Case Study Patient Explained for Students (Easy Guide)
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What This Question Is About
This question relates to case study patient and requires a structured academic response.
How to Approach This Question
Break the problem into smaller parts and analyze each logically.
Key Explanation
This topic involves case study patient. A strong answer should include explanation, application, and examples.
Original Question
Case study: 61 y/o patient with admitting Dx. of renal calculi, post cystoscopy with lithotripsy and stent placement Course of Events JR, a 61 year old white male was admitted to the hospital with a diagnosis of renal calculi for same day surgery for cystoscopy, lithotripsy and stent placement. Following the discharge from the PACU, JR arrived on the med/surg unit. The nursing admission assessment revealed an engaging man, alert and oriented x3 with complaints of left flank pain 7/10 and intravenous (IV) D51/5 NS infusing at 80 milliliters per hour (ml/hr) to the left hand. Physical exam was unremarkable with the exception of left costrovetebral (CVA) tenderness and the use of oxygen (O2) 2 liters/minute (l/m) via nasal cannula. Significant past medical history included history of renal calculi one year ago, hypertension (HTN), and sleep apnea. When discussing his actual and anticipated needs the patient verbalized that he sleeps with a bipap machine for his sleep apnea and wished pain medication. When discussing his acceptable pain threshold he stated “0”. JR stated that the doctors had never obtained a sample of his “stone” and he doesn’t know what type they are. He states that he is satisfied with his home life and that he and his wife have a very good relationship. JR is a retired This study source was downloaded by 100000800085391 from CourseHero.com on 02-24-2022 22:11:38 GMT -06:00 https://www.coursehero.com/file/59840955/ct1docx/diamond cutter and he is very proud of the level of professionalism he incorporated into his work and he expects the same level of professionalism from the health care providers. JR has no known allergies. Medications taken at home are Inderal 10 milligrams (mg) twice per day. Vital Signs: 132/88, 86, 20, 98.0po, 94% on room air. Question: Use critical thinking processes and your knowledge of QSEN nursing competencies to analyze the case study and: 1)Identify 2 priority patient problems or nursing diagnoses including likely etiologies and signs and symptoms (defining characteristics) and 2) Identify any Risks to Patient Safety for each patient problem. For etiology, please only include what is evident in the case study. If you are not confident in the etiology (as discussed in our DB posts) please put unknown but in parenthesis ( ) place what you think the likely etiologies are.
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