NUR 212 Hondros College of Nursing WK4 Mr Maymans Current Condition Case Study Hello i have a homework on medical surgical nursing about inflammation and e | Course Hero
NUR 212 Hondros College of Nursing WK4 Mr Maymans Current Condition Case Study Hello i have a homework on medical surgical nursing about inflammation and elimination. it has a case scenario which you read and answer the questions that follow. i have attached the documents. thank you. NUR 212: Concepts of Nursing Care of the Adult I
Pre Class Assignment: Week 4
Concept: Elimination
Concept: Inflammation
Task
Clustering related information
Distinguishing relevant from irrelevant information
You are caring for Dale Mayman. Dale Mayman was found unconscious. When he
awoke in the emergency room he complains of being itchy, bloated, and nauseated. He
states this has been “coming on for months”. His renal function tests reveal 18%
functioning capacity of his kidneys. He is put on hemodialysis.
Dale Mayman has develop acute renal injury secondary to his hypertension. He is
hospitalized.
Orders:
Vital signs q 2 hours.
Strict Intake and Output
Diet: High protein, low sodium, low potassium,
Fluid restriction: 32 ounces/24 hours total fluids
Hemodialysis to be done 3 x/ week.
Relate the concepts of perfusion and elimination to Mr. Mayman’s current condition.
Concept of Inflammation
Concept of Elimination
Page 1 of 12
Updated 12/17/19
NUR 212: Concepts of Nursing Care of the Adult I
Pre Class Assignment: Week 4
Task
Identifying signs and symptoms
You are also caring for Terrell Wallace (overflow from the pediatric unit). He is
experiencing a sickle cell crisis. He is hospitalized for this crisis. At this time he is
experiencing acute kidney injury from the sickle cell crisis. Explain the pathology that
results in this renal complication.
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Updated 12/17/19
NUR 212: Concepts of Nursing Care of the Adult I
Pre Class Assignment: Week 4
Task
Identifying signs and symptoms
Predicting and managing potential complications
Review the two patients history (pg. 12). Is there anything about the patients’ lifestyles
that may have contributed to the patients renal involvement at this time?
Terrell Wallace
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Dale Mayman
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Page 3 of 12
Updated 12/17/19
NUR 212: Concepts of Nursing Care of the Adult I
Pre Class Assignment: Week 4
Task
Identifying signs and symptoms
Predicting and managing potential complications
Compare and contrast the two patients related to their risk factors for reversing the
acute kidney injury or developing chronic renal failure.
Mr. Mayman
Terrell Wallace
Page 4 of 12
Updated 12/17/19
NUR 212: Concepts of Nursing Care of the Adult I
Pre Class Assignment: Week 4
Task
Identifying signs and symptoms
Predicting and managing potential complications
Setting priorities
Develop a plan of care for both patients. Be sure to include teaching, spirituality, and
safety in the plans of care.
Care plan for Terrell Wallace
Nursing Intervention
Rationale
Care plan for Mr. Mayman
Nursing Intervention
Rationale
Page 5 of 12
Updated 12/17/19
NUR 212: Concepts of Nursing Care of the Adult I
Pre Class Assignment: Week 4
Task
Distinguishing relevant from irrelevant information
Identifying signs and symptoms
Mr. Mayman is put on hemodialysis. Consider his personal history. What will you
include in a plan of care specifically for Mr. Mayman?
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Task
Distinguishing relevant from irrelevant information
Predicting and managing potential complications
Once Mr. Mayman has recovered from his acute episode, he is still in need of dialysis.
He is considering peritoneal dialysis. What might you discuss with Mr. Mayman to help
him in making his decision about going on peritoneal dialysis or remaining on
hemodialysis?
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Page 6 of 12
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NUR 212: Concepts of Nursing Care of the Adult I
Pre Class Assignment: Week 4
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Task
Clustering related information
Identifying signs and symptoms
For each patient list interrelated concepts specific to that patient. What are they and
why are they important?
Interrelated Concepts for Terrell Wallace
Why that interrelated concept is important
at this time.
Interrelated Concepts for Mr. Mayman
Why that interrelated concept is important
at this time.
Page 7 of 12
Updated 12/17/19
NUR 212: Concepts of Nursing Care of the Adult I
Pre Class Assignment: Week 4
Task
Comparing and contrasting
Identifying signs and symptoms
Compare and contrast the pathophysiology of hypertensive renal disease with nephritis
and nephrotic syndrome.
Disease
Pathophysiology
Hypertensive renal disease
Nephritis
Nephrotic syndrome
Nephrosis
Page 8 of 12
Updated 12/17/19
NUR 212: Concepts of Nursing Care of the Adult I
Pre Class Assignment: Week 4
Task
Comparing and contrasting
Identifying signs and symptoms
How do each of these conditions relate to the concepts of inflammation and elimination?
Disease
Concept of Inflammation
Concept of Elimination
Hypertensive renal disease
Nephritis
Nephrotic syndrome
Nephrosis
Page 9 of 12
Updated 12/17/19
NUR 212: Concepts of Nursing Care of the Adult I
Pre Class Assignment: Week 4
Task
Predicting and managing potential complications
Review the National Patient Safety Goals. Select the top 3 in order for priority for both
Terrell and Dale Mayman.
NPSGs of Priority for Terrell Wallace
Rationale for Your Selection
NPSGs of Priority for Dale Mayman
Rationale for Your Selection
Task
Predicting and managing potential complications
Review the list of Health-acquired conditions at the cms.gov website. Select the top two
for each patient.
Priority HACs for Terrell Wallace
How you will prevent the HAC
Page 10 of 12
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NUR 212: Concepts of Nursing Care of the Adult I
Pre Class Assignment: Week 4
Priority HACs for Dale Mayman
How you will prevent the HAC
Task
Comparing and contrasting
Identifying signs and symptoms
Compare and contrast the pathophysiology of ulcerative colitis with Crohns disease
Disease
Pathophysiology
Page 11 of 12
Updated 12/17/19
NUR 212: Concepts of Nursing Care of the Adult I
Pre Class Assignment: Week 4
Dale Mayman
History
The nurse on the previous shift reports to you that Mr. Mayman, admitted with tremors, is
depressed and angry about being in the hospital.
Dale is a 51 year old white male divorced twice and just remarried for the third time. He was a
truck driver for many years. He would binge drink on weekends so extensive that he was
diagnosed with chronic liver disease secondary to alcoholic cirrhosis. He cannot work now and is
on disability. He was just recently told he has high blood pressure and is on a salt restriction. He
started going to the Methodist church requesting redemption for all his sins.
Terrell Wallace
History
Terrell Wallace is a 12 year old African American who has sickle cell disease. Terrell is the youngest of
three children. His older brother, Tony, 24 years of age, also has sickle cell disease. Terrells sister,
Tanika 15 years old does not have the disease.
His mother, Kathleen, is a Licensed Practical Nurse at
the local hospital. His father, Thomas, is a high school English teacher. The family goes to the Methodist
church and is active with the church. Terrell is in 7th grade and makes Bs in all of his grades. He loves
music and plays the trombone in the middle school band.
Page 12 of 12
Updated 12/17/19
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