DQ: What Subjective information should the nurse obtain

DQ: What Subjective information should the nurse obtain

DQ: What Subjective information should the nurse obtain

C.M. is an 89-year-old female who presents with her daughter to the provider’s office. The daughter is concerned because her mother has not been eating well.

Subjective Data

 

PMH: HTN, Hypothyroid

24-hour diet recall reveals approximately 1,100-calorie intake

Lives alone, daughter nearby

Does not drive

Daughter shops

Patient cooks light meals

 

Objective Data

Vital signs: T 37 P 72 R 12 BP 104/64

Weight: 105 lb

Weight last visit, 3 months ago: 115 lb

HT: 5 feet, 1 inch

Medications: Metoprolol 12.5 mg per day, Synthroid 0.75 mg per da

yOral mucosa dry, gums bleeding, dentures loose

Poor skin turgor

 

Questions

1.Develop a problems list from the objective and subjective data.

2. What nursing diagnoses can be derived from the problems list?

3. What should be included in the plan of care?.

4. Calculate the patient’s body mass index.

5. How many calories a day does this patient need to maintain her current weight?

6. What laboratory studies would help determine the patient’s nutritional status

 

Discussion Question 2 – Chapter 15 – 8th Edition Jarvis Physical examination and health assessment. C.K. Is a 76-year-old woman who presents to the family practice with complaints of difficulty seeing at night, especially when driving. The patient was last seen by the ophthalmologist 6 months ago and needs a referral to be seen by the specialist. The patient has hypertension and diabetes, both managed with medications. She has no complaints of pain at this time. Vital signs are T 97.5, P 68, R 16, and BP 120/60.

 

1. What subjective information should the nurse obtain?

2. The nurse is assessing the internal anatomy of the eye. What are the physical features?

3. The nurse is assessing the patient’s eyes through the ophthalmoscope. What structures can be viewed through the scope?

4. What are some possible causes of decreased visual functioning in the older adult?5.What is the most likely cause of this patient’s night blindness?

You will need :8th Edition of Jarvis Physical examination and health assessment Book to do this home work.

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