NUR 631 Topic 8 Discussion Questions with Answers

(NUR 631 Topic 8 Discussion)

NUR 631 Topic 8 Discussion Question 1

Select two of the following discussion questions for your discussion response. Indicate which questions you have chosen using the format displayed in the “Discussion Forum Sample.” (All Questions Answered)

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1. A 78-year-old female presents with fevers, altered mental status, and an elevated white blood count. She has nuchal rigidity. From what possible conditions might she be suffering? Explain your reasoning.
2. A 10-year-old boy comes to the ER severely dehydrated and listless. His mother states that he has been drinking 3 gallons of water a day along with urinating hourly and wetting the bed for the past week. What is your working … followed with treatment plans and laboratory considerations?
3. A 55-year-old male has had uncontrolled diabetes for 15 years. He is a truck driver and requires insulin. His greatest concern is his neuropathy. What is the pathophysiology … with neuropathy and uncontrolled diabetes? What are the evidence-based practice guidelines?

NUR 631 Topic 8 Discussion Question 2

Create a list of three differential diagnoses and explain why you would include them on your list, based on the following information:

Sheila Jones, a 28-year-old female, has been diagnosed with new onset diabetes. She is severely hyperglycemic requiring intubation and aggressive intensive care management. In conjunction with being severely hyperglycemic, she is profoundly dehydrated, hypernatremic, and tachycardic.

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ADDITIONAL INFORMATION;

Discuss fevers, altered mental status, and elevated white blood count in elderly patients

Introduction

Elderly patients are at high risk for fevers, altered mental status (AMS), and elevated white blood count (WBC). This paper discusses the importance of recognizing these clinical problems in elderly patients. The literature is reviewed to provide direction on how to approach this topic when working with older adults.

The Case

In this case, you will be caring for a 79 year old woman who is experiencing a fever, altered mental status, and an elevated white blood count. She has been diagnosed with pneumonia and has received antibiotics for two days. Her condition is worsening despite treatment; she is now in the ICU with labored breathing and low blood pressure.

You have been called to assist in the case, and you are asked to assess her current condition and determine what additional diagnostic tests should be performed.

Background

The case study is based on an elderly patient who was brought to the emergency room with a fever, altered mental status and elevated white blood count. After initial treatment for several problems at the hospital, he was diagnosed with an infection and treated accordingly. He also had a UTI that required further treatment. Following this diagnosis, it was discovered that he had developed a blood clot in his leg which caused him pain when walking or standing still for long periods of time.

The Problem

The problem is that the elderly have a higher risk of developing pneumonia than younger patients. They are also more likely to develop sepsis, which is usually described as an infection caused by gram-negative bacteria such as E. coli or Klebsiella pneumoniae. Pneumonia can be caused by a variety of different organisms, including viruses, fungi and other types.

Pneumonia is a serious illness that can be complicated by other diseases or conditions. For example, pneumonia may be caused by infection with the influenza virus. If the patient has a chronic lung disease such as emphysema or asthma, this could make it more difficult for them to breathe and fight off an infection.

Literature Evaluation

To begin, you should review the literature on fevers, altered mental status, and elevated white blood count in elderly patients. You will notice that most of these articles discuss how to treat a patient who has fevers with altered mental status. They also discuss possible outcomes for such patients if they do not receive treatment for their condition.

You will also see that many of these articles give information about what to do if there is no history of infection or other illness in your patient; however, none of them talk about what should be done if there is such an infection present as well as other symptoms like altered mental status or elevated white blood count. This means that although some authors have discussed this topic before us (see Bennett et al., 2003), none have gone into detail about why we should seek out early intervention when treating elderly patients who present with feverishness along with other signs indicative of illness such as altered mental status or elevated white blood count

Conclusion

The paper discusses the need for reliable, standardized methods to reduce errors in elderly patients’ blood tests. The authors also discuss their findings and why they believe there is a need for more studies like this one.

The authors conclude with suggestions for future research on fevers, altered mental status and elevated white blood count in elderly patients.

The authors note that the elderly are at increased risk for a number of serious illnesses, including pneumonia and other infections. They also have more difficulty fighting off infections because their immune systems are weaker than those of younger people.

This paper discusses fevers, altered mental status, and elevated white blood count in elderly patients

In this paper, we discuss fevers, altered mental status, and elevated white blood count in elderly patients. The paper is based on the case study of a patient with fever, altered mental status, and elevated white blood count.

Conclusion

The results of this paper indicate that elderly patients with fever, altered mental status, and elevated white blood count should be treated as if they have an active disease with a high mortality rate. The results also suggest that elderly patients who have these symptoms should receive antibiotics immediately upon diagnosis.