What other focused physical assessment does the nurse need

Assignment Help Other Subject

Reference no: EM133271608

Case Study - GLOMERULONEPHRITIS

Mrs. Alice Simpson, age 66, is admitted to the medical-surgical unit with a diagnosis of acute glomerulonephritis and a history of hypertensive cardiovascular disease. She is being admitted directly from her physician's office. She had called her physician complaining of flank pain, headache, and bloody urine. Upon arrival in the medicalsurgical unit, Mrs. Simpson verbalizes being upset about having to come to the hospital. "I really don't want to be here, my family is coming to visit next week and I have a lot to do at home." Mrs. Simpson describes having had a sore throat about 10 days previously that she treated by using Acetaminophen (Tylenol) and throat lozenges. She states, "I woke up yesterday and felt really bad with a severe headache. I noticed that my urine was dark and it looked a little bloody." I waited until today to see my doctor because I thought maybe it was because I wasn't drinking enough water." Her vital signs include: T 99 P 92 R 22 BP 162/78.

1. The nurse notes +3 to +4 peripheral edema on Mrs. Simpson's lower legs as well as periorbital edema. Mrs. Simpson's admission weight is 167 pounds, and the client tells the nurse, "I must have gained weight; I only weighed 150 pounds last month." How does the nurse interpret this statement in light of Mrs. Simpson's current problem (Hint: Describe the pathophysiology of the disorder that led to the development of her current signs and symptoms)?

2. What other focused physical assessment does the nurse need to perform on Mrs. Simpson?

3. The nurse establishes which priority nursing diagnosis(es) for Mrs. Simpson?

4. Diagnostic testing results show an elevated Antistreptolysin O (ASO) titer, confirming a post-streptococcal origin of Mrs. Simpson's acute glomerulonephritis.

Treatment/Interventions include: 1) antibiotics; 2) anti-hypertensives and diuretics; 3) and dietary treatments consisting of a 1000 mg sodium diet with protein restriction and a fluid restriction of 1200 ml/24 hours. Mrs. Simpson questions the nurse about the reason for these interventions. Give an explanation and rationale for each intervention.

Reference no: EM133271608

Questions Cloud

Describe a policy initiative implemented by nurse leaders : Describe a policy initiative implemented by nurse leaders from a national professional nursing association, the processes used

What should be the role of the government in health care : What should be the role of the government in health care? Are feeding tubes a part of basic physical care, or are they extraordinary means

Compare specific approaches to a community health issue : Compare and contrast specific approaches to a community health issue for two distinct age groups.

Explain the differences among emergency hospitalization : Explain the differences among emergency hospitalization for evaluation/psychiatric hold, inpatient commitment, and outpatient commitment in your state

What other focused physical assessment does the nurse need : 2. What other focused physical assessment does the nurse need to perform on Mrs. Simpson? Diagnostic testing results show an elevated Antistreptolysin O (ASO)

Describe the health belief theory or theoretical model : Describe the health belief theory or theoretical model, and explain its relevance to the Family Nurse Practitioner (FNP). Please include references

How do normal physiological changes of ageing increase : How do normal physiological changes of ageing increase the risk of Mrs Wong developing a pressure injury in this scenario

Assess a concerning impact on nonprofit organizations : Assess external forces (local, national, global) that have or will have a concerning impact on nonprofit organizations.

How do people feel when they look at their photos : How do people feel when they look at their photos? What have some of the first thoughts that come to their mind

User Account

All Pages