Question

Patient Profile

R.D is a 51-year-old male who comes to the emergency department with complaints of weakness and abdominal pain. He reports he is homeless. His medical history includes Methicillin-Resistant Staphylococcus Aureus (MRSA) bacteria of the nares.

Subjective Data

Reports he does not drink or eat food consistently

Says he has no family or any social support

Had “a drink or two a little while ago”

Objective Data

Physical Examination

Blood pressure 144/86, pulse 92, temperature 98.2°F, respirations 24

Height 6’1”, weight 170 lbs

Heart rhythm irregular

Oxygen saturation 89% on room air

Alert, oriented to person and place

Capillary refill sluggish in lower extremities, normal in upper extremities

2+ edema in lower extremities

Objective Data

Physical Examination

Blood pressure 144/86, pulse 92, temperature 98.2°F, respirations 24

Height 6’1”, weight 170 lbs

Heart rhythm irregular

Oxygen saturation 89% on room air

Alert, oriented to person and place

Capillary refill sluggish in lower extremities, normal in upper extremities

2+ edema in lower extremities

1. What factors in D.D.’s history place him at risk for anemia?

2. What are the priority nursing diagnoses for D.D.?

3. What resources might be available to this D.D. after he is discharged from the hospital?

Answer 1

1. His diagnosis of heart rhythm irregular, weakness, oxygen saturation value below than 90% causes hypoxia, edema are suggestive for risk of anemia in this case.

2. Certain diagnosis option for him is vitamin deficiency anemia, pulmonary associated edema as he is not eating food consistently and have high blood pressure, weakness. Even impact of MRSA staph strains remains even after a years of diagnosis on patients.

3. He should be following up the treatment regularly, as alone member he can take health care medical help under certain plans which provide nursing assistance in home weekly or monthly.