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- Pt who was at home treating her right foot infection with VNA support. VNA recommended she return to the hospital because she was not caring for herself. The pt has not been able to get up and walk around including going to the bath. She complains of discomfort with swallowing and so she is not consistently taking her medication. She denies chest pain and shortness of breath. She is dysphagia, stage 2 plantar heel ulcer and at her butt. Has bruises on both hands, both legs is discolor and peeling. High fall risk and wear diapers. Pain is 7 on a scale of 0-10 at her coccyx wound. Normal bowl sounds and lungs sounds and heart sound. Cellulitis of right lower extremities. Cardiac diet and hypertension. Base on this information please do the concept map in the imageessay on stroke & Normal pregnacy( antenatal monitoring)Maria Russo is a 76 year old woman admitted to the Emergency Department viaambulance. Maria fell when watering her garden and was unable to get up. She waslying in her garden for 3 hours until discovered by her neighbour.Maria's medical history includes osteoporosis, prediabetes and depression. She hasrecently been experiencing some orthostatic hypotension. She has no significantsurgical history. Maria lives alone, her husband died 6 months ago. Her adultchildren live interstate.Maria's current medications include Aspirin 75mgs daily, Citalopram 20mg andAlendronate Sodium 10mg orally daily.She was administered Intravenous Morphine and inhaled Methoxyflurane by theparamedics.Assessment data:Airway: patentRespiratory rate: 18 breaths/min Oxygen saturation: 97% on room airHeart rate: 90 beats/min (irregular) Blood pressure: 104/70 mmHgCapillary refill: 2 secondsRight leg shortened and externally rotated Right hip bruised and oedematousRight foot pink, cool, no paraesthesia or abnormal…
- what is the Narrative documentation of the following senario? Mr. Smith is one day post-operative (Post-up) abdominal surgery. He complains of (c/lo) "severe pain" to his abdomen and rates his pain level as an 8 on a scale of 1-10. he is grimacing. His heart rate is 92. The nurse administers morphone sulfate 4mg IV. The nurse evaluates Mr. Smith's pain after administering the morphine sulfate. Mr. Smith says his pain has decreased and now rates his pain level as a 2. HE is no longer grimacing and his heart rate is 72.Maria Russo is a 76 year old woman admitted to the Emergency Department viaambulance. Maria fell when watering her garden and was unable to get up. She waslying in her garden for 3 hours until discovered by her neighbour.Maria's medical history includes osteoporosis, prediabetes and depression. She hasrecently been experiencing some orthostatic hypotension. She has no significantsurgical history. Maria lives alone, her husband died 6 months ago. Her adultchildren live interstate.Maria's current medications include Aspirin 75mgs daily, Citalopram 20mg andAlendronate Sodium 10mg orally daily.She was administered Intravenous Morphine and inhaled Methoxyflurane by theparamedics.Assessment data:Airway: patentRespiratory rate: 18 breaths/min Oxygen saturation: 97% on room airHeart rate: 90 beats/min (irregular) Blood pressure: 104/70 mmHgCapillary refill: 2 secondsRight leg shortened and externally rotated Right hip bruised and oedematousRight foot pink, cool, no paraesthesia or abnormal…Patient is a 36 year old female with a chief complain of tingling and numbness in her first 3 fingers and thumb of both wrists, mild burning sensations heading proximally in her right arm, trouble grasping objects, and having issues making a fist. The patient has been working as a secretary for the last 10 years. Past medical history Herniated disc between C6-C7. Family history: Moher died of bladder cancer and father has coronary artery disease. Social History Social alcohol usage (a glass of wine every one-two weeks) with friends and family. No Tabaco or recreational drug history. Allergies None Medications Ibuprofen 400 mg when needed. Birth control pill Key Labs, images, or procedures performed in relation to current diagnosis. Nerve conduction study: Median nerve impulse were slower than normal Tinel’s test: Positive. Phalen’s test: Positive Key Physical Examination findings: Tenderness when the wrist was overextended. 1. Provide the diagnosis * 2.…
- A 32 yr old female presented to your office complaining of abdominal pain. She states this pain started yesterday and increased over the course of a couple of hours. It is mostly in the epigastric region and does radiate at times to the RUQ. She states it has been constant since then. Currently rates it at a 7/10. She has never had pain like this before. Denies any vomiting but does complain of nausea. She denies any diarrhea or constipation. Denies any documented fevers but has felt a little chilled this am. Denies any abdominal bloating. She does state she drinks a glass of wine each evening. Denies any tobacco use or street drug use. Current labs WBC 13.2 Hgb 14.0 Hct 38.9 Plt 250 Na 142K 4.0BUN 26CR 1.2Total bilirubin 2.5 mg/dl AST 289 ALT 302Alk Phos 358 What does the AST/ALT ratio indicate for this patient What if your AST/ALT ratio were >1. What would that suggest?A patient with metastatic osteosarcoma states that he all of a sudden has severe pain. The nurse notes that the patient has a fentanyl patch that was placed a couple of hours ago. What type of pain is this patient experiencing? chronic pain O breakthrough pain referred pain neuropathic painA 32 yr old female presented to your office complaining of abdominal pain. She states this pain started yesterday and increased over the course of a couple of hours. It is mostly in the epigastric region and does radiate at times to the RUQ. She states it has been constant since then. Currently rates it at a 7/10. She has never had pain like this before. Denies any vomiting but does complain of nausea. She denies any diarrhea or constipation. Denies any documented fevers but has felt a little chilled this am. Denies any abdominal bloating. She does state she drinks a glass of wine each evening. Denies any tobacco use or street drug use. Current labs WBC 13.2 Hgb 14.0 Hct 38.9 Plt 250 Na 142K 4.0BUN 26CR 1.2Total bilirubin 2.5 mg/dl AST 289 ALT 302Alk Phos 358 List 3 differential diagnoses for this patient and give the rationale for each one. Use the most likely differential for the gallbladder, liver and pancreas--3 diagnoses total. What additional lab tests would you order and…
- Mr Jankovic a 78 years old male, is admitted for a left total hip replacement. He underwent surgery and is now three days post-operative, in the orthopaedic ward. He has gained a lot of weight over the past few years and has severe osteoarthritis in his hips. He also has had resection of a prostatic cancer that has no current treatment and has residual prostatomegaly. He has occasional angina, high blood pressure and obstructive sleep apnoea, using a Continuous Positive Airway Pressure (CPAP) machine infrequently as it dries his mouth and nose and the noise annoys his wife. Past medical history: — Osteoarthritis (diagnosed 10 years ago) — Mild left cardiac failure and occasional angina (diagnosed 2 years ago) — Hypertension (diagnosed 5 years ago) — Frequent gout Surgical history: — Internal fixation left tibia and fibula following motorcycle accident at age 21years — Appendectomy at age 23 years — Resection prostatic carcinoma (7 years ago) Q4. State two (2) risks of prolonged fasting…N, a 65-year-old woman, had sustained a fall at home causing hip fracture. She had undergone a Dynamic Hip Stabilization (open reduction and fixation) 5 days ago.Currently she is in the post-operative unit. Medical history Type 2 diabetes since 15years Hypertension since 20years Coronary artery disease 2 years ago, was resolved by PTCA Ischemic stroke 5 years ago that left her with some residual right-sided weakness. Medications Tab. Metoprolol 50 mg OD Tab. Lisinopril 40mgOD Tab. Atorvastatin 10mg OD Tab. Aspirin 75mg OD Tab. Metformin 500g BD Tab. Multivitamin 1 OD Assessment You are the nurse assigned to her this morning. You notice that Ms. J.N. is increasingly drowsy and lethargic as compared to the previous day. You are doing physical examination, Ms. J N is pale, diaphoretic, and lethargic. She arouses to voice but is able only to state her first name.Her vital signs are as follows: Blood pressure, 78/60 mm Hg; Heart rate 70 Respiratory rate, 26; Temperature, 36.9°C.…Mr. Henry is a 50-year-old male who presents to the office for headaches. he has a known history of sinus infections when the seasons change, high blood pressure and depression. his medications include Lopressor 50mg, daily and Claritin 10mg daily. he has a family history significant for aneurysms and depression. His vitals are BP 196/86 right arm seated, HR 87 regular, RR 13, Temp 98 oral. What is a NANDA approved diagnosis you could give her?
