This is a Case of an 83-year-old
This is a Case of an 83-year-old male diagnosed with Urinary Bladder Malignancy; Benign Prostatic Hyperplasia; Hypertensive Cardiovascular Disease; Diabetes Mellitus Type 2, Hypertension stage 2 – Uncontrolled. Schedule for Cystoscopy; Transurethral Resection of the Bladder Tumor and Transurethral Incision of the prostate. General Information : Name: Client PAS Age : 83-year-old Birthday: November 16, 1926 Religion: Roman Catholic Occupation: Lawyer Chief Complaints: Hematuria Brief History of Present Illness: ✓ Smoker for 67 years ✓ Ate chocolates almost every after meal ✓ Sedentary lifestyle ✓ Underwent cataract surgery in 2009 ✓ Noncompliance to medications ✓ Urinary frequency and urgency at least 10 – 15 times per day. ✓ Difficulty in sleeping especially at night. ✓ Hematuria hence admitted last February 17, 2019 Assessment: ✓ Respiratory: 28 breaths per minute. ✓ Oxygen Saturation: 96 % ✓ Blood pressure: 150/100 mmhg ✓ Wheezing sound noted both lung fields ✓ Dyspnea upon exertion ✓ Pain and Swelling in the lower extremities Laboratory Findings: RBC 2.92 L Hemoglobin 8.30 g/dl Hematocrit 33.40 % WBC 9.33 L Platelet count 320 L Bleeding time Minutes – 2; Seconds – 20 Clotting time Minutes – 4; Seconds – 29 Cholesterol 5.72 mmol/L Triglycerides 1.89 mmol/L HDL .77 mmol/L LDL 4.23 mmol/L Uric Acid 583 umol/L Chest X_RAY Minimal Fibrosis, Both Lung Apices with residual Atherosclerotic Aorta Glycosylated hemoglobin 7.9 Color flow doppler study Concentric left ventricular hypertrophy with segmental wall motion abnormality Ultrasound of the prostate Weight of the prostate is 20 grams, with 35 cm3 in size Questions: Explain in detail the Independent and dependent Nursing Action based on the case presented. SCIENCE HEALTH SCIENCE NURSING NURSING 112
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