NRS-410V Module 1 Mandatory Discussion Question
Pathophysiology and Nursing Management of Clients Health –
Introduction to Pathophysiology and Nursing Management
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The case scenario provided will be
used to answer the discussion questions that follow.
Case Scenario
Ms. G., a 23-year-old diabetic, is
admitted to the hospital with a cellulitis of her left lower leg. She has been
applying heating pads to the leg for the last 48 hours, but the leg has become
more painful and she has developed chilling.
Subjective Data
·
Complains of pain and heaviness in
her leg.
·
States she cannot bear weight on her
leg and has been in bed for 3 days.
·
Lives alone and has not had anyone
to help her with meals.
Objective Data
·
Round, yellow-red, 2 cm diameter, 1
cm deep, open wound above medial malleolus with moderate amount of thick yellow
drainage
·
Left leg red from knee to ankle
·
Calf measurement on left 3 in >
than right
·
Temperature: 38.9 degrees C
·
Height: 160 cm; Weight: 83.7 kg
Laboratory Results
·
WBC 18.3 x 10¹² / L; 80%
neutrophils, 12% bands
·
Wound culture: Staphylococcus aureus
Critical Thinking Questions
1.
What clinical manifestations are
present in Ms. G and what recommendations would you make for continued
treatment? Provide rationale for your recommendations.
2.
Identify the muscle groups likely to
be affected by Ms. G’s condition by referring to “ARC: Anatomy Resource
Center.”
3.
What is the significance of the
subjective and objective data provided with regard to follow-up diagnostic/laboratory
testing, education, and future preventative care? Provide rationale for your
answer.
4.
What factors are present in this
situation that could delay wound healing, and what precautions are required to
prevent delayed wound healing? Explain.
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