Question

In: Nursing

Malik Reynolds is a 12-year-old African American male who comes to the clinic with his father,...

Malik Reynolds is a 12-year-old African American male who comes to the clinic with his father, James, for a routine health visit. Malik is 5 ft 2 in tall and weighs 175 lb. A routine urinalysis reveals glucosuria with negative protein, WBC’s and Blood. A routine CBC shows WBC’s 18.1 RBC’s 12.24, HCT 38.2, Hgb 15.8. His vital signs are: HR 72, RR 18, Temp 98 degrees F, BP 122/86.

  1. What symptoms are significant and need to be reported to the provider?
  2. Based on the information provided, what questions will you want to ask Malik to determine if he is experiencing any other symptoms?
  3. What additional objective symptoms would the nurse expect to find when assessing Malik?
  4. What further diagnostic assessments or testing will you anticipate? Include rationales.
  5. What education will you provide for Malik and his father? Include rationales.
  6. Document your assessment findings in a narrative nurse’s note

Solutions

Expert Solution

1 . Malik is overweight for his height and age. His WBC levels are elevated and there is presence of glucose in his urine. These are the symptoms that has to be reported to the provider.

2. The questions that has to be asked to Malik are :

a. Are you experiencing increased thirst ?

b. Do you pass urine frequently ?

c. Has your hunger increased recently ?

d. Do you feel tired all of a sudden?

All these questions are asked to rule out the symptoms of diabetes.

3. Objective symptoms that can be seen :

a. Dry and itchy skin

b. Darkened skin patches usually noticed in the creases of the body.

4. Fasting blood sugar, Random blood sugar, HbA1c to rule out diabetes.

5. Health Education :

a. Eat small frequent meals - Prevents spike in blood sugar levels.

b. Avoid junk foods - avoid unnecessary calories.

c. Lead active lifestyle - helps in managing blood sugar levels.

d. Take medication as prescribed - Helps in decreasing the symptoms and leading a normal life.

e. Ensure regular follow up - determines the health status of Malik and helps to identify the issue soon.

6. Nurses note :

Malik is examined . He is found to be overweight and there is presence of sugar in urine and WBC reveal infection. Patient and his father is educated regarding blood investigations to be done and healthy lifestyle options to be followed.

Thank you.

Nightingale answered 1 year ago
Next > < Previous

Related Solutions

James is a 52-year-old black male who comes to the clinic for a checkup for his...
James is a 52-year-old black male who comes to the clinic for a checkup for his diabetes. He tells the doctor that he has noticed that his feet have been getting numb and cold, causing him annoyance and irritation. The pulses in James’ feet are faint and they are pale in color. James is diagnosed with vascular insufficiency secondary to consequences of his diabetes What is the most likely cellular stressor and injury type that may result from vascular insufficiency?
Mr. A., a 67 year old African American male is here at the clinic for medication...
Mr. A., a 67 year old African American male is here at the clinic for medication refill and annual physical exam. He doesn't remember all of his meds since he didn't write them down, but he remebers taking St. John's Wort over the counter, ASA 81mg daily, Digoxin 0.125mg daily. He has a history of Rheumatic Heart Disease, Mitral valve replacement with mechanical device, and heart failure. He reported today that he has been feeling easily tired today. He has...
Mr. A., a 67 year old African American male is here at the clinic for medication...
Mr. A., a 67 year old African American male is here at the clinic for medication refill and annual physical exam. He doesn't remember all of his meds since he didn't write them down, but he remmbers taking St. John's Wort over the counter, ASA 81mg daily, Digoxin 0.125mg daily. He has a history of Rheumatic Heart Disease, Mitral valve replacement with mechanical device, and heart failure. He reported today that he has been feeling easily tired today. He has...
Case D: A 43 year old African American Male S.O, is a father of two. He...
Case D: A 43 year old African American Male S.O, is a father of two. He came to the clinic with depression. He had stopped going to work stating “my boss hates me and he always like to get me in trouble.” Patient came in with wife who is very supportive. History shows patient had being treated for psychosis schizophrenia, has had two inpatient and many outpatient hospitalization. Two months ago, patient mildly agitated. Wife reported that he was pulling...
a 59 year old african american male presents to ambulatory clinic with increased shortness of breath...
a 59 year old african american male presents to ambulatory clinic with increased shortness of breath in the last week. He needs two pillows to sleep, swollen legs, malaise, weakness, and weight gain. his furosemide dose was decreased 2 weeks ago due to hypokalemia. shortness of breath is increasing with paroxsymal nocturnal dyspnea and ankle edema seems to be progressing
15 year old African American male presents with his mother to the ER where you are...
15 year old African American male presents with his mother to the ER where you are the physician assistant helping the ER attending in a very busy rural hospital. He is complaining of abdominal pain for one day and nausea with vomiting. His mother reports a fever and malaise. He has no significant medical history but his mother is concerned that he may have the "kissing disease" as he has a boy friend who had mononucleosis six months ago and...
Hypertension E.W. is a 40-year-old African American male, who has had difficulty controlling his HTN lately....
Hypertension E.W. is a 40-year-old African American male, who has had difficulty controlling his HTN lately. He is visiting his primary care provider for a thorough physical examination and to renew a prescription to continue his blood pressure medication. PMH • Chronic sinus infections • Hypertension for approximately 11 years • Pneumonia 6 years ago that resolved with antibiotic therapy • One major episode of major depressive illness caused by the suicide of his wife of 15 years, 5 years...
I.T. is an 18-year-old African American male with sickle cell anemia who presents with a one-...
I.T. is an 18-year-old African American male with sickle cell anemia who presents with a one- day history of increasing pain localized to his arms and legs. His pain has not been relieved with 400-mg ibuprofen every 6 hours for the past 24 hours. He rates his current pain inten- sity level as 8 out of 10. He reports that he always seems to have some pain in his arms, legs, and back, but the pain intensified approximately 36 hours...
You are caring for a 59-year-old African American male who is a non-smoker and a non-drinker....
You are caring for a 59-year-old African American male who is a non-smoker and a non-drinker. The individual has a healthy weight for his height. On weekends, he coaches a youth baseball team in his community and enjoys eating hot dogs and nachos with the children after games. He has been monitoring his blood pressure at the community center and noted that the highest reading was 168/92 mm Hg. He is pleased with this number, as the results were "lower...
You meet Mr. Devon Jones who is a 40-year-old African American male with a long-standing history...
You meet Mr. Devon Jones who is a 40-year-old African American male with a long-standing history of uncontrolled hypertension. Both of his parents died from hypertension and his mother also had type II diabetes. Mr. Jones is a police officer in a high crime neighborhood. He stopped smoking about 5 years ago when diagnosed with hypertension. He states that he drinks several beers every evening and does not pay much attention to his intake of sodium, fat, or carbohydrates. He...
ADVERTISEMENT
Subjects
ADVERTISEMENT
Latest Questions
ADVERTISEMENT