question for Nursing

[tolojede1]

Mrs. DeLuca is a 68-year-old woman who has been brought to the ED by ambulance with a change in mental status. She is noted to have a temperature of 103° F and is crying uncontrollably while aggressively thrashing her arms. Her daughter reports that at her baseline, Mrs. DeLuca is oriented to person, place, and time, and that she is well enough to perform all ADLs without assistance. Her medical history includes mild hypertension controlled by 20 mg of hydrochlorothiazide (HydroDIURIL) taken once daily.

1.Based upon an immediate nursing assessment of Mrs. DeLuca, which plan of care for her condition would the nurse anticipate?

2.Mrs. DeLuca is diagnosed with a severe urinary tract infection. The nurse administers fluids, initial antibiotics, and antipyretics as ordered.

What outcomes of these interventions should the nurse expect?

[Cowboyardee]

This sounds an awful lot like homework.

[Lev, MSN, RN, NP]

What are your thoughts on this case?

[tolojede1]

1.Acute pain secondary underlying infection

2.pain subside,fever also subsided,able to communicate well with nurse and family etc

[Lev, MSN, RN, NP]

1.Acute pain secondary underlying infection

2.pain subside,fever also subsided,able to communicate well with nurse and family etc

What is priority? There is no specific mention of pain.

[bgxyrnf, MSN, RN]

Mrs. DeLuca is a 68-year-old woman who has been brought to the ED by ambulance with a change in mental status. She is noted to have a temperature of 103° F and is crying uncontrollably while aggressively thrashing her arms. Her daughter reports that at her baseline, Mrs. DeLuca is oriented to person, place, and time, and that she is well enough to perform all ADLs without assistance. Her medical history includes mild hypertension controlled by 20 mg of hydrochlorothiazide (HydroDIURIL) taken once daily.

1.Based upon an immediate nursing assessment of Mrs. DeLuca, which plan of care for her condition would the nurse anticipate?

a. complete set of vital signs

b. Lab work: BMP, CBC, HFP, lactate, blood cultures, straight cath UA and cultures

c. IV access

d. NS bolus 30mL/kg

e. portable chest x-ray

f. antibiotics

g. acetaminophen

h. repeat lactate as indicated

i. admission to the wards

2.Mrs. DeLuca is diagnosed with a severe urinary tract infection.

Surprise, surprise... any older person, especially an old lady who comes in altered probably has a UTI.

The nurse administers fluids, initial antibiotics, and antipyretics as ordered.

What outcomes of these interventions should the nurse expect?

a. normalization of vital signs

b. improved mental status

c. normalization of lab values... specifically lactate and white count

d. urine free of signs of infection

e. discharge home