NRS 410V Topic 1 Topic 1 Mandatory Discussion Question
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The case scenario
provided will be used to answer the discussion questions that follow.
Case Scenario
Ms. G., a 23-year-old
diabetic, is admitted to the hospital with a cellulitis of her left lower leg.
She has been applying heating pads to the leg for the last 48 hours, but the
leg has become more painful and she has developed chilling.
Subjective Data
·
Complains of pain and
heaviness in her leg.
·
States she cannot bear
weight on her leg and has been in bed for 3 days.
·
Lives alone and has
not had anyone to help her with meals.
Objective Data
·
Round, yellow-red, 2
cm diameter, 1 cm deep, open wound above medial malleolus with moderate amount
of thick yellow drainage
·
Left leg red from knee
to ankle
·
Calf measurement on
left 3 in > than right
·
Temperature: 38.9
degrees C
·
Height: 160 cm;
Weight: 83.7 kg
Laboratory Results
·
WBC 18.3 x 10¹² / L;
80% neutrophils, 12% bands
·
Wound culture:
Staphylococcus aureus
Critical Thinking Questions
1.
What clinical
manifestations are present in Ms. G and what recommendations would you make for
continued treatment? Provide rationale for your recommendations.
2.
Identify the muscle
groups likely to be affected by Ms. G’s condition by referring to “ARC: Anatomy
Resource Center.”
3.
What is the
significance of the subjective and objective data provided with regard to
follow-up diagnostic/laboratory testing, education, and future preventative
care? Provide rationale for your answer.
4.
What factors are
present in this situation that could delay wound healing, and what precautions
are required to prevent delayed wound healing? Explain.
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