How to Answer Year Female Patient Questions (Complete Guide)
This type of question evaluates analytical and critical thinking skills.
What This Question Is About
This question relates to year female patient and requires a structured academic response.
How to Approach This Question
Use appropriate theories and support your answer with clear reasoning.
Key Explanation
This topic involves year female patient. A strong answer should include explanation, application, and examples.
Original Question
A 70 year old female patient presents to your care with the following Complaints of a mechanical fall approximately 2 hours prior to arrival. Noted pain to left hip and lower extremity The patient has a medical history of hypertension, hyperlipidemia, and osteoporosis. Her surgical history is that of a hysterectomy 10 years ago. Patient denies psychosocial history. Patient admits to smoking in the past and is currently a social drinker. Patients medications are the following – Amlodipine 10mg PO daily, Hydrochlorothiazide 12.5mg PO daily, Pravastatin 40mg PO daily, and OsCal 400mg PO daily. The nurse assess this patient and finds: Noticeable shortening of the left vs. right lower extremity. Noted edema to the left quadricep with ecchymosis palpable +2 pulses to the bilateral pedal pulses Sensation intact to bilateral lower extremities noted pain with movement Significantly decreased ROM to left lower extremity Skin is warm to touch, not indicative of fever. The physician orders the following: Labs: CBC, complete metabolic panel, PTT, PT/INR Diagnostic Imaging: chest XR, left hip XR, left knee XR, left ankle and foot XR ECG Meds: Morphine 2mg IV, Zofran 4mg IV, NS 0.9% @ 100ml/hr, Results: XR shows left hip fracture CBC shows the following – hemoglobin 10.0 hematocrit 32% platelets 400, WBC 12 Metabolic Panel shows Na 130 K 3.3 Mg 1.5 Ca 7.2 The physician recommends that the patient be admitted to the hospital for surgical repair of left hip fracture, physical therapy consult, and rehab facility placement. 1. Based on the assessment of the nurse and the results of the tests the physician ordered what do you think are the top 5 issues we need to focus on in this patient’s care? 2. Are there any drug to drug interactions with the medications the patient is taking at home and the medications the doctor ordered? If so, what are they? 3. What do you think led this patient to fall? 4. Based on the patient’s blood work, is there anything that we have to fix? If so, what are the priorities in the lab work and what interventions would you anticipate being ordered? 5. Since the MDs recommendation is for surgery, list 5 other pre-operative things we need to accomplish and state your rationale.
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