Need help with case study

[Tericka]

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[TD]K.B. is an 80-year-old man admitted to the hospital following a 5-day episode of the "flu" with complaints of (C/O) dyspnea on exertion (DOE), palpitations, chest pain, insomnia, and fatigue. His past medical history (PMH) includes heart failure (HF) and hypertension (HTN) requiring antihypertensive medications (he states that he has not been taking these medications on a regular basis). K.B. was diagnosed with Graves� disease 6 months ago and was placed on methimazole (Tapazole) 15 mg/day PO. Assessment findings are as follows: height 5� 8� , weight 130 pounds; appears anxious and restless; loud heart sounds; vital signs (VS): 150/90, 104 irregular, 20, 100.2� F; 1+ pitting edema noted in bilateral lower extremities; diminished breath sounds with fine crackles in the posterior bases. K.B. begins to cry when he tells you he recently lost his wife; you notice someone has punched several more holes in his belt so he could tighten it.

Laboratory findings are Hgb 11.8 g/dl, Hct 36%, erythrocyte sedimentation rate (ESR) 48 mm/hr, Na 141 mmol/L, K 4.7 mmol/L, Cl 101 mmol/L, BUN 33 mg/dl, creatinine 1.9 mg/dl, T4 14.0 mcg/dl, T3 230 ng/dl.

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1.Identify four measures that would be essential in caring for K.B.

2.Discuss how your discharge teaching instructions will differ from those you would give to someone following a subtotal thyroidectomy.

These are the two questions i need help with. PLEASE

[Rose_Queen, BSN, MSN, RN]

What are your thoughts on the questions? While we are happy to help, we do expect that you show your work first. Tell us what you've come up with so far, and where you are stuck.

[sailornurse]

Welcome to AN, I see you've joined about four hours ago. As Ruby has pointed out you need to tell us your thoughts give us what you've come up with and then we will help you figure it out. It would also help if you could tell us if you're an associate degree student a BSN student, what class this is for, what is your interpretation of the diagnostics?