Question

In: Nursing

Julie Walker, a 22-year-old patient, is newly diagnosed with systemic lupus erythematosus (SLE). She presented with...

Julie Walker, a 22-year-old patient, is newly diagnosed with systemic lupus erythematosus (SLE). She presented with extreme fatigue, muscle and joint aching and swelling; a butterfly-shaped, flat, red rash across the bridge of the nose; patchy alopecia; a low-grade fever; and loss of appetite. Further workup revealed a positive antinuclear antibodies (ANA) titer, anemia, leucopenia, and mild thrombocytopenia. She has an abnormal lipid profile, proteinuria, and hypertension. The liver and renal profiles are within normal range. The physician ordered over-the-counter ibuprofen as needed for joint discomfort, but not to exceed 1,200/day; hydrosychloroquine sulfate (Plaquenil) before meals at the same time each day; and predinisone in tapering doses over the next month. The physician also started the patient on Lisinopril, and ACE inhibitor for the hypertension and a statin for the elevated lipids. The clinic nurse is asked by the physician to provide patient and family education.

a. What teaching plan topics should the nurse provide for the patient?

Solutions

Expert Solution


Related Solutions

ou are caring for a patient with systemic lupus erythematous. Based on the pathophysiology of this...
ou are caring for a patient with systemic lupus erythematous. Based on the pathophysiology of this disease, what clinical manifestations would you expect? Correlate three nursing interventions with the chosen diagnosis.
Julie is a 28-year-old female who was diagnosed with OCD at age 8. She has managed...
Julie is a 28-year-old female who was diagnosed with OCD at age 8. She has managed the condition successfully with medication for most of her life. Recently, Julie began to experience a recurrence in OCD symptoms. She is washing her hands in excess of one hundred times a day. She reported that she is still taking her medication as directed, but she has recently experienced separating from her husband. Julie now has to share custody of her children, which has...
A 79-year old male patient requires anticoagulant therapy for a newly diagnosed condition and the provider...
A 79-year old male patient requires anticoagulant therapy for a newly diagnosed condition and the provider has ordered both IV heparin and PO warfarin. The patient asks the nurse why he requires two anticoagulants. How should the nurse respond?
Mrs. O. just returned from the hospital after being diagnosed with Systemic Lupus. In the hospital,...
Mrs. O. just returned from the hospital after being diagnosed with Systemic Lupus. In the hospital, she was on IV steroids. She is now on a lower dose of oral prednisone. She was in the hospital for one week as she is also a Type 1 Diabetic (since age 12). The autoimmune disorder caused her blood glucose levels to become erratic requiring stabilization of her usually controllable insulin dosage. While she had not been feeling well her doctor was not...
You are the nurse taking care of Mr. Case, a 75-year-old patient newly diagnosed with colon...
You are the nurse taking care of Mr. Case, a 75-year-old patient newly diagnosed with colon cancer. Mr. Case’s pain has been severe, and he has been taking narcotics for pain management. He feels weak and tired, has no energy or appetite, and is unable to keep his weight up. Mr. Case has had great difficulty moving his bowels; when he does, it is very painful. He is oozing a small amount of stool from his rectum. Mr. Case is...
A 55-year-old patient has been diagnosed with cervical cancer. She reports that she has a strong...
A 55-year-old patient has been diagnosed with cervical cancer. She reports that she has a strong family history of cancer; two sisters have breast cancer. Her mother died of cancer when the patient was a child, and she is not certain of the type of cancer. Because of her strong family history, she is concerned about the health status of her twin daughters who are in their early 30s. She has asked you to discuss the risks for cancer with...
Jill Stevens is a 58 year old patient with type 1 diabetes mellitus. She was diagnosed...
Jill Stevens is a 58 year old patient with type 1 diabetes mellitus. She was diagnosed with diabetes in her 20s and has had difficulty controlling her blood sugar, particularly for the last 5 years due to issues with health insurance and other financial concerns, as well as lack of motivation. She currently presents with hypoalbuminemia, edema, and a distended abdomen. The physician diagnoses her with nephrotic syndrome. What is physiologically causing the stomach distention? What is the connection between...
Patient Teaching to a 79 years old patient who has heart failure and newly diagnosed 1....
Patient Teaching to a 79 years old patient who has heart failure and newly diagnosed 1. Create a patient scenario (3-4 sentence that describes your client's situation that necessitates teaching) 2. Assessment data indicating a learning need (include pertinent positive/negative data) 3. Nursing diagnosis that indicates the need for patient teaching (NANDA stem, r/t and AEB) 4. expected outcome (use action very and time frame in terms of the client) 5. methodology/tools (what equipment, instructions aids, method of communication) 6....
A 22 year old female patient arrives in the emergency department after a skiing accident. She...
A 22 year old female patient arrives in the emergency department after a skiing accident. She was going downhill quickly when she twisted, fell, and reports hearing and feeling a loud "pop" in the right knee. The ED physician has diagnosed her with an ACL tear and refers her to the orthopedic surgeon for arthroscopic repair. 1. What equipment is required for all arthroscopic procedures? 2. What is the ACL, what purpose does it serve, and how is it positioned...
Arwen, a 40-year old female, has been newly diagnosed with constipation-predominant irritable bowel syndrome. She complains...
Arwen, a 40-year old female, has been newly diagnosed with constipation-predominant irritable bowel syndrome. She complains of severe pain, constipation, and often vomiting. Her doctor has prescribed lubiprostone and fluoxetine. a. Explain how lubiprostone would help treat her symptoms. b. Rationalise the use of fluoxetine in her treatment regimen. c. Would ondansetron be appropriate as an anti-emetic? Justify your reason
ADVERTISEMENT
ADVERTISEMENT
ADVERTISEMENT