1.J.R a 24-year-old goes to her primary care provider(PCP) and… 1.J.R a 24-year-old goes

1.J.R a 24-year-old goes to her primary care provider(PCP) and… 1.J.R a 24-year-old goes to her primary care provider(PCP) and reports feeling fatigue and dizzy at time when getting up and has LLE pain with swelling and redness that has not been relieved with ibuprofen 600mg. The client reports taking the ibuprofen every 8 hours for the last few days. The client also reports that she has been having very heavy menses (bleeding) soaking up at least 10 pads daily for 3 days. She has been weak with disinterest in doing activities for the last week. The client has a medical history of sickle cell anemia since birth. and is currently on folic acid 1mg daily to manage the condition. The client works in a plant where she is standing in one position all day. Upon assessment the nurse notes the following: Temp-98.6, Pulse-101, Respiration-22, B/P-92/60, SPO2-95%r/a and pain 8/10 in LLE, +2 edema in LLE with erythema and warmth to touch. The client denies any SOB or dyspnea.A. What is the client’s chief complaints and what labs/testing need to be done to identify the present illness/problem and evaluate the client’s current health status based on their PMH?B.What would most likely be the condition(s) the client is experiencing? What lab results would the nurse expect to find based on the client’s history and complaints?C.What is the priority of care in managing this client’s chief complaint? What should the nurse do to provide quality care and manage the client’ complaints?2. J.R. reports also having difficulty moving her left leg, and states “It feels heavy.” J.R. asks the nurse should she exercise it vigorously to promote the movement and decrease the swelling in it.A. How should the nurse respond with a health teaching response about current their condition? What complications may develop if the client takes the approach she is asking about at this time?3. J.R. had a blood transfusion 3 years ago for a drop in her blood levels before. She is concerned that she will need this again.A. The nurse knows a blood transfusion may be required if which blood levels are affected?B. If a blood transfusion is needed what are some health teaching point that the nurse should mention?C. What referrals may the client need for the complaint she has made at the PCP?4. After confirming that J.R. is positive for a DVT in the LLE and is experiencing iron deficiency anemia, the PMD recommends that R.J. gets to the hospital for a blood transfusion of 1unit of PRBC’s and pain management. The nurse calls J.R. with the recommendations, J.R. asks the nurse, “why do I need to go to the hospital? can’t I just get the transfusion in the doctor’s office and get better medications for my pain?”A. How should the nurse reply? Why is it best that J.R go to the hospital for their condition to be managed? What concerns does the nurse have regarding the possibilities of complications when managing the clients care? B. The nurse explains to J.R. that when she gets to the hospital, that she should expect what type diagnostic monitoring/testing during her time there? Health Science Science Nursing NUR 280 Share QuestionEmailCopy link Comments (0)

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