Question

In: Nursing

Case Study - Mrs. Jaiden is an 83-year-old patient who experienced a hip fracture several weeks...

  1. Case Study - Mrs. Jaiden is an 83-year-old patient who experienced a hip fracture several weeks ago. After a significant snowfall, Mrs. Jaiden was walking down her driveway to get her mail, when she slipped and fell. A neighbor witnessed the fall and called 911. Following surgical repair of her hip, Mrs. Jaiden was discharged to a rehabilitation facility to undergo 6 weeks of intensive rehabilitation. The nurse notices that Mrs. Jaiden’s most recent laboratory results show:

Hemoglobin, 10.4 g/dL

Hematocrit, 33%

WBC, 9,000 cells/mcL

Serum calcium, 8.0 mg/dL

Serum phosphorous, 4.8 mg/dL

a. What significance of abnormal laboratory values should the nurse recognize?

b. What normal age-related physical changes should the nurse recognize?

c. What nursing interventions and patient/family teaching should be provided to ensure Mrs. Jaiden’s safety?

Solutions

Expert Solution

a. Her hemoglobin, Hematocrit, Serum calcium level is low and her serum phosphorus level is high which can indicate to some kidney disorder, weakness and dehydration.

b.

  • Nursing care plan for clients with anemia includes: assess risk factors, decrease fatigue, maintenance of adequate nutrition, maintenance of adequate tissue perfusion, compliance with prescribed treatment regimen, and be free from complications.
  • Discontinue diuretics/laxatives.
  • Use potassium-sparing diuretics if diuretic therapy is required (eg, severe heart failure)
  • Treat diarrhea or vomiting.
  • Administer H2 blockers to patients receiving nasogastric suction.
  • Control hyperglycemia if glycosuria is present.

C. Nursing interventions

  • To keep an eye on her, so that any future falls could be avoided.
  • To always help around with her day to day routine.
  • To be patient with her, so that she gets stressed out which can be really bad for her mental health.
  • To let her know that she has to consume sufficient fluids time to time
  • Administer sodium in her mealtime to time

Nightingale answered 1 year ago
Next > < Previous

Related Solutions

Patient E.F. is an 85-year-old female who sustained a hip fracture after falling on her way...
Patient E.F. is an 85-year-old female who sustained a hip fracture after falling on her way out of the bathroom in her nursing home. She had surgery today to repair the hip fracture. According to reports from the staff of her nursing home, patient E.F. has a history of mild intermittent confusion. When she arrives on your unit from the recovery room, she is unable to tell you how she would rate her pain but she is groaning, grimacing, and...
CASE STUDY A 23-year-old male patient is admitted with a fracture of C6 and C7 that...
CASE STUDY A 23-year-old male patient is admitted with a fracture of C6 and C7 that has resulted in quadriplegia. He was injured during a football game at the university where he is currently a senior college student. His career as a quarterback had been very promising. At the time of the injury, contract negotiations were in progress with a leading professional football team. 1.Use Roy’s criteria to identify focal and contextual stimuli for each of the four adaptive modes....
Mrs. Angstrom is an 83-year-old patient who was admitted to the hospital after she fell outside...
Mrs. Angstrom is an 83-year-old patient who was admitted to the hospital after she fell outside her home and broke her hip. She has been living alone in her apartment since her husband died 4 years ago. Mrs. Angstrom has no long-term history of mental illness, but she has recently shown signs of cognitive impairment and dementia, according to her neighbor Jeanine Finch, 63, who called 911 after Mrs. Angstrom’s fall. “She wanders around outside sometimes and doesn’t always know...
Case Study: An 83-year-old female patient presented in the ER with signs of dehydration such as...
Case Study: An 83-year-old female patient presented in the ER with signs of dehydration such as sunken eyes, dry mucus membranes and low urinary output due to frequent watery diarrhea (five to 10 times a day), for two days. Her stools had turned bloody with mucus in them. At the start of her diarrhea she was given Loperamide at the nursing home she lived in, but the frequency of her diarrhea increased, and she started developing abdominal cramps and bloating...
Mrs. Lu, an 83 year old patient, has been admitted to the hospital for a fractured...
Mrs. Lu, an 83 year old patient, has been admitted to the hospital for a fractured femur as a result of a fall at home. The patient has been on bedrest and is very weak. She states, "I got dizzy when I tried to stand up to go to the bathroom and I fell down and was really scared. I thought I was going to die". The patient also presents with dehydration a fever of 100.2 and respiration's of 30....
Case Study: The Trauma Patient The patient is a 37-year-old man who was the driver in...
Case Study: The Trauma Patient The patient is a 37-year-old man who was the driver in a high-speed motor vehicle crash. EMS reports that his vehicle was struck on the driver’s side by a truck and the victim had to be extracted using the “jaws of life.” The patient was wearing a seatbelt, and he was unconscious when EMS arrived, but he has intermittently aroused reporting extreme pain in the chest and pelvis area. He arrives secured to a backboard...
CASE STUDY: Mrs. Kathy is a 68 years old patient with a long history of Type...
CASE STUDY: Mrs. Kathy is a 68 years old patient with a long history of Type 2 Diabetes Mellitus who is admitted to the medical female unit with infected diabetic foot and progressive gangrenous tissue. After initiation assessment, her medical and surgical team have decided that it is time to amputate before septicemia develops and discussed this with the patient that if this condition left untreated may lead to critical complication and death. The treating team have tried to obtain...
CASE STUDY: Mrs. Kathy is a 68 years old patient with a long history of Type...
CASE STUDY: Mrs. Kathy is a 68 years old patient with a long history of Type 2 Diabetes Mellitus who is admitted to the medical female unit with infected diabetic foot and progressive gangrenous tissue. After initiation assessment, her medical and surgical team have decided that it is time to amputate before septicemia develops and discussed this with the patient that if this condition left untreated may lead to critical complication and death. The treating team have tried to obtain...
CASE STUDY: Mrs. Kathy is a 68 years old patient with a long history of Type...
CASE STUDY: Mrs. Kathy is a 68 years old patient with a long history of Type 2 Diabetes Mellitus who is admitted to the medical female unit with infected diabetic foot and progressive gangrenous tissue. After initiation assessment, her medical and surgical team have decided that it is time to amputate before septicemia develops and discussed this with the patient that if this condition left untreated may lead to critical complication and death. The treating team have tried to obtain...
Mrs. Baxter is an 83-year-old female who has lived with her daughter for the past five...
Mrs. Baxter is an 83-year-old female who has lived with her daughter for the past five years. She has a history of osteoarthritis, hypertension, hyperlipidemia, and occasionally episodes of constipation. She is taking Celebrex for arthritis, Lipitor for hyperlipidemia, Capoten for hypertension, Paxil for depression, a daily multivitamin, and Milk of Magnesia and Dulcolax suppositories as needed for the constipation. Her eyesight is poor, but she is not blind. She ambulates well, but her mental capacity has been deteriorating significantly...
ADVERTISEMENT
Subjects
ADVERTISEMENT
Latest Questions
ADVERTISEMENT