Week Five Endocrine Genitourinary Essay - 1807 Words

Name: Date: Case study 76: Endocrine INSTRUCTIONS: All questions apply to this case study. Your responses should be brief and to the point. When asked to provide several answers, list them in order of priority or significance. Do notassume information that is not provided. Please print or write clearly. If your response is not legible, it will be marked as is and you will need to rewrite it. Scenario Y.L., a 34-year-old Asian woman, comes to the clinic with complaints of chronic fatigue, increased thirst, constant hunger, and frequent urination. She denies any pain, burning, or low-back pain on urination. She tells you she has a vaginal yeast infection that she has treated numerous times with over-the-counter medication.†¦show more content†¦Her most current vital signs (VS) are 118/60, 88, 18, 99.40 F (37.40 C). The medical director ordered a postvoid catheterization, which yielded 100 mL of cloudy urine that had a strong odor, and several lab tests on admission. The results were as follows: Laboratory Test Results Complete metabolic panel (CMP): Within normal limits except for the following results: Urine culture and sensitivity results are pending. 1. What condition do the assessment findings and lab reports point toward? 2. The medical director makes rounds and writes orders to start an IV of D51/2 NS at 75 m/hr and insert a Foley catheter to gravity drainage. Because M.Z. is unable to take oral meds, the medical director ordered ciprofloxacin (Cipro) 400mg q12h IV piggyback (IVPB). Is the type of fluid and rate appropriate for M.Z.s age and condition? Explain. 3. While administering the IVPB ciprofloxacin, which adverse effects might occur? (Select all that apply.) a. Hypotension b. Headache c. Drowsiness d. Restlessness e. Nausea f. Tendon rupture 4. You enter the room to start the IV and insert the Foley catheter and find that the NAP has taken the patient to the bathroom for a bowel movement. M.Z. asks you to help her, and, as you open the door, you observe the patient wiping herself from back to front. What do you need to do at this time? 5. Because M.Z. has been having diarrhea, what specialShow MoreRelatedCore Competencies For Healthcare Professionals1582 Words   |  7 PagesMy Leadership SMART Goal The Institute of Medicine has defined five core competencies for healthcare professionals. These competencies are to â€Å"provide patient-centered care, work in inter-professional teams, employ evidence-based practice, apply quality improvement, and utilize informatics.†(Finkelman, 2012, p. 214). Nurse leaders recognize that the need to put the patient first is at the heart of patient-centered care and is significant in all aspects of nursing care. Patient-centered care incorporatesRead MoreLeiningers Sunrise Model1175 Words   |  5 Pagestobacco. She does not drink caffeinated beverages. She reports she used to drink alcohol occasionally prior to being pregnant. She reports she has never used recreational or illicit drugs. Her maternal history consists of a GTPAL of 21001. She is 20 weeks pregnant. She reports she did not have any complications with her first pregnancy and delivery. She delivered vaginally at the local hospital with pain control of an epidural. She is also of the Catholic religion, which influences her contraceptiveRead MoreThe Developmental Eye Disorders Of Anophthalmia And Microphthalmia1959 Words   |  8 Pagesgenitalia anomalies. The eyes begin to develop in the fourth week of life in a human embryo through inductive signaling (Moore 271). The process begins once the cranial neural folds begin to fuse. Then the optic grooves form hollow vesicles which protrude from the forebrain into the neighboring mesenchyme. When the vesicles begin to enlarge, the forebrain compresses and forms hollow optic stalks. The next inductive signal occurs at about five weeks of human development in which the signal passes from theRead MoreGeriatric Assessment7902 Words   |  32 Pagesinterdisciplinary team of providers. Whereas the standard medical evaluation works reasonably well in most other populations, it tends to miss some of the most prevalent problems faced by the elder patient. These challenges, often referred to as the Five Is of Geriatrics, include intellectual impairment, immobility, instability, incontinence and iatrogenic disorders. The geriatric assessment effectively addresses these and many other areas of geriatric care that are crucial to the successful treatment