Category: Nursing

John is a 56 year-old male who was initially diagnosed 6 months ago with heart failure.

He was treated via a 3-day stay in the hospital and sent home with a drug regime and since then has been seen in the ER two times and is now hospitalized again with shortness of breath, pedal edema, and weight gain. He does not understand why the medications are not working. He cannot miss any more days at work or he will lose his job and medical insurance for him and his family. His wife is a stay-at-home mom for their three boys.

John is a construction worker and does take his medications as directed but continues to eat what he wants. He states he cannot exercise because he works 6 days a week and is just too tired when he gets home. He is always tired, is up all night going to the bathroom, and is extremely worried about his health issues and the future. His wife, Kathy, is also very worried, because she is a stay-at-home mom and has not worked since the birth of their first child, who is 16 years old.

During this hospital stay, another cardiac catheterization reveals that the ejection fraction of his heart is only 40. The doctor has told him he needs to change his lifestyle, continue with his meds, and monitor his vital signs at home.

Kathy is 40 years old and finds herself overwhelmed with the diagnosis and is worried that she may have to go back to work if John is not able to continue working. She wants to know what she can do to help John. She will do anything but is not sure what will help John. The nurse came in and handed her a bunch of papers about diet and exercise and said a home health nurse would set him up for home monitoring.

Formulate searchable, clinical questions in the PICO(T) format using the material in this case study.

There are several potential questions that could be asked, but you only need to identify two. Determine if the focus of each question is assessment, etiology, treatment, or prognosis.

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Damaged kidneys lose their ability to produce erythropoietin, a hormone that stimulates the formation of red blood cells. What is usually prescribed to stimulate erythropoiesis in patients with chronic kidney disease?

A patient is admitted with the following signs and symptoms: edema around the eyes upon awakening, progressing to general swelling of the legs and body; weight gain; fatigue; headache; nausea; vomiting; frequent hiccoughs; and itching. A urine specimen is obtained, and the urine is frothy. The patient has a history of insulin-dependent diabetes (type 1 diabetes), which is poorly controlled, and high blood pressure, and his blood work comes back showing an elevated cholesterol level. Which disease processes would you suspect?

Which action best describes a sentinel event alert?

Certain precautions must be followed when performing dialysis on a recent transplant recipient. Indicate the precautions regarding dialysis for the post-transplant patient.

Which action occurs primarily during the evaluation phase of the nursing process?

Create a trifold brochure based on the population and disease chosen

for the Week 5 Epidemiology Paper (Diabetes among youth)

Prepare to share your project with the class. Include the following

information in your brochure :

�Present an overview of the issue.

-Design appropriate health promotion, disease management, and risk

reduction and disease prevention strategies applicable to population care.

-Include the primary, secondary, and tertiary strategies applicable to the population and focus, presented in language that is understandable and appropriate to the population.

-Discuss future prevention techniques.

-Provide a minimum of three local, state, and/or national credible and legitimate resources (CDC, HHS) for information related to selected population and disease focus.

Which statement by a patient with diabetes mellitus indicates an understanding of the medication insulin glargine (Lantus)?

. What steps need to be taken to diagnose and eliminate the problem of dialysate leakage during peritoneal dialysis?