Question

ASSIGNMENT 2 PATHOPHYSIOLOGY CHAPTERS 11, 12 & 13 1. A 17-year-old girl has had a headache, chills,malaise, and fatigue for the past week. She reports that her throat is very sore. Her leukocyte count is very high at 18,000/uL of blood. On physical examination, she has an enlarged liver and spleen, and she has enlarged lymph nodes in the anterior and posterior chains of her neck. The client states that three other kids at school have been sick this past week with similar symptoms. a. Why is the client's immune system reacting this way? b. The client believes she will die because one of the students at school said, "We are going to have this all our lives." What can the nurse say to relieve her fears? 2. A 28-year-old man has recently been diagnosed with schizophrenia. He has been started on clozapine (Clozaril), an antipsychotic medication. The client is required to have blood work taken every week to ensure his white blood cell counts are within normal ranges (5000- 10,000/uL of blood). His older sister accompanies him to clinic today, as the client is having difficulty understanding why he has to have such frequent blood work. His sister states every week an argument erupts, and getting blood drawn every week is becoming a struggle. a What critical aspects of hematopoietic function is it important for his sister and the client to understand? 3. A 73-year-old man has worked as a professional gardener for most of his life after he came home from the Vietnam war. He has been experiencing a lot of pain in his lower extremities and has had two pathologic fractures of his right wrist over the past 6 months. He has lost about 20 pounds and has generalized weakness. a. What does the clinic nurse suspect is happening with the client? b. What treatment options can be explored with the client at this time? 4. A 28-year-old woman is at 34 weeks' gestation with her second child. At this prenatal visit, her blood pressure is extremely high and there are no audible fetal heart tones. Her obstetrician admits her for an emergency cesarean birth under general anesthetic. The baby boy is stillborn. Immediately after closure of the wound, the client starts to have excessive bleeding and clotting from her vagina and abdominal incision. The client is transferred to ICU and given 8 units of FFP and 6 units of platelets. a. Why does the ICU team need to determine the client's primary problem? b. Twenty-four hours after admission to the ICU, the client dies. Explain why this happened. 5. A 5-year-old boy has petechiae that suddenly appeared over his lower extremities. A 50-year- old female has purpura of the oral mucosa and vaginal bleeding. A 60-year-old man's platelet count is less than 20,000/ul post-cardiopulmonary bypass surgery. a. The nursing supervisor wishes to discuss these cases in rounds. What would be his/her approach?

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Answer 1

Ans:- 1) The person with elevated leukocyte count, sore throat, headache malaise, chills and fatigue are typically signs of viral infection. During the time of infection the leukocyte Count will be elevated as a mechanism to counteract the bacterial ou viral infectiou. The symptoms of headache , malaise, sore throat are also mechanism in response to infection Sope threat is due to the microbial aggregation in the thewat, headache - vaso contraction due to elevated temperature and malaise and chills in order to maintain the normal body temperature followed by fatigue due to pooor dietary intake. The lyruph acts as a medium for the free circulation of wBc. when their court Increases they form masses that eventually leads to lymph node Enlargement later liver and spleen Enlargement takes place because most of the bacterial and viral Organisms are detoxified and destructed in the liver with the help of liver enzymes and leukocytes, the nurse have to console the students by telling them that these are only viral infections can be controlled

-pecially wBc Count by proper handhygiene and by taking proper medications at time as per doctous order. 2) doraphine is a antipsychotic medication which acts by changes in the chemicals in the brain. One of the major hematological side Effect of this drug are arq agranulocytosis and neutropenia. It is also ocarrionally causes leukocytosis. This is the reason that frequent blood investigations especially WBC is checked for patients who are at clozapine. the patient represents with flue like symptoms who have these side effects 32 Patholoqüe fracture is a fracture due to underlying cause or condition. the person with 73 yes is old and is highly susceptible to develop osteoporosis, due to the prolonged use and Enadequate dietary intake of calcium. the treatment is cast and splint, proper health Education is also very important. Please rate my Answer Note: - As per HomeworkLib rules only 1 part must be answered but I have answer 3.