Theresa Samuels Year Question & Answer Guide (With Explanation)
This question focuses on applying theory to practical scenarios.
What This Question Is About
This question relates to theresa samuels year and requires a structured academic response.
How to Approach This Question
Focus on explaining concepts clearly and supporting them with examples.
Key Explanation
This topic involves theresa samuels year. A strong answer should include explanation, application, and examples.
Original Question
Theresa Samuels, a 72-year-old-retired African American woman, arrives to the community health center for her three-month follow-up appointment. T.S., has a medical history of diabetes, type 2, osteoporosis, secondary hypertension, and dyslipidemia. Due to the death of her only daughter from COVID-19, 4 months ago, T.S., has become the sole caregiver of her three teenage grandchildren. Troubled with unexpected finances, T.S., conveys to the nurse the immense pressure and stress she has been experiencing since the death of her daughter. The patient had her bloodwork completed at LabCorp prior to her appointment. The nurse conducts a comprehensive assessment and notes the following objective and subjective data: Objective data: Blood pressure = 140/90 Heart rate = 92 Respiratory rate = 22 Pulse oximetry = 94% on room air Present weight and height= 210 lb. (95.2 kg) / 5’5 Physical Assessment HEENT=Pupils equal, reactive, responsive to light and accommodation. Cards = Regular rate and rhythm; S1S2; Grade 1/6 systolic murmur; 2+ pitting edema bilateral lower extremities; +2 pedal pulses bilaterally; +2 radial pulse bilaterally; no carotid bruit auscultated. Resp = Respiratory rate 22 bpm; mild wheeze noted in bases bilaterally; all other lung fields clear to auscultation GI = Bowels normal; present in all 4 quadrants Skin = Skin is dry and intact; not rashes or skin lesion noted GU = Voids frequently; urine output is <30mL/hr; tea-color urine Neuro = Intact; oriented to person/place/time/situation (X4); motor and sensory function within normal limits Labs Hemoglobin A1C = 7.5% Cortisol level = 35 mcg/dL Fasting blood glucose = 132mg/dL Erythrocyte sedimentation rate (ESR) = 45 mm/hr Subjective data: Complains of muscle aches and pains with movement, and some tingling in the lower extremities She states that her vision is blurry at times Most of the time she is compliant with her medications but will sometimes avoid taking Hydrodiuril to keep from having to go to the bathroom so often Sleeping 3 - 4 hours a night Eats a candy bar if her blood glucose is less than 120 mg/dL Medication Reconciliation Crestor 40 mg Daily Diltiazem 180 mg PO Daily Lotensin 10 mg PO Daily Metformin ER 500 PO Daily Cholecalciferol 25 mcg PO Daily Calcium 1000 mg PO Daily Hydrodiuril 12.5 mg PO Daily NPH 10 units BID During the health assessment, the nurse offers T.S., the yearly influenza vaccine; but T.S., declines, stating, "The flu shot will cause me to get the flu and I just don't have the time to be sick." Using the case scenario attached, make a concept care map using Mindmeister, Lucid Chart, or Padlet (all free accounts) to illustrate the relationship between obesity, stress adaptation, and sleep disorder to the previously learned concepts. Recognize Cues - identify the assessment findings that are essential to reporting to the healthcare provider for each disorder as it relates to obesity. Analyze/Hypothesize Cues - explain the assessment findings, highlighting why the client is experiencing the health conditions. Generate Solutions - identify the appropriate nursing interventions/patient teachings that incorporate her health history to promote health for this client.
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