Filomena Mendoza 65F
Patient presents with chills, redness/swelling/foul smelling drainage of the right leg.
History : HTN, CHF, DM
History of present illness:
"My leg looks pretty swollen and doesn't smell very good."
Right leg swelling x5d, tender.
"I haven't been able to go to work because I can't stand for very long."
"I scratched my leg on the cabinet when I tripped coming out of the shower about a week ago,
and it
seemed to get worse after that."
Current VS:
135/75, 105bpm, RR18, 99.6F, 96%, 5/10
Current labs:
WBC 18.3, Hgb 13, Hct 40, Neutrophils 10000, Lymphocytes 5000, Band 4%, Hgb A1c 8.5%,
random BG
180, K 3.2, Cholesterol 250, HDL 30, LDL 180, Triglycerides 270
Abnormal assessment findings:
Redness, swelling, purulent drainage, pain.
Hard of hearing
Teeth missing
RLE +1 weak pulse with +2 edema, LLE +1
RLE shin - erythema, hot to touch, foul odor, purulent drainage, pain. Abrasion 5cm L x 2cm W.
UTA
depth.
High fall risk (history of falls)
Current medications:
Furosemide 20mg daily
Metformin 500mg daily
Atorvastatin 40mg daily
Lisinopril 20mg daily
Question:
1. Based on the assessment above, what's going on with this patient? Explain your rationale.
Include findings that support your answer.
2. Do the patient current vital signs correspond to the patient's current issue? If so, explain. if not,
explain.
3. Explain each lab and how it pertains to the patient's condition or disease history. Example:
Blood glucose is elevated secondary to her history of DM.
4. Explain each medication and why the patient is taking them. State each medications
mechanism of action (in your own word). NOT CUT AND PASTE FROM GOOGLE.
5. Provide five (5) nursing interventions that you would do for this patient. One (1) dependent
and four (4) independent interventions
.
Simple, Complex, and Compound Sentences Exercises.pdf
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Filomena Mendoza 65F Patient presents with chills- redness-swelling-fo.pdf
1. Filomena Mendoza 65F
Patient presents with chills, redness/swelling/foul smelling drainage of the right leg.
History : HTN, CHF, DM
History of present illness:
"My leg looks pretty swollen and doesn't smell very good."
Right leg swelling x5d, tender.
"I haven't been able to go to work because I can't stand for very long."
"I scratched my leg on the cabinet when I tripped coming out of the shower about a week ago,
and it
seemed to get worse after that."
Current VS:
135/75, 105bpm, RR18, 99.6F, 96%, 5/10
Current labs:
WBC 18.3, Hgb 13, Hct 40, Neutrophils 10000, Lymphocytes 5000, Band 4%, Hgb A1c 8.5%,
random BG
180, K 3.2, Cholesterol 250, HDL 30, LDL 180, Triglycerides 270
Abnormal assessment findings:
Redness, swelling, purulent drainage, pain.
Hard of hearing
Teeth missing
RLE +1 weak pulse with +2 edema, LLE +1
RLE shin - erythema, hot to touch, foul odor, purulent drainage, pain. Abrasion 5cm L x 2cm W.
UTA
depth.
High fall risk (history of falls)
Current medications:
Furosemide 20mg daily
Metformin 500mg daily
Atorvastatin 40mg daily
Lisinopril 20mg daily
Question:
1. Based on the assessment above, what's going on with this patient? Explain your rationale.
Include findings that support your answer.
2. Do the patient current vital signs correspond to the patient's current issue? If so, explain. if not,
explain.
3. Explain each lab and how it pertains to the patient's condition or disease history. Example:
Blood glucose is elevated secondary to her history of DM.
4. Explain each medication and why the patient is taking them. State each medications
mechanism of action (in your own word). NOT CUT AND PASTE FROM GOOGLE.
5. Provide five (5) nursing interventions that you would do for this patient. One (1) dependent
and four (4) independent interventions
