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

Advance Epidemiology of Nursing

Module 2:  Government Databases Prepare a 500 words essay explaining how government clinical databases can help researchers study different diseases. · · You must present your writing double-spaced, in a Times New Roman, Arial, or Courier New font, with a font size of 12. · Pay attention to grammar rules

Advance Epidemiology of Nursing

Module 1:  Epidemiology Triangle Each student will prepare a paper focused on answering the following guidelines: · Choose a current emerging disease or reemerging disease prevalent in your community or the larger community of the nation or world. · Complete an epidemiology triangle diagram for the chosen disease and thoroughly

Peer response

  What are your initial thoughts after reviewing the AHRQ website? What are your roles and responsibilities related to healthcare literacy? What are some practices as you can use when providing patient care as you transition to the role of APRN? How can you use the website and resources for

Nursing debate assignment

  Debate Assignment: Is the Health Insurance System in the USA the Best? Debate Topic: “The U.S. health insurance system provides better access, cost efficiency, and quality of care compared to other countries.” Instructions for Your Initial Post: Choose a Position: Take a stance for the statement, arguing that the

The Disputed Election or Revolution of 1800

  Describe the historical setting surrounding the Election of 1800.  Assess what constitutional issue the election of 1800 results helped to reveal. What did Congress do to mitigate the issue?  Do you think it was necessary to pass the Twelfth Amendment? Why or why not?  Analyze why the Presidential Election

Population Health and Emerging Disease

  Create an infographic that effectively summarizes the key components of value-based care, particularly in the context of population health and emerging diseases.   The infographic should visually represent the following aspects: Use visuals such as charts, graphs, icons, and text to convey the information.  Definition and Principles of Value-Based Care: 

Anxiety and Panic disorder PPT

please see instructions Using the DSM 5 TR along with other sources please complete 3 separate PPTs for the following: 1. Generalized anxiety disorder 2. Panic disorder 3. Obsessive Compulsive Disorder Instructions Must be done for each Diagnosis/ PPT You might also want to check the DSM-5-TR Clinical Cases text

EPIDEMIOLOGIC STUDY DESIGNS

find attached the instructions As introduced in the first few weeks of this course, investigators use various epidemiological study designs to study health problems and the effects of health interventions. You have examined several study designs, including descriptive designs (in Week 2) and analytic study designs that are observational (in

RANDOMIZED TRIALS IN EPIDEMIOLOGY

use the attached info for this work RANDOMIZED TRIALS IN EPIDEMIOLOGY Imagine that researchers are conducting a randomized controlled trial of a high-fiber supplement as a preventive measure in persons at increased risk of type 2 diabetes. People enrolled in the study are disease free at the time they agree

CASE STUDY ANALYSIS

please read the attached information carefully to understand  week 4 Week 4 Case Study Prompt (Student version) A 67-year-old man presents with progressive shortness of breath over 8 months. He  reports: • Increasing dyspnea with exertion • Dry, persistent cough • Fatigue • Decreased exercise tolerance • Unintentional 10-pound weight

Agency Synopsis

Agency Synopsis The purpose of this assignment is so that you will be able to differentiate between the healthcare policy agencies’ impact on various patient populations. 1. Identify regulatory agencies that regulate health and the health care system in the US. 2. Create a table listing at least 5 regulatory

NUR 650

NUR650 Discussions Submission Instructions: Your initial post should be at least 500 words, formatted and cited in the current APA style Provide support for your work from at least 2 academic sources less than 5 years old. Wk1 Tom’s Parents are Fighting After studying Module 1: Lecture Materials & Resources,

Preventative Care

Following the guidelines of the United States Preventive Service Taskforce (USPSTF), discuss and describe the screening recommendations for the following: Cervical cancer Breast cancer Osteoporosis Colorectal cancer Lung cancer Ovarian cancer Intimate partner violence (IPV).

patient care coordination 1

Develop infographic of a preliminary care coordination plan for a selected healthcare problem identified from the Sentinel-U Family Assessment v5. You determine which healthcare problem you will use FROM the simulation. Include physical, psychosocial, and cultural considerations for this healthcare problem. Listen to the patient simulation and select one of

Peer response

  What are your initial thoughts after reviewing the AHRQ website? What are your roles and responsibilities related to healthcare literacy? What are some practices as you can use when providing patient care as you transition to the role of APRN? How can you use the website and resources for

nursing

( Social Media for Nurses ) ( Objectives Locate, evaluate, and share nursing informatics websites, blogs, forums, or social media platforms Create social media workplace guidelines for nurses ) ( Overview Social networking (e.g., Facebook, LinkedIn); 2. Blogging ( and wikis ( 3. Microblogging (e.g., Twitter); 4. Social bookmarking or

casestudy 3

Emergency Nursing Management Activity 2050 Advanced Skills You are Nursing House Supervisor and work with the Nursing Management team at your local hospital. Your hospital is a level 2 Trauma Center and you have access to all resources that are generally acceptable for current health care practices in this environment.

NUR 650

NUR 650 SMART Goals For this assignment, you will work on setting goals for yourself using the SMART method. You will find an explanation of this method in the module that will guide you in your goal-setting process. You will list a minimum of five professional goals that you would like to accomplish during the clinical experience