Case Study: Mrs. T.It is necessary for an RN-BSN-prepared nurse
Case Study: Mrs. T.It is necessary for an RN-BSN-prepared nurse to demonstrate an enhanced understanding of the pathophysiological processes of disease, the clinical manifestations and treatment protocols, and how they affect clients across the life span. Evaluate the health history and medical information for Mrs. T., which is presented below.Health History and Medical Information Mrs. T., a 42-year-old female, has been living at home with her two high school age children, husband, and dog. She is a schoolteacher who works full-time teaching at the local grade school. She tries to be active by walking with her husband and dog for 20 minutes on the weekend but is starting to add weight as she gets older. She has no known allergies. She is a pack-a-day smoker and drinks three glasses of wine/per night after work. She tries to eat healthy but likes to eat out at fast food restaurants to avoid having to cook. Medical history includes atrial fibrillation controlled with beta blocker, hypercholesterolemia, mild anemia related to heavy menses, and migraines. Current medications include:1.Metoprolol 50mg daily2.Pravastatin 40 mg at bedtime daily for cholesterol3.Birth control pill Microgestin Fe in the AM4.Amitriptyline 20 mg/daily for migrainesCase ScenarioYou are the school nurse where Mrs. T. works. While at recess duty, another teacher runs up to you and reports that Mrs. T. is not acting like herself. When you approach, you see her sitting on a bench, mumbling something to the kids around her. She has dropped her cell phone on the ground, and her right arm appears limp. You try asking her questions, and you notice the right side of her face is slackened, and she does not seem to be making sense when talking. You call an ambulance and try to walk her back to your office, but she does not move well. You reassure her and try to determine if anything occurred prior to her loss of speech and movement. The other teachers say it came on suddenly, within the last 5 minutes. Mrs. T. shakes her head no to pain. Objective Data – Completed by Ambulance Personal:1.Temperature: 36.5 degrees C2.BP 184/92, HR 101, RR 24, Pox 99% Blood Glucose = 1074.Positive FAST & VAN score, NIHSS = 125.Height: 62 inches; Weight 89 kgLaboratory/Test Results – On Arrival to the Emergency Department (Initial Results)1.WBC: 9.4 (1,000/uL)2.INR – 0.73.CT Head is normal.4.Negative pregnancy test5.Cholesterol – 247, Triglycerides – 302 You must cite at least three sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice. Subjective and objective clinical manifestations are thorough. Primary medical diagnosis and rationale for this diagnosis are thorough. Secondary medical diagnosis and rationale for this diagnosis are thorough. Nursing diagnosis formulated from the medical diagnoses is thorough. Description of the pathophysiological changes expected and how these will transition over the course of a week after diagnosis and initial treatment is thorough. Description of the physical, psychological, and emotional effects of the health status on the patient and the impact the health status has on the family and the ability of patient to work is thorough. Discussion of the immediate treatments and long-term support needed to return the patient to baseline activity level and explanation of how to help the family support and cope with the diagnosis are thorough.
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