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Question - Connor is a 41-year-old male who has a lengthy history of hypertension and diabetes and presents with a complaint of pruritis, lethargy, lower extremity edema, nausea and emesis. Blood pressure 186/108, pulse 88, respirations 26 and he was febrile 39.5. He is a current hemodialysis client and goes 3 times a week. His AV fistula appears clean dry and intact appropriate with repetitive use. There is 2+ lower extremity edema and superficial excoriations of his skin from scratching. UA shows + for mucus, glucose, protein, and large number of bacteria.
Laboratory Data
WBC
22
Potassium
6.2
BUN
170
Creatinine
16.0
Glucose
108
Alkaline Phosphatase
306
Hemoglobin
8.6
Hematocrit
27.4
Sodium
133
Using Connor's case scenario above,
1. What do you thing the client is suffering from? What is his medical diagnosis?
2. What are other related assessment diagnostic tests you may consider? Why?
3. What are the 3 primary nursing diagnoses? List 1 intervention for each.
4. What would be the treatment plan and the goals of treatment?
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