Question

B: A 55-year-old female arrived at the emergency department complaining of polydipsia, polyuria, nocturia, and weight loss. The patient stated that she has a history of HTN and PAD. She also stated that she recently visited the emergency department secondary to a fall with head injury. Upon initial assessment, the emergency department nurse noted a bump and bruising to the patient's right frontal and temporal area of the head. 1. What do you think is going on with your patient? What could be causing the signs and symptoms that she's experiencing? Provide rationale for your answer. (2 points) 2. Based on your answer for #1, what diagnostic studies and laboratory tests would you recommend to the doctor? Provide two (2) diagnostic studies and two (2) laboratory tests with rationale. (4 points) 3. Based on your answer to the symptoms provided, what complication could your patient be at risk of? Provide rationale. (1 point) 4. Based on your answer for #1, provide three (3) nursing interventions for the patient and provide rationale. (3 points) 

          B:
A 55-year-old female arrived at the emergency department complaining of polydipsia, polyuria, nocturia, and weight loss. The patient stated that she has a history of HTN and PAD. She also stated that she recently visited the emergency department secondary to a fall with head injury. Upon initial assessment, the emergency department nurse noted a bump and bruising to the patient's right frontal and temporal area of the head.

1. What do you think is going on with your patient? What could be causing the signs and symptoms that she's experiencing? Provide rationale for your answer. (2 points)

2. Based on your answer for #1, what diagnostic studies and laboratory tests would you recommend to the doctor? Provide two (2) diagnostic studies and two (2) laboratory tests with rationale. (4 points)

3. Based on your answer to the symptoms provided, what complication could your patient be at risk of? Provide rationale. (1 point)

4. Based on your answer for #1, provide three (3) nursing interventions for the patient and provide rationale. (3 points)
Show more…
need help with this case study please b a 55 year old female arrived at the emergency department complaining of polydipsia polyurianocturia and weight losspatient stated that she has a histo 21611

Added by Jennifer H.

Close

AceChat toggle button
Close icon
Ace pointing down

Please give Ace some feedback

Your feedback will help us improve your experience

Thumb up icon Thumb down icon
Thanks for your feedback!
Profile picture
B: A 55-year-old female arrived at the emergency department complaining of polydipsia, polyuria, nocturia, and weight loss. The patient stated that she has a history of HTN and PAD. She also stated that she recently visited the emergency department secondary to a fall with head injury. Upon initial assessment, the emergency department nurse noted a bump and bruising to the patient's right frontal and temporal area of the head. 1. What do you think is going on with your patient? What could be causing the signs and symptoms that she's experiencing? Provide rationale for your answer. (2 points) 2. Based on your answer for #1, what diagnostic studies and laboratory tests would you recommend to the doctor? Provide two (2) diagnostic studies and two (2) laboratory tests with rationale. (4 points) 3. Based on your answer to the symptoms provided, what complication could your patient be at risk of? Provide rationale. (1 point) 4. Based on your answer for #1, provide three (3) nursing interventions for the patient and provide rationale. (3 points)
Close icon
Play audio
Feedback
Powered by NumerAI
Kathleen Carty David Collins
Jennifer Stoner verified

Bryan Valdivia and 80 other subject Nursing educators are ready to help you.

Ask a new question
*

Labs

-

Want to see this concept in action?

NEW

Explore this concept interactively to see how it behaves as you change inputs.

View Labs
*

Key Concepts

-
Key Concept
Premium Feature
Explore the core concept behind this problem.
Play button
Key Concept
Premium Feature
Explore the core concept behind this problem.
Your browser does not support the video tag.
*

Recommended Videos

-
please-help-me-answering-the-following-questions-for-this-clinical-case-mr-gutteman-a-70-year-old-male-was-brought-into-the-er-in-a-comatose-state-he-had-suffered-severe-head-trauma-his-scal-72212

Please help me answer the following questions for this clinical case. Mr. Gutteman, a 70-year-old male, was brought into the ER in a comatose state. He had suffered severe head trauma (his scalp was badly lacerated and he has an impacted skull fracture). His fracture was repaired. On the 2nd day of his hospitalization, the aide reports that Mr. Guttemann: - Is breathing irregularly. - His skin is dry and flaccid. - She has emptied his urine reservoir several times during the day. Mr. Gutteman's blood and urine tests are negative for glucose and ketones. He is found to be losing huge amounts of water in urine and the column lost is being routinely replaced (via IV line). Questions: 1. What is Mr. Gutteman's hormonal problem? 2. Where is the lesion located? 3. What do you think caused it? 4. Is it life-threatening? 5. Why would Mr. Gutteman's water balance be challenging if the lesion is located in the hypothalamus?

Bryan V.
case-1-a-41yo-man-comes-to-your-clinic-and-describes-the-following-symptoms-about-2-days-ago-while-at-his-construction-job-he-experienced-sudden-lower-back-pain-he-has-noticed-a-gradual-loss-05503

Case 1: A 41-year-old man comes to your clinic and describes the following symptoms. About 2 days ago, while at his construction job, he experienced sudden lower back pain. He has noticed a gradual loss of sensation over his buttocks and inner thighs, difficulty urinating, and what he describes as just "getting weaker". What is your differential diagnosis? Where is the lesion? Which diagnostic test would you perform first? What is the most likely diagnosis? Case 2: This is a 33-year-old female who was well until 3 years ago when she first noticed numbness in her left arm and leg. She was able to walk normally. This has happened 2-3 times since, and each time lasted several days after which the symptoms subsided. She has been feeling well for the last 10 months. She is brought to the ER today complaining of diplopia, blurred vision, and right-sided weakness. What would you expect to find on a fundoscopic exam in this patient? Why is this patient presenting with these symptoms? What signs would you expect to find in a motor exam? What is the most likely diagnosis? How can you confirm the diagnosis? Any treatment available? (Acute and chronic)

Keemin L.
confusion-blood-tests-reveals-hypernatremia-and-hypercalcemia-urine-sample-show-low-a-30-year-old-male-presents-to-the-hospital-with-polyuria-polydipsia-and-recent-onset-of-urine-osmolality-84128

Confusion. Blood tests reveal hypernatremia and hypercalcemia. Urine sample shows low osmolality and high urine output despite high serum osmolality. Provisional diagnosis of diabetes insipidus. A 30-year-old male presents to the hospital with polyuria, polydipsia, and recent onset of symptoms. After obtaining a medical history and performing a physical examination, the doctor suspects a mild head injury without bleeding, possibly from a recent traffic accident with a head concussion. The patient did not receive treatment at the hospital. When discussing with the parents, the doctor learns that the patient survived a road accident. The results confirm that the patient has central diabetes insipidus. The doctor requests a CT scan of the head and other investigations to confirm the diagnosis.

Madhur L.
*

Transcript

-
00:01 Okay this question says, mr.
00:03 Gutmann, a 70 year old male was brought into the emergency room in a comatose state.
00:10 He has suffered a severe head trauma, his scalp was badly lacerated, and he has an impacted skull fracture.
00:17 His fracture was repaired.
00:18 On the second day of his hospitalization, the aid reports that mr.
00:22 Gutmann is breathing irregularly, his skin is dry and flaccid, and that she has emptied his urine several times during the day.
00:33 Mr.
00:33 Gutmann's blood and urine tests are negative for glucose and ketones.
00:38 He is found to be losing huge amounts of water and urine, and the colon lost is being routinely replaced via an iv line.
00:48 What is mr.
00:49 Gutmann's hormonal problem? so based on the information provided, this patient's symptoms suggest that he may be experiencing a condition called diabetes insipidus.
01:05 It occurs when there is, well in this case it is very likely to be a central problem, it means that there is not enough production of adh.
01:18 The function of adh is to absorb free water from the adrenal tubules back to the blood.
01:25 So if you don't have adh, then you're not going to be able to absorb water from the tubular fluid in the kidneys back to the blood, and hence the patient is going to be dehydrated and the patient is going to lose a lot of water in urine, and the urine is going to be diluted because of too much water in comparison with the solutes present in the urine.
01:45 So this is the condition that is affecting this patient.
01:48 Then it says, what is the lesion located? so diabetes insipidus can be both central or nephrogenic.
01:54 Nephrogenic is when the receptors on the kidneys are not working.
02:01 But in this case, as this patient has a history of suffering severe head trauma, then the problem is likely to be central.
02:14 It means that there was some damage to the brain that impaired the release of adh.
02:20 So one thing is central when there is an inaggregate release or particularly low release of low amounts or maybe no amounts of adh.
02:31 And another one is nephrogenic cause where the problem is not the levels of adh, but the receptors for adh...
Need help? Use Ace
Ace is your personal tutor. It breaks down any question with clear steps so you can learn.
Start Using Ace
Ace is your personal tutor for learning
Step-by-step explanations
Instant summaries
Summarize YouTube videos
Understand textbook images or PDFs
Study tools like quizzes and flashcards
Listen to your notes as a podcast
Continue solving this problem
Create a free account to:
  • View full step-by-step solution
  • Ask follow-up questions with Ace AI
  • Save progress and study later
Continue Free
Numerade

Get step-by-step video solution
from top educators

Continue with Clever
or



By creating an account, you agree to the Terms of Service and Privacy Policy
Already have an account? Log In

A free answer
just for you

Watch the video solution with this free unlock.

Numerade

Log in to watch this video
...and 100,000,000 more!


EMAIL

PASSWORD

OR
Continue with Clever