Mrs. Alvarez, an 80-year-old resident in a long-term care fa…
Mrs. Alvarez, an 80-year-old resident in a long-term care facility, has not had her medications administered for two days. Staff also report she has not been assisted with meals or bathing during this time. Question:Which type of elder abuse does this situation represent?
Read DetailsA 70-year-old female with stage 4 chronic kidney disease (CK…
A 70-year-old female with stage 4 chronic kidney disease (CKD) due to hypertension and diabetes, is admitted for generalized weakness, nausea, and swelling in her legs. She states, “I feel more tired than usual, and my muscles have been cramping a lot.” The nurse reviews the client’s data, laboratory results and medications below and identifies which trend as most concerning and requiring immediate intervention? Vital Signs/Weight/Urine Output Day BP HR RR Temp O₂ Sat Weight Urine Output Day 1 150/90 78 20 98.2°F 97% 160 lb 1,200 mL/day Day 2 162/94 72 22 98.4°F 96% 163 lb 900 mL/day Day 3 170/98 66 24 98.6°F 94% 167 lb 500 mL/day Laboratory Results Lab Test Day 1 Day 2 Day 3 Normal Range Serum Creatinine 5.5 mg/dL 6.2 mg/dL 7.0 mg/dL 0.5 – 1.5 mg/dL BUN 55 mg/dL 68 mg/dL 75 mg/dL 5 – 25 mg/dL GFR 20 mL/min 15 mL/min 10 mL/min 90-120 mL/min Serum Potassium 5.6 mEq/L 6.0 mEq/L 6.8 mEq/L 3.5 – 5.3 mEq/L Hemoglobin 9.2 g/dL 8.8 g/dL 8.3 g/dL 12 – 16 g/dL Serum Phosphorus 5.5 mg/dL 6.0 mg/dL 6.8 mg/dL 2.5 – 4.5 mg/dL Prescribed Medications Medication Dose Lisinopril 10 mg PO daily Furosemide 40 mg PO BID Epoetin alfa 5,000 units SQ 3x/week Calcium acetate 667 mg PO TID Sodium polystyrene sulfonate 30 g PO PRN
Read DetailsA 72-year-old male client with a history of benign prostatic…
A 72-year-old male client with a history of benign prostatic hyperplasia is admitted for urinary retention. During initial assessment, the nurse notes a firm, distended bladder. Upon returning to the client’s room with a bladder scan the client complains of intense flank pain. Which potential complication would the nurse suspect?
Read DetailsA client diagnosed with chronic renal failure is placed on a…
A client diagnosed with chronic renal failure is placed on a fluid restriction of 1200mL per day. On the 0700-1900 shift, the client drank 6 ounces of coffee, 6 ounces of soda, 8 ounces of tea, and 3 ounces of water with medication. The client will be restricted to _____________ ml(s) from 1900-0700.
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