Medical surgical | Biology homework help



3. PLEASE COMPLETE ALL QUESTIONS. Late assignments achieve not be accepted!!!

Case Study: Urinary Tract Infection

You are inaugurated in an exuberant circumspection dexterity when M.Z.'s daughter brings her mother in for a week's cling opportunity she goes on a intentional holiday. M.Z. is an 89-year-old widow delay a 4-day truth of non- localized abdominal trouble, dissoluteness, new-onset spiritual laziness, and detached stools. Her most floating living signs are 118/60, 88, 18, 98.4° F (37.4° C). The medical guide ordered a supdemeanor null catheterization, which yielded 100mL of doltish urine that had a brawny perfume, and diverse lab tests on approximation. Urine amelioration and sensitivity results are pending; the other results are shown in the chart.

Chart View Laboratory Test Results:

Complete metabolic panel: Within recognized limits save for the subjoined results:

 BUN 25mg/dL Sodium 131mEq/L

 Potassium 3.2mEq/L

White respect cell compute 11,000/mm3

Urinalysis Appearance Doltish Perfume Foul

 pH 6.9

 Protein Negative

 Nitrites Positive

 Crystals Negative

WBCs 6 per low-power field

 RBCs 3

  1. What mood do the lab reports top internal?
  2. Which admonish furnishings are normal of an older adult delay the mood in Question 1?
  3. Considering her truth and laboratory results, what other mood is a possibility?

4.The medical guide makes rounds and writes sign to rouse an IV of D5 ½NS at 75mL/hr. and introduce a Foley catheter to priggishness parchage. Consequently M.Z. is unable to seize spoken medications, the medical guide sign ciprofloxacin (Cipro) 400mg q12h IV piggytail (IVPB). Are the emblem of mellifluous and admonish misspend for M.Z.'s age and mood? Explain.

  1. While the IVPB ciprofloxacin is life administered, which obstructive proceeds might take-place?
  2. You penetrate the margin to rouse the IV instrument and introduce the Foley catheter and furnish that the nursing assistive personnel (NAP) has seizen M.Z. to the bathmargin for a bowel change-of-place. M.Z. asks you to succor her, and, as you disclosed the door, you watch her wiping herself from tail to face. What do you deficiency to do at this span?
  3. Because M.Z. has been having diarrhea, what proper instructions should you communicate the NAP assigned to communicate basic circumspection to M.Z.?

Case Study Progress:

 The present day, you are the foster assigned to M.Z.'s circumspection. You attend-to that the NAP emptying the priggishness parch is not wearing peculiar guard devices. You so watch that the parchage demeanor of the parchage bag was polluted during the course consequently the NAP allowed it to reach the base.

  1. What issues deficiency to be considered in compensating M.Z.'s insurance? Describe your actions in inaugurated delay the nursing coadjutor.
  2. As you assess M.Z., you attend-to that her catheter tubing is not protected. Why does the tubing deficiency to be protected, and where is the reform situate for the catheter tubing?
  3. What changes, if any, achieve be made to the antibiotic therapy?
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