Her initial vs are as follows Bp

Her initial vs are as follows Bp 189/87 pulse 110 Pulse ox 96% Resp rate 23min CMP Labs WBC 26,000 Hgb 12g/dl Sodium 117meq/l Potassium 5.9 meq Calcium 9 Magnesium 1.9 Creatinine 0.6mg/dl BUN 4 Ast 89 ALT 48 CRP- 44 ESR 50mm/hr TSH- 10mIU/l T3-35ng/dl T4- low On exam you observe the following: Constitutional: No Acute Distress, Alert and Oriented, Appropriately Responds Neck Supple, Non-Tender ENT: Moist Mucosa Respiratory: scattered wheezes, chest symmetrical, no distress, speaks in complete sentences Cardiovascular: Regular rhythm, ()S1 – ()S2, No pedal edema, (+) Pedal edema (left leg) Gastrointestinal: Soft, Non-tender, And Non-distended Musculoskeletal: able to flex the knee on the left leg, able to flex the hip. Skin there is some circumferential erythema, edema, and warmth of the left lower extremity from the foot up to around the knee, the erythema then extends medially to the groin. There is no crepitus. There are several bullae that have ruptured. There is some excoriations laterally to the leg. There is some darkish discoloration of the skin laterally. Medications at home Furosemide 40MG * (Lasix *) 40 MG PO 1X A DAY spironolactone 50mg once a day Diphenhydramine Hcl (Allergy Medication) 1-2 CAP PO PRN PRN ALLERGIES Tiotropium Bromide * (Spiriva *) 1 PUFF IH DAILY Fluticasone/Salmeterol 115-21 Mcg (Advair Hfa 115-21 Mcg Inhaler) 2 PUFF INH 2X A DAY Prednisone * (Deltasone *) 10 MG PO 1X A DAY SULFAMETHOXAZOLE/TRIME 800/160 * (Septra DS *) 1 TAB PO BID Questions 1. What disease do you suspect the patient has? What is your evidence? 2. How would it be managed? 3. What are other underlying conditions disease that affecting this patient? How do you know? 4. What do her labs indicate? Does it correlate to her narrative? 5. What do you notice about her medications? Any changes that you will alert the provider about? 6. What 4 robust nursing interventions that you will implement? 7. How would you manage her weight loss? 8. Identify 3 nursing diagnoses for this patient? 9. Is the patient at risk for abuse/neglect? Why or why not? 10. What teaching points would you share with the patient? What are resources are available in your area for this patient? SCIENCE HEALTH SCIENCE NURSING NURSING NU451

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