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the patient has ascites, is jaundiced, has had some altered mental status, and some complaints of nausea and vomiting off and on for three days. The patient is a 58-year-old male. You also find a note that states that the patient drinks 6-8 beers nightly. In their diagnoses, you see a history of alcohol abuse, hypertension, type two diabetes, and cirrhosis.

 

1) Which of these diagnoses is most likely causing the patient’s condition?

 

2) The patient has been in and out of alertness overnight. The nurse said they suspected a worsening of something, but you didn’t catch it. You know that with alcoholic cirrhosis, patients can start to suffer from mental issues. 

What is the most common mental issue for patients like this? 

What is going on in their body that causes them to have their mental troubles.

3)Based on your patient’s diagnoses, what medications would you expect to find on their list?

 

4)The nurse that is in charge of this patient listens in on rounds for the day and she told you that the physician wants to try a thoracentesis on this patient to help with some of their symptoms.

How will it help the patient?

What are some of the risks of this procedure that you need to monitor the patient for?

 

5)The nurse tells you that the patient was also prescribed a new medication while the physicians were rounding. She tells you the name of the medication is lactulose. 

Why is this patient getting lactulose and how will it help?

What is a dignity area that you would need to watch for for this patient?

 

6)Toward the end of your day, the patient’s significant other comes in and starts asking all sorts of questions. You update her about his day and let her know of the new medications and the purpose of the tube that is now residing in his nose. She asks, “When will he be better, now that he’s getting this medication?” You know based off of your assessment that the patient will be here for a while. 

How will you talk to this patient’s visitor in regards to his condition and when she should expect him to be more normal?

SCIENCE
HEALTH SCIENCE
NURSING
BIOL 302

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