A patient is admitted to the unit. He is a diabetic on chronic hemodialysis. He has...
Patient Profile: C. S., a 60-year-old truck driver, has been diabetic and has required insulin therapy for the past 12 years. Diabetic neuropathy has led to several complications, including end-stage renal disease, which he developed two years ago. He now receives hemodialysis three times a week and has an AV fistula in his left forearm. Yesterday, C. S. presented in the ED with a respiratory infection and was hospitalized with pneumonia, hypertension, and fluid overload. He will receive dialysis while...
Patient Profile: C. S., a 60-year-old truck driver, has been diabetic and has required insulin therapy for the past 12 years. Diabetic neuropathy has led to several complications, including end-stage renal disease, which he developed two years ago. He now receives hemodialysis three times a week and has an AV fistula in his left forearm. Yesterday, C. S. presented in the ED with a respiratory infection and was hospitalized with pneumonia, hypertension, and fluid overload. He will receive dialysis while...
John, age 19 years, has been diagnosed with chronic renal failure and scheduled for routine hemodialysis. His mucous membranes are dry and cracked. His skin is warm and dry with tenting and blood pressure is elevated. The nurse receives the following results, which are significant from her lab work: Urinalysis = + Protein; + RBCs; +WBCs, nitrates BUN = 35 Creatinine = 3.5 GFR = 65 Na+ = 150 WBC = 12,000 What problems would you expect John to have...
Choose the correct answer • Indicate a rational for the answer V. A 57-year-old male patient with type 2 diabetes is now in stage 5 chronic kidney disease (CKD); he has been receiving hemodialysis via central catheters for the past month. He is now admitted to the telemetry unit and will undergo creation of an AV graft in his left forearm to receive his hemodialysis procedures. 25) Which of the following is important to include in your patient education sessions...
Answer in the booklet provided. A 64-ycar-old male patient was admitted to a hospital. He complained of chronic headaches that lasted for days, chest pain and shortness of breath when performing physical activity. He was coughing a pink- tinged frothy sputum. On examination he had a blood pressure of 192/122 mm Hg and pulmonary oedema The following data were obtained from the patient: Patient values Left ventricular systolic pressure (mm Hg) Left ventricular end-diastolic pressure (mm Hg) Right atrial pressure...
A patient has right toe amputated, left below knee amputated with protesis. He came into the hospital with no response on Moday, today his blood sugar level is 162 , potassium 3.0, his vitals are normal. His skin is warm and dry. He is oriented x3. He has type I diabetes. What are his possible Nursing diagnosis?
15. Mr. Appel has severe chronic obstructive pulmonary disease (COPD). He is admitted to the hospital with the complaint of increasing dyspnea, increased sputum, anxiety, and diaphoresis. He states he feels weak and tired. He routinely takes a diuretic (furosemide) and his pulmonary medications. Patient values: Sodium (Na+) 140 mEq/L Potassium (K+) 2.0 mEq/L Chloride (Cl–) 105 mEq/L Arterial blood gases (ABGs): pH - 7.25; PCO2 - 78 mm Hg; PO2 - 60 mm Hg; HCO3 - 30 mEq/L Normal...
Mr. C. is 42 years of age and was admitted to the critical care unit from the emergency department with the admitting diagnosis of diabetic ketoacidosis (DKA). He was brought to the emergency department by his wife, who reported that her husband had progressively become more ill with complaints of shortness of breath, abdominal pain, and excessive urination. She became concerned when he started displaying confusion. She reported that the patient fell off a 5-foot ladder 1 weck ago. Ecchymosis...
A forty-nine year old, 6'2" airline pilot is due for his annual physical. He is a health conscious individual. He is slightly overweight as he finds losing the weight to be difficult. He makes an honest effort to exercise four times a week. His endurance is unchanged. He monitors his own blood pressure at home. Peculiarly enough, he also measures his own blood glucose every so often, though he is not diabetic and has no known family history of it....
As assisting a physician and scribing for him as he examines a patient that arrived in the Emergency Room. Paramedics report the patient Don Smith date of birth (DOB) July 1, 1985, was an unrestrained driver in a motor vehicle accident about 20 minutes ago with a chief complaint pain in the left lower quadrant of his abdomen, left arm, left leg and head. Patient denies any loss of consciousness or dizziness. Vitals were a blood pressure of 165/84, the...