solved

Mr. M., a 70-year-old male, has been living at the assisted living facility where you work. He has no
know allergies. He is a nonsmoker and does not use alcohol. Limited physical activity related to
difficulty ambulating and unsteady gait. Medical history includes hypertension controlled with ACE
inhibitors, hypercholesterolemia, status post appendectomy, and tibial fracture status postsurgical
repair with no obvious signs of complications. Current medications include Lisinopril 20mg daily,
Lipitor 40mg daily, Ambien 10mg PRN, Xanax 0.5 mg PRN, and ibuprofen 400mg PRN.
Case Scenario
Over the past 2 months, Mr. M. seems to be deteriorating quickly. He is having trouble recalling the
names of his family members, remembering his room number, and even repeating what he has just
read. He is becoming agitated and aggressive quickly. He appears to be afraid and fearful when he
gets aggressive. He has been found wandering at night and will frequently become lost, needing
help to get back to his room. Mr. M has become dependent with many ADLs, whereas a few months
ago he was fully able to dress, bathe, and feed himself. The assisted living facility is concerned with
his rapid decline and has decided to order testing.
Objective Data
1. Temperature: 37.1 degrees C
2. BP 123/78 HR 93 RR 22 Pox 99%
3. Denies pain
4. Height: 69.5 inches; Weight 87 kg
Laboratory Results
1. WBC: 19.2 (1,000/uL)
2. Lymphocytes 6700 (cells/uL)
3. CT Head shows no changes since previous scan
4. Urinalysis positive for moderate amount of leukocytes and cloudy
5. Protein: 7.1 g/dL; AST: 32 U/L; ALT 29 U/L
Interventions: at least 4 interventions for each client problems with rationale-APA
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