Case Solutions For Clinical

Case Solutions For Clinical Nursing Skills and Techniques 11e Anne Perry, Patricia Potter, Wendy Ostendorf, Nancy Laplante (Case 1-12) (100% Original Verified, A+ Grade) Check Table Of Contents 1 / 4

Tabel Of Contents Case_1_Bowel_Elimination_UN Case_2_Cognition_SE Case_3_Communication_S Case_4_Diabetes_Mellitus_SE Case_5_Gas_Exchange_SE Case_6_Perfusion_SE Case_7_Perfusion_UN Case_8_Post-Op _Hysterectomy_SE Case_9_Respiratory_System_UN Case_10_Skin_Integrity-Dehiscence_SE Case_11_Skin_Integrity-Pressure_Injury_SE Case_12_Urinary_Elimination_UN 2 / 4

Copyright © 2025 Elsevier Inc.All rights are reserved, including those for text and data mining, AI training, and similar technologies.

ANSWERS AND RATIONALES

Unfolding Case Study: Bowel Elimination

Question #1:

An 81-year-old patient (preferred pronouns: he him) is being seen by the nurse in an extended care living facility. The patient is stating he has abdominal pain and describes the pain as sharp, 8/10, and in the hypogastric region. The patient stated that the pain has been off and on all night and does not radiate. Denies any vomiting, diarrhea, or nausea during the night. Last bowel movement was yesterday.Voided 680 mL of clear yellow urine in urinal this morning. Left arm has contractures. The patient states he has pain to left leg where lower leg used to be and describes that pain as a 4/10. The patient can transfer from bed to wheelchair with assistance pivoting on his unaffected right leg. The patient has a past medical history of a cerebrovascular accident (CVA), left below-knee amputation (BKA), hypercholesteremia, rheumatoid arthritis, chronic atrial fibrillation, type II diabetes mellitus, and hypertension. Current medications include atorvastatin calcium 40 mg one PO q HS, aspirin 325 mg daily, clopidogrel bisulfate 75 mg daily, acetaminophen 650 mg two tabs PO BID, methotrexate disodium 15 mg once weekly, folic acid 0.8 mg one PO daily, semaglutide 0.5 mg SUBCUT weekly, metoprolol tartrate 50 mg one PO daily, and multivitamin one daily.Rationale: This patient is having a problem with pain both in his abdomen and left lower leg. Pain is worthy of immediate follow-up by the nurse to assess and relieve it. When assessing pain, it is important for the nurse to include timing, location, severity using a pain scale, quality, precipitating factors and relief measures. The other items in the patient’s scenario such as denials of GI symptoms, urine output, last bowel movement, transfer ability, and medical and medication history do not require immediate follow-up.

Reference:

Perry, A., Potter, P., Ostendorf, W., & Cobbett, S. (2020). Canadian clinical nursing skills and techniques (1 st ed.). Elsevier, pp. 408, 410 (Skill 16.1), 412, 415.

Question #2:

An 81-year-old patient (preferred pronouns: he/him) is being seen by the nurse in an extended care living facility. The patient is stating he has abdominal pain and describes the pain as sharp, 8/10, and in the hypogastric region. The patient stated that the pain has been off and on all night and does not radiate. Denies any vomiting, diarrhea, or nausea during the night. Last bowel movement was yesterday.Voided 680 mL of clear yellow urine in urinal this morning. Left arm has contractures. The patient states he has pain to left leg where lower leg used to be and describes that pain as a 4/10. The patient can transfer from bed to wheelchair with assistance pivoting on his unaffected right leg. The patient has a past medical history of a cerebrovascular accident (CVA), left below-knee amputation (BKA), hypercholesteremia, rheumatoid arthritis, chronic atrial fibrillation, type II diabetes mellitus, and hypertension. Current medications include atorvastatin calcium 40 mg PO q HS, aspirin 325 mg daily, clopidogrel bisulfate 75 mg daily, acetaminophen 650 mg two tabs PO BID, methotrexate disodium 15 mg once weekly, folic acid 0.8 mg PO daily, semaglutide 0.5 mg SUBCUT weekly, metoprolol tartrate 50 mg PO daily, and multivitamin one daily. 3 / 4

Copyright © 2025 Elsevier Inc.All rights are reserved, including those for text and data mining, AI training, and similar technologies.Use an X to indicate which potential assessment finding is associated with each of the patient’s listed health problems. All assessment findings should be used and can be used only once.Assessment Finding Bowel elimination Mobility Abdominal pain in hypogastric region X Left arm contracture X Unaffected right leg X Denies vomiting, diarrhea, or nausea X History of rheumatoid arthritis X Methotrexate disodium 15 mg once weekly X Left below-knee amputation (BKA) X Rationale: The concept of bowel elimination includes regular excretion of bowel waste products that is essential for normal body functioning. The gastrointestinal tract includes the large and small intestine contained in the abdomen. Having pain in the abdomen and having no symptoms of vomiting, diarrhea or nausea would directly reflect how the patient’s bowel elimination is functioning. Mobility is the ability of the human body to move around. A left arm contracture (fixed position), unaffected right leg, history of rheumatoid arthritis and a left below-knee amputation would affect the patient’s mobility.Methotrexate disodium is a medication that is used to keep autoimmune diseases under control. In this patient’s scenario, the methotrexate disodium is used for treatment of rheumatoid arthritis.

References:

Perry, A., Potter, P., Ostendorf, W., & Cobbett, S. (2020). Canadian clinical nursing skills and techniques (1 st ed.). Elsevier, pp. 183-185, 306.Skidmore-Roth, L., & Richardson, F. (2021). Mosby’s Canadian nursing drug reference (1 st ed.). Elsevier,

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Question #3:

The patient’s breakfast tray is served. The patient calls the nurse to the room because after eating sausage served on his tray, he states the pain to his abdomen is now a 9/10. He describes the pain as a burning, stabbing pain to hypogastric area. The patient’s breath has a foul odour and he states he is nauseated. The nurse calls the HCP. New prescriptions received include lansoprazole 15 mg one PO daily, ondansetron hydrochloride 4 mg ODT q4H, CBC, and H. pylori lab test. Morning VS: BP 100/70 mm Hg, P 100 bpm, R 18 breaths/min, T 36.9° C, O2 94%.Based on the patient’s condition, the patient’s priority need will be to prevent_______1_______. In addition, he will need interventions to prevent life-threatening

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