Connor is a 41-year-old male who has
Connor is a 41-year-old male who has a lengthy history of hypertension and diabetes and presents with a complaint of pruritis, lethargy, lower extremity edema, nausea and emesis. Blood pressure 186/108, pulse 88, respirations 26 and he was febrile 39.5. He is a current hemodialysis client and goes 3 times a week. His AV fistula appears clean dry and intact appropriate with repetitive use. There is 2+ lower extremity edema and superficial excoriations of his skin from scratching. UA shows + for mucus, glucose, protein, and large number of bacteria. Laboratory Data WBC 22 Potassium 6.2 BUN 170 Creatinine 16.0 Glucose 108 Alkaline Phosphatase 306 Hemoglobin 8.6 Hematocrit 27.4 Sodium 133 Using Connor’s case scenario above, What do you thing the client is suffering from? What is his medical diagnosis? What are other related assessment diagnostic tests you may consider? Why? What are the 3 primary nursing diagnoses? List 1 intervention for each. What would be the treatment plan and the goals of treatment?
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