CASE STUDY 6 You are working night on an inpatient geriatric unit. An 82-year-old woman, M., is admitted form an extended care facility with...

Question Answered step-by-step CASE STUDY 6You are working night on an inpatient geriatric unit. An 82-year-old woman, M.B., is admitted form an extended care facility with urosepsis, Alzheimer’s disease, and a history of hypertension and CVA. Her right side is flaccid. She does not communicate, moans when in pain, and hits, kicks, and claws with her left arm and leg when disturbed. Her initial assessment shows emaciation and multiple pressure ulcers. she has an indwelling Foley catheter and one peripheral IV of D5 NS at 75 ml/h. Her initial VS are 86/50, 108, 24, 104.6 F. Her initial WBC is 34.2 mm3.1. Four hours after admission you note that M.B.’s Foley catheter has not drained any urine. You cannot begin her antibiotics until you collect a urine culture. What should you do?2. M.B has 2 intravenous antibiotics, gentamicin (Geramycin) and ticarcillin (Ticar), ordered for 1000. Her morning serum creatinine was 2.0. Which medication can safely give?3. M.B.’s diet s “mechanical soft. “The certified nursing assistant (CNA) tells you that M.B. ofter spits food during feeding. She also becomes agitated and tries to hit and kick the cNA during meals. Her total intake is less than 25% of the food she is supposed to receive. You believed she may be suffering from protein caloric malnutrition. What assessment findings would you gather to support this?4. M.B. has a PEG tuve inserted and is started on continues tube feedings at 100ml/h. During your morning assessment you note that her gastric residual is 175ml. There are no specific orders regarding residual amount. What should you do?5. M.B. is at high risk for pulmonary aspiration of her tube feedings. What nursing measures can decrease the chances for this complication?6. M.B. has a large, stage IV decubitus ulcer over her sacrum and stage II decubitus ulcers over both trochanters. You are initiating a turning schedule for M.B.. What would be the most effective positions and schedule?7. The enterostomal therapy nurse orders Elase ointment to the sacral decubitus followed by wet-to-moist dressing.What observations are important to note following dressing changes?8. What could you do to improve M.B.’s quality of life?Please Please Please I need this in an hour. I really appreciated the help thank you so much…. STUDENT Health Science Science Nursing Share QuestionEmailCopy link Comments (0)