Homework Answers
●There are high chances for bladder obstruction or obstruction in the pathway of the Foley's catheter leading to retention of urine in the bladder.This has gradually led to the infection of the kidney causing hydronephrosis. Alteration in the renal function has led to the increase of creatinine level in the blood.
●The normal calcium levels ranges between 8.5 to 10.3 mg/dL. Levels below the range is termed to be hypocalcemia,which is abnormal and hence to be reported to the doctor.
● The normal magnesium level is 1.5 to 2.5mEq/L , here the patient has a severe hypermagnesemia.Tte abnormal lab values are because of increased magnesium level.It is a concern because these levels can cause alteration in respiratory system leading to decrease in its function, loss of consciousness or confusion, hypotension,renal failure and leading to cardiac arrest a n.v d if not treated will lead to death.
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A 72 year old male is seen in his nursing home for a distended abdomen. He...
acob Rollins, 69 year old male, presents in his physician's office for a post-surgery checkup. He...
acob Rollins, 69 year old male, presents in his physician's office for a post-surgery checkup. He was diagnosed with benign prostatic hypertrophy several years ago and had surgery 6 weeks ago. His catheter was removed four weeks ago. He reports that he hasn't felt as well the past week. He has had some back, side and groin pain and noticed an increased urgency and burning with urination. He noticed that his urine has a pink tinge yesterday. His vital signs...
Question completion status: QUESTION 8 The PMHNP is assessing a 49-year-old male with a history of...
Question completion status: QUESTION 8 The PMHNP is assessing a 49-year-old male with a history of depression, post-traumatic stress disorder (PTSD) alcoholism with malnutrition, diabetes mellitus type 2, and hypertension. His physical assessment is unremarkable with the exception of peripheral edema bilaterally to his lower extremities and a chief complaint of pain with numbness and tingling to each leg 5/10. The PMHNP starts this patient on a low dose of doxepin (Sinequan). What is the next action that must be...
9472-A91 year old male was found lying on the floor in his home. He is staring...
9472-A91 year old male was found lying on the floor in his home. He is staring blankly and is rigid and cool to the touch. Vital signs are BP 100/74, P 54, R 18, Temp 88F, and Spo2 93%. As you prepare for emergent transport, you should Select one: O A. massage his extremities. O B. apply heat packs and handle gently. O C. apply heat packs and massage extremities. O D. handle the patient gently.
Case #2: Diabetes Mellitus Case Study A Case Scenario: JC is a 72-year-old African American male...
Case #2: Diabetes Mellitus Case Study A Case Scenario: JC is a 72-year-old African American male living alone in his own home. JC was found unconscious by his neighbor who went next door to check on him because “he had not seen him for a while.” The neighbor stated JC has a history of diabetes and has been spending more time alone since his wife passed away last year. JC is lethargic and slow to respond to questions. While taking...
Case #2: Diabetes Mellitus Case Study A Case Scenario: JC is a 72-year-old African American male...
Case #2: Diabetes Mellitus Case Study A Case Scenario: JC is a 72-year-old African American male living alone in his own home. JC was found unconscious by his neighbor who went next door to check on him because “he had not seen him for a while.” The neighbor stated JC has a history of diabetes and has been spending more time alone since his wife passed away last year. JC is lethargic and slow to respond to questions. While taking...
A 72 year old patient gets admitted to the hospital for dehydration after 3 days of...
A 72 year old patient gets admitted to the hospital for dehydration after 3 days of poor PO intake, vomiting, and diarrhea. The patient has dry mucous membranes, skin tenting, and no edema. Patient has a history of HTN for which he takes lisinopril and Lasix and osteoarthritis for which he takes Advil BID. On admission, his creatinine was 2.6 mg/dl. What would you expect? A patient admitted to the hospital for an emergency appendectomy gets a CT scan with...
A 23 year old male presents to the emergency room complaining of severe sharp pain in...
A 23 year old male presents to the emergency room complaining of severe sharp pain in the left side and back. The pain was of sudden onset. He reports that he also feels nauseated. His urine is positive for blood. Based upon his history and symptoms you would suspect: .. A 48 year old man, with a history of excessive alcohol intake, is brought to the ED. The paramedics found him unresponsive but still breathing. There was a strong urine...
Admission date. January 29, 2019 57 year old male admitted from ER C/O nausea and vomiting,...
Admission date. January 29, 2019
57 year old male admitted from ER C/O nausea and vomiting,
abdominal pain radiating to the right upper quadrant. Sclera
icteric. Abdomen firmly distended with spider veins, skin shiny.
The patient reports black stools.
DX: Cirrhosis, ETOH abuse, bleeding esophageal varices.
Labs:
Na 120 mEq/L
K 4.7mEq/L
Cl 87mEq/L
BUN 13 mg/dl
Creatinine 1.6 mg/dl
PTT 43 seconds (reference 23.7-32.7 seconds)
RBC 2.88 X 10mm
Hgb 9.1 g/dl
Hct 26.9%
Albumin 2.3 g/dl
Please explain...
A 63-year-old woman who is admitted to the ICU from the ED with nausea, vomiting, and...
A 63-year-old woman who is admitted to the ICU from the ED with nausea, vomiting, and abdominal pain. The pain is located in the epigastric and LUQ regions Admission Lab Results Lipase 789 U/L Amylase 575 U/L ALP 139 U/L AST 436 U/L Total protein 4.6 g/dl Albumin 2.2 g/dl BUN 32 mg/dl Creatinine 1.4 mg/dl Glucose 203 ml/dl Calcium 7.2 mg/dl Potassium 3.2 mg/dl WBC 17,500 mm³ Which SPECIFIC labs results assist in confirming a diagnosis of pancreatitis? Why...
Mr. Lightning Strike Nara is a 35-year-old half Asian and Half Lakota Native male. He is...
Mr. Lightning Strike Nara is a 35-year-old half Asian and Half Lakota Native male. He is in a Med-Surg unit receiving comfort care. He is dying of pancreatic cancer. Though his father was Japanese Mr. Nara identifies more with his Lakota Native American mother. His father died in an airplane crash when Mr. Nara was 5 years old. He was brought up in a reservation in North Dakota by his mother. Mr. Nara is married to a Lakota Native American...
acob Rollins, 69 year old male, presents in his physician's office for a post-surgery checkup. He was diagnosed with benign prostatic hypertrophy several years ago and had surgery 6 weeks ago. His catheter was removed four weeks ago. He reports that he hasn't felt as well the past week. He has had some back, side and groin pain and noticed an increased urgency and burning with urination. He noticed that his urine has a pink tinge yesterday. His vital signs...
Question completion status: QUESTION 8 The PMHNP is assessing a 49-year-old male with a history of depression, post-traumatic stress disorder (PTSD) alcoholism with malnutrition, diabetes mellitus type 2, and hypertension. His physical assessment is unremarkable with the exception of peripheral edema bilaterally to his lower extremities and a chief complaint of pain with numbness and tingling to each leg 5/10. The PMHNP starts this patient on a low dose of doxepin (Sinequan). What is the next action that must be...
9472-A91 year old male was found lying on the floor in his home. He is staring blankly and is rigid and cool to the touch. Vital signs are BP 100/74, P 54, R 18, Temp 88F, and Spo2 93%. As you prepare for emergent transport, you should Select one: O A. massage his extremities. O B. apply heat packs and handle gently. O C. apply heat packs and massage extremities. O D. handle the patient gently.
A 72 year old patient gets admitted to the hospital for dehydration after 3 days of poor PO intake, vomiting, and diarrhea. The patient has dry mucous membranes, skin tenting, and no edema. Patient has a history of HTN for which he takes lisinopril and Lasix and osteoarthritis for which he takes Advil BID. On admission, his creatinine was 2.6 mg/dl. What would you expect? A patient admitted to the hospital for an emergency appendectomy gets a CT scan with...
A 23 year old male presents to the emergency room complaining of severe sharp pain in the left side and back. The pain was of sudden onset. He reports that he also feels nauseated. His urine is positive for blood. Based upon his history and symptoms you would suspect: .. A 48 year old man, with a history of excessive alcohol intake, is brought to the ED. The paramedics found him unresponsive but still breathing. There was a strong urine...
Admission date. January 29, 2019
57 year old male admitted from ER C/O nausea and vomiting,
abdominal pain radiating to the right upper quadrant. Sclera
icteric. Abdomen firmly distended with spider veins, skin shiny.
The patient reports black stools.
DX: Cirrhosis, ETOH abuse, bleeding esophageal varices.
Labs:
Na 120 mEq/L
K 4.7mEq/L
Cl 87mEq/L
BUN 13 mg/dl
Creatinine 1.6 mg/dl
PTT 43 seconds (reference 23.7-32.7 seconds)
RBC 2.88 X 10mm
Hgb 9.1 g/dl
Hct 26.9%
Albumin 2.3 g/dl
Please explain...
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