Make accurate interpretation

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Reference no: EM133911071

Read the scenario

History of present illness: This patient, Eleanor Simmons, was hospitalized 10 days ago for management of CHF and urinary retention. She has a history of Type II DM, HTN, CVA, and Dementia. She was discharged to a nursing home with a Foley catheter. She has now returned to the hospital due to altered mental status, abdominal pain, weakness, chills, and nausea. She is in for R/O UTI. The Foley is now draining a moderate amount of cloudy foul-smelling urine with clumps of sediment.

Questions

1. How could the recent diagnosis of CHF and urinary retention have contributed to the current problems/diagnosis?

2. How does a history of Dementia and a CVA impact the nurses' ability to assess the patient and make an accurate interpretation?

3. Based on her presenting signs and symptoms in the ER, what are all the possible things that could be going on with Eleanor?

4. What lab tests and diagnostics do you anticipate will be ordered? What findings do you anticipate?

5. Discuss sepsis

6. Why are UTI's often missed in elderly patients?

7. What are contraindications for CT contrast dye?

8. Based on the scenario above, what is the patient at the greatest risk for now? In 12 hours? In 24 hours? Why?

9. How would you prepare to care for this patient?

10. What additional information do you need?

Reference no: EM133911071

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