Question

AT&T Wi-Fi 1:27 PM 79% Client: African-American female, 35 yo Diagnosis: Infection secondary to appendectomy History: Hypertension, diabetes mellitus type 2, right toe ulcer Ms. Nina Jackson is a 35-year-old African-American female who was admitted to the medical/surgical unit with a diagnosis of infection secondary to appendectomy. The client had an appendectomy 1 week ago. The admitting nurse noted that the area around the abdominal incision is warm to touch and slightly red. Pt rated pain at 5 ona scale of O to 10. Pt has a history of HTN and DM, type 2. She takes insulin to keep her level stable and adheres to a diabetic diet. She has an toe ulcer that has not healed for 6 weeks. The admitting nurse noted that her toe is swollen and contains purulent exud ates Л. Pt stated upon admission, "I feel weak in my knees and this toe ulcer is driving me crazy. I can barely feel my foot now and sometimes the pain is unbearable!" Pt rated toe pain at 10 on a scale of 0 to 10. She is Full Code. She allergic to sulfa and eggs. She is scheduled for a chest x-ray because of a recent positive (+) Mantoux. The clinician ordered these medications for her: 0.9% NS, running at 125 mL/hr to maintain hydration and fluld balance, enalapril 5 mg PO BID to stabilize high blood pressure, Extra Strength Tylenol 500 mg PRN q4-6 hr to relieve pain, 1 multivitamin tablet PO daily to supplement vitamin and mineral intake, NPH insulin subcut per insulin protocol to regulate blood sugar, and cefazolin 2g in Ds W S0 mL IVPB q8h to fight the infection. She needs to be scheduled for CBCLab. She also needs to have a blood glucose capillary saple TID AC. Her VS and O2 sats should be checked q 4h and she should be weighed daily. The abdominal incision site and toe ulcer, along with pain level should be assessed. Contact precautions should be taken. She has bathroom privileges with assist of 1. A wound consult has been ordered for both the incision site and the toe ulcer. She also needs a focused respiratory assessment because of the (+) Mantoux. Mrs. Jackson is married and has two sons, 7 and 11 years old. She is a pleasant woman. She works as a account and loves playing video games with her sons. She is a Baptist and active in her church. 1. From a physiological perspective, what is Mrs. Jackson likely to be most concerned with regard to her illness?

Answer 1

Mrs.Jackson has to be most concerned about the following due to her illness

• why the wound healing is delayed and how to manage it by keeping her blood sugar in track
• The reason for getting Mantoux test positive
• A aseptic dressing of the wound has to be done
• More concerns on the complication and its management
• Any condition by that leads to dyspnea