Review the World Health Organization’s (WHO) global health agenda and
Discussion Board: Kidney Disease Scenario: Mrs. Angela Davis, a 68-year-old female with a history of type 2 diabetes, atrial fibrillation, and hypertension and was diagnosed with chronic kidney disease (CKD) 6 months ago. She has recently started undergoing hemodialysis. She takes lisinopril 25 mg PO daily as well as furosemide 20 mg PO daily, as well as metoprolol 12.5 mg PO daily. She reports feeling increasingly fatigued, has difficulty managing her fluid intake, and is concerned about her dietary restrictions. She is due to get hemodialysis today. Vital Signs and Labs: Blood Pressure: 165/95 mmHg Heart Rate: 105 bpm Respiratory Rate: 22 breaths per minute Temperature: 98.7°F Weight: 165 lbs (with a 3 lb increase since the last dialysis session) Recent Lab Results: Blood Urea Nitrogen (BUN): 58 mg/dL (Normal: 7-20 mg/dL) Serum Creatinine: 6.5 mg/dL (Normal: 0.6-1.2 mg/dL) Potassium: 5.8 mEq/L (Normal: 3.5-5.0 mEq/L) Hemoglobin: 9.5 g/dL (Normal: 12-16 g/dL) Hematocrit: 30% (Normal: 36-48%) Serum Albumin: 3.1 g/dL (Normal: 3.5-5.0 g/dL) Physical Assessment Findings: Cardiovascular: Edema noted in the lower extremities, with pitting at +2. Respiratory: Lung sounds clear with no adventitious sounds, but mild shortness of breath reported on exertion. Gastrointestinal: Abdomen soft, non-tender with normal bowel sounds; reports occasional nausea post-dialysis. Integumentary: Skin is cool and dry, with some discoloration noted on the lower legs consistent with venous insufficiency. Neurological: Alert and oriented to person, place, and time; reports occasional dizziness when standing quickly. 1. Given Mrs. Davis’s current assessment data which findings require immediate follow-up, and how would you prioritize her plan of care based on these findings? Provide rationales to receive maximum points. 2. In preparation for Mrs. Davis’ dialysis sessions, what are some key nursing considerations that should be taken into account before and after dialysis to ensure her safety and well-being? Provide rationales to receive maximum points. 3. Considering Mrs. Davis’ concerns about dietary restrictions and fluid intake, how can the healthcare team effectively support her in managing these aspects of her care while preventing complications? Provide rationales to receive maximum points.
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