. Reports doing daily capillary blood glucose monitoring but does not always follow a diet plan. “It’s hard, I don’t want my friends to think of me as sick, so I eat what they eat. I take about the same amount of insulin every day.” 

4/3 1015

Neuro/Cognitive: Alert and oriented x 4, pupils 4 mm and PERRLA. Grips equal and strong. Right lower extremity, non-weight-bearing, toes wiggle, full weight-bearing with left leg. Bilateral foot numbness and tingling x 1 year.

Cardiovascular: S1/S2, regular rhythm.

Respiratory: Lungs clear, no cough noted or reported.

Gastrointestinal: Abdomen soft with active bowel sounds x 4 quadrants. Last bowel movement was today.

Integumentary: Skin appears intact. +blue bruising, +swelling to right lateral ankle.

4/3 1145

Nursing Note: Client inquiring about snacks, “I haven’t eaten today, and I feel dizzy. I get like this if I don’t eat.” Blood glucose: 82. Client took NPH insulin at approximately 0800, did not eat. Client unsure how much insulin he took, “I was in a hurry, but took about the same number on the syringe as I usually do.” Snack of turkey sandwich and milk, client, ate 100%.

4/3 1415

Nursing Note: Client reports seeing a provider on the other side of town for diabetes management every six months. Has not had blood drawn in the past year, “I couldn’t get to the lab.” Completes capillary blood glucose checks about once a day, time varies, sometimes before he eats and sometimes after. “I didn’t know that it mattered; my mom never did that. Maybe that is why I sometimes feel so weak and dizzy.” Denies ever having diabetic education as a teen or an adult, saying it was never offered and he didn’t know he needed it. Provider informed of client conversation.

4/3 1500

Nursing Note: Client return demonstrates safe crutch walking and elastic bandage application. Discharge instructions reviewed with the client. Client verbalized understanding of discharge instructions and will make appointments with clinic dietitian and diabetic educator. Blood glucose 135 on discharge.

Jake Abbott 28-years-old

CJSim Overview: Young adult with an ankle injury.

Share This Post

Email
WhatsApp
Facebook
Twitter
LinkedIn
Pinterest
Reddit

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

Related Questions

Nursing Homework

Week 5 Literature Summary assignment General Instructions   1. Select and review five research articles related to the practice issue and proposed intervention of your PICOT question developed in Week 2.  These articles may include quantitative, qualitative, or mixed methods studies (original research), systematic reviews, meta-analyses, or meta-syntheses (synthesis), or clinical

Nursing Assignment

NAME ADDRESS TOWN, STATE January 12, 2024 Jane Doe Director of Nursing Eldercare of Bemidji 123 Smart Street Bemidji, MN 56601 Dear Jane Doe: It is with a heavy heart that I submit my resignation from my position as LPN Coordinator effective January 15th. This decision was not an easy

Nursing Population assignment

 concerning one of the patient cases listed  Determine which medication would be most appropriate to prescribe from the assigned vulnerable population patient case medication choices. Explain your rationale for choosing this medication. Explain why the other medications listed are not appropriate for this patient. Explain the dosing schedule for the

Sys ip 4

Explain why it is a public health issue and what is currently being done to address it at the local, state, and federal levels.  Discuss any applicable health policies and regulations that may be in place to address the issue.

Ip Sys 3

Provide a thorough analysis of managed care, and discuss how it, as a delivery method, has facilitated the transfer of health services to outpatient and other nontraditional settings of care.  Discuss the impact that managed care has on the access, financing, and delivery of healthcare in the United States.  Discuss

Sys db 3

Complete the following tasks: Compare and contrast the ways that state and local governments can work with healthcare organizations to foster integration between primary care and public health.  Discuss the importance of linking primary care and public health and some of the challenges in doing so.

Cap db 4

Your first task is to post your own Key Assignment Outline to the discussion area so that other students are able to review your plan. Attach your document to the main discussion post, and include any notes you feel are appropriate. The purpose of this assignment is to help improve

Sys db 4

Discuss a population group that is facing greater challenges and barriers to accessing care in the United States. Include the following in your discussion: Why does that segment of the U.S. population face greater challenges and barriers to accessing care?  What programs (local, state, or federal), if any, exist today

Roch week 4 soap case study

Roch week 4 soap case study 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

EBP

Module 3:  Selecting a Topic and Designing a Clinical Question using PICOT Taxonomy Instructions:   Create an essay of a minimum of five pages explaining the PICOT format and what is the importance of following the PICOT format when formulating the clinical question? 1. What is the PICOT Format? 2. What

help with home work

Nurs 507 Unit 4 assignment Analyze financial models of reimbursement and their effects on patients and health care providers. Directions For this assignment, you will distinguish between Managed Care Organizations (MCO) and Accountable Care Organizations (ACO). Your paper will include the following: · Provide a brief history of both the

Nursing

To prepare: Select a DNP project that uses both quantitative and qualitative methods to summarize the results from the options provided.  Review the required Learning Resources regarding how to summarize results.  Consider how the findings reflect the practice-focused question in the selected project.  The Assignment Critique a DNP project that

Response- BLOG: PEER FEEDBACK: GRADING THE EVIDENCE

RESPOND TO THE 2 PEOPLE IN THE ATTACHED Respond to at least two of your colleagues, on different days, by offering suggestions to help improve their experiences finding pre-appraised, single study, and anecdotal evidence. Note: Your responses should enrich the initial post by supporting and/or adding a fresh viewpoint and

Bekinpre

Learning & Skill Development Before Kindergarten Predictions After reading the article “Mind the kinder-gap: New data on children’s math and reading skills as they enter kindergarten’ by Christine M.T. Pitts and Megan Kuhfeld (September, 2020) located in Module 3: Lecture Materials & Resources, please address the following: While the authors

PICOT, NURSING

I have questions on a worksheet. Purpose Type 2 diabetes mellitus is a chronic illness that requires lifelong self-management to prevent serious complications. Poor glycemic control is an ongoing problem after hospital discharge when patients are in charge of managing their medications, diet, and glucose monitoring. Research shows that diabetes

module #3

Module 3 Discussion   Approaches to Health Management: Sexuality  After studying Module 3: Lecture Materials & Resources, discuss the following: Read Garzon, D. L., Driessnack, M., Dirks, M., Duderstadt, K. G., & Gaylord, N. M. (2024). · Chapters 14: Nutrition · Chapter 16: Sleep · Chapter 18: Physical Activity and Sports

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