CASE STUDY Chapter 4 Common Health Problems of Older Adults Mrs….

Question Answered step-by-step CASE STUDY Chapter 4 Common Health Problems of Older Adults Mrs…. CASE STUDY Chapter 4 Common Health Problems of Older AdultsMrs. Lemone is a 69-year-old patient who has been brought to the ED by ambulance with a change in mental status. She is noted to have a temperature of 104°F (40°C) and is yelling loudly while aggressively thrashing her arms. Her daughter reports that at her baseline, Mrs. Lemone is oriented to person, place, and time and that she is well enough to perform all ADLs without assistance. Her medical history includes mild hypertension controlled by 20 mg of hydrochlorothiazide taken once daily. Her daughter expresses concern about the cost of treatment because her mother does not have much money.Question 1Based on an immediate nursing assessment of Mrs. Lemone, what condition will the nurse consider while planning care? Question 2Mrs. Lemone is diagnosed with a severe urinary tract infection. The nurse administers fluids, initial antibiotics, and antipyretics as ordered. What outcomes of these interventions would the nurse expect? Question 3When preparing for care coordination and transition management, with what members of the interprofessional team may the nurse need to communicate?  Case StudyChapter 5 Assessment and Concepts of Care for Patients With PainJeff is a 50-year-old patient who works on a loading dock. He is required to do heavy lifting and was picking up a 55-pound box when he felt immediate pain and what he describes as a “pop” in his back. He has come to the ED for care.Question 1What assessment information would the ED nurse collect? Question 2While awaiting results of a CT scan of Jeff’s back, the emergency health care provider orders opioid pain medication to be given. Besides following the “rights” of medication administration, what concerns would the nurse have about Jeff taking opioid pain medication? Question 3The ED physician diagnoses Jeff with a herniated nucleus propulsus (HNP). Jeff has been following up with his primary care provider since he was discharged 6 months ago and now has chronic back pain. Today, he lifted his 3-year-old nephew and felt an immediate increase in back pain.Could Jeff have acute pain and persistent (chronic) pain at the same time? Based on your answer, how is treatment impacted? Question 4With which members of the interprofessional health care team would the nurse coordinate at this time?   Case StudyChapter 6 Concepts of Genetics and GenomicsThe nurse is counseling Chenique Jackson, a 23-year-old patient whose maternal grandmother died of breast cancer. Chenique wants to be genetically tested for the breast cancer gene, but her mother does not wish to be tested, because she “doesn’t want to know.”Question 1If Chenique were to test positive for the breast cancer gene, would her mother automatically be “positive” for the breast cancer gene too? Question 2Chenique has tested positive for the BRCA1 gene for breast cancer. After speaking with her surgeon, she has decided that she wants to have bilateral prophylactic mastectomies.What patient teaching should the nurse provide? Question 3Chenique asks the nurse, “Will you call and tell my mother that she has the breast cancer gene also?” What nursing response is appropriate? Question 4Because Chenique has chosen to have bilateral prophylactic mastectomies, what members of the interprofessional team may be most helpful in her care after surgery?                 Health Science Science Nursing Share QuestionEmailCopy link Comments (0)