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A63-year-old male client is accompanied by his family today to the renal unit. He has been...
Case Study, Chapter 25, Disorders of Renal Function The client comes to the emergency department reporting...
Case Study, Chapter 25, Disorders of Renal Function The client comes to the emergency department reporting severe flank pain radiating to the abdomen and scrotum. The client is diaphoretic and complaining of intense nausea. The initial diagnosis is kidney stones. (Learning Objectives: 10–13) The client wants to know why the doctor thinks it is a kidney stone rather than a urinary tract infection (UTI). What manifestations are typically associated with a UTI? What are the manifestations associated with a kidney...
Your patient is a 32-year-old male with end stage renal disease (ESRD) secondary to diabetes. He...
Your patient is a 32-year-old male with end stage renal disease (ESRD) secondary to diabetes. He was diagnosed with type I diabetes when he was a teenager and subsequently was noncompliant for various amounts of time with the treatment regimen. He was having trouble breathing at home, lethargy, insomnia, and increased difficulty controlling sugars. He stated his sugars had been “real good,” stating it was about 250 before they got bad. Question: What lab orders do you anticipate?
Your patient is a 32-year-old male with end stage renal disease (ESRD) secondary to diabetes. He...
Your patient is a 32-year-old male with end stage renal disease (ESRD) secondary to diabetes. He was diagnosed with type I diabetes when he was a teenager and subsequently was noncompliant for various amounts of time with the treatment regimen. He was having trouble breathing at home, lethargy, insomnia, and increased difficulty controlling sugars. He stated his sugars had been “real good,” stating it was about 250 before they got bad. Question: What lab orders do you anticipate? (Include the...
Case Study 1 Mr. Collins is a 52-year-old client with a history of chronic renal insufficiency...
Case Study 1 Mr. Collins is a 52-year-old client with a history of chronic renal insufficiency who presents to the medical clinic complaining of a severe sore throat. He is diagnosed with a streptococcal pharyngitis. He is informed by the primary care provider that he will be treated with ampicillin 500 mg every 6 hours. 1. What assessment data did the healthcare prescriber obtain before ordering the ampicillin? 2. What questions should the nurse ask Mr. Collins before the administration...
Greg Stevens is a 56-year-old client who has been diagnosed with Hodgkin’s disease. He has completed...
Greg Stevens is a 56-year-old client who has been diagnosed with Hodgkin’s disease. He has completed a course of antineoplastic chemotherapy and is currently hospitalized for a bone marrow transplant. His medical history includes mild chronic renal insufficiency. He also has a history of coronary artery disease: he had coronary angiography 1 year ago. This study revealed a 90% blockage in one vessel, which was opened with angioplasty and stents. Blockages of 50% to 60% in two other coronary arteries...
Scenario O.H.N. is a 85 year old male who has been diagnosed with the following health...
Scenario O.H.N. is a 85 year old male who has been diagnosed with the following health conditions: Diabetes (diagnosed since 68 years old) Hypertension (diagnosed since 50 years old) High Cholesterol (diagnosed since 65 years old) Obesity (diagnosed since 65 years old) Gum Disease (diagnosed since 55 years old) The following medications have been prescribed: Tanzieum – taken once weekly Crestor HCTZ Lasix Lisinopril O.H.N. often has dry mouth which affects the way food tastes and his bridge fits his...
A 50 year old male patient presented to the emergency department at 2AM with vomiting and...
A 50 year old male patient presented to the emergency department at 2AM with vomiting and abdominal pain. He had a 2 week history of polyuria and polydipsia, accompanied by a 20 pound weight loss and blurred vision. His medical history was unremarkable, except for being treated with hypertension with lisinopril 40 mg daily, which provided good control. His blood pressure on admission was 135/80. He is a smoker and smokes ½ pack of cigarettes per day. Results of hospital...
Scenario O.H.N. is a 85 year old male who has been diagnosed with the following health...
Scenario O.H.N. is a 85 year old male who has been diagnosed with the following health conditions: Diabetes (diagnosed since 68 years old) Hypertension (diagnosed since 50 years old) High Cholesterol (diagnosed since 65 years old) Obesity (diagnosed since 65 years old) Gum Disease (diagnosed since 55 years old) The following medications have been prescribed: Tanzieum – taken once weekly Crestor HCTZ Lasix Lisinopril O.H.N. often has dry mouth which affects the way food tastes and his bridge fits his...
A 37-year-old woman has a 10 pack-year smoking history and has been using oral contraceptives for...
A 37-year-old woman has a 10 pack-year smoking history and has been using oral contraceptives for the past 2 years The nurse should plan health education interventions in the knowledge that this client faces a priority increased risk of a. Osteoporosis b. Dementia c. Mvocardial infarction d. Deep vein thrombosis. 16. An adult woman began using oral contraceptives several months ago and has presented for an appointment to discuss recent worry some changes in her health status, Which change in...
Mr. Rojas is a 49-year-old patient with End Stage Renal Disease. He has a history of...
Mr. Rojas is a 49-year-old patient with End Stage Renal Disease. He has a history of hypertension and uncontrolled type 1 diabetes (since he was 12 years old). His last Hemoglobin A1c was 12.8%. He is currently receiving hemodialysis three times per week for three hours. He is in the hospital because he went into DKA a few days ago when he had a stomach virus. He is asking you about renal transplantation. What are the criteria to be placed...
Case Study 1 Mr. Collins is a 52-year-old client with a history of chronic renal insufficiency who presents to the medical clinic complaining of a severe sore throat. He is diagnosed with a streptococcal pharyngitis. He is informed by the primary care provider that he will be treated with ampicillin 500 mg every 6 hours. 1. What assessment data did the healthcare prescriber obtain before ordering the ampicillin? 2. What questions should the nurse ask Mr. Collins before the administration...
A 37-year-old woman has a 10 pack-year smoking history and has been using oral contraceptives for the past 2 years The nurse should plan health education interventions in the knowledge that this client faces a priority increased risk of a. Osteoporosis b. Dementia c. Mvocardial infarction d. Deep vein thrombosis. 16. An adult woman began using oral contraceptives several months ago and has presented for an appointment to discuss recent worry some changes in her health status, Which change in...
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