NRS 410V Week 2 Assignment, Case Study: Mr. M

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Running head: Case Study: Mr. M 1 Case Study: Mr. M Grand Canyon University NRS-410V 10/13/19 This study source was downloaded by 100000831988016 from CourseHero.com on 05-07-2022 08:00:06 GMT -0... 5:00 https://www.coursehero.com/file/50664192/Case-Study-Mr-Mdocx/ Case Study: Mr. M 2 Case Study: Mr. M Clinical Manifestations of Mr. M Mr. M is a 70-year-old male who has been living at an assisted living facility. Mr. M has Alzheimer’s disease and a urinary tract infection. He does not smoke or drink alcohol and has limited physical activity related to difficulty ambulating and an unsteady gate. His medical history includes hypertension, hypercholesterolemia, status post appendectomy, and tibial fracture status post-surgical repair with no signs or symptoms of complications. Over the past two months Mr. M seems to be declining and is having trouble remembering the names of his loved ones, his room number, and repeating what he has just read. He becomes agitated and aggressive quickly and appears to be afraid and fearful during these episodes of aggression. During this time, Mr. M has become dependent with various activities of daily living, which has changed from a few months ago when he was able to dress, bathe, and feed himself. Testing was therefore ordered related to his rapid decline. The objective data presented at this time reveals normal temperature of 37.1 degrees C, blood pressure 123/78, pulse oximetry of 99% on room air, a slightly elevated respiration rate of 22, and elevated heart rate of 93 bpm. The elevated respiration rate and elevated heart rate may be due to his anxiety. The laboratory results reveal a white blood count of 19.2 (1000,/uL), lymphocytes 6700 (cell/uL), CT head shows no changes since previous scan, urinalysis positive for moderate amount of leukocytes and cloudy, and protein 7.1 g/dL, AST 32 u/L, and ALT 29 u/L. The abnormal lab values present show that there is a urinary tract infection. This study source was downloaded by 100000831988016 from CourseHero.com on 05-07-2022 08:00:06 GMT -05:00 https://www.coursehero.com/file/50664192/Case-Study-Mr-Mdocx/ Case Study: Mr. M 3 Primary and Secondary Medical Diagnoses The primary medical diagnoses of Mr. M is Alzheimer’s disease and a urinary tract infection (UTI). The secondary diagnoses are hypertension, hypercholesterolemia, status post appendectomy, and tibial fracture status post-surgical repa [Show More]

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