11. Ms. B. is brought into the emergency department with severe tinnitus, hearin

Question

11. Ms. B. is brought into the emergency department with severe tinnitus, hearing loss, and some confu- sion. On examination, the nurse discovers that the patient's blood glucose level is 52 mg/dL. Her hus- band tells you that she had been experiencing back pain and has been using "a lot of aspirin" over the past few weeks. What do her symptoms and history suggest? Explain your answer 12. Mr. C. comes to the emergency department with symptoms that are similar to Ms. B.'s but not as extensive. He is experiencing drowsiness, lethargy, and disorientation and had a seizure while en route to the hospital. His girlfriend tells the nurse that she noticed an empty bottle of ibuprofen (Advil) by his bed when she found him. What do his symptoms and history suggest? What would the nurse expect if the situation were allowed to progress? 13. Mr. H. has come to the clinic complaining of a severe flare-up of his gout. He tells the nurse that he does not take his medicine on a regular basis because it "kills" his stomach. He also says that he hates to take medicine but hates the gout more. He has a prescription for allopurinol (Zyloprim) and a follow-up appointment for next month. What patient teaching does Mr. H. need? 14. Eileen has had arthritic joint pain for months, and her current pain management regimen has been less than successful. During a checkup today, she tells the nurse that she has heard of a drug, Toradol, which "works wonders." She wants to try it for "a couple of months" to see if it can help her. a. What will the nurse tell her? b. What could happen if Eileen takes the ketorolac (Toradol) on a long-term basis?

Explanation / Answer

11Ans: Mr B has tinnitus, hearing loss and confusion mainly due to low sugar level, that might be because of low diet intake it can't be corrected with proper diet and exercise, tinnitus with low blood glucose level is not a diabetes related to increased level of insulin in the blood stream. For her back pain she is using Aspin, it is not relevant to her symptoms but it should be used only upon doctors recomendation.

12Ans: Seizures is nothing but some electrical disturbance in the brain resulted in jerking movements and all. rule out the cause of seizure and type of seizures. collect past and present medical history and how frequently he get. Initially give symptomatic treatment and followed by consultation with neurologist (medical) with CT brain report. If symptoms get more worsen shift him to ICU.

13Ans: Explain him about the condition Gout is a kind of arthritis caused by a build up of uric acid crystals in the joints. and the use o a recommended drug Allopurinol is used to treat gout and certain types of kidney stones. It is also used to prevent increased uric acid levels in patients receiving cancer chemotherapy. Counsel the patient on diet. explain him that if he doesn't take medicine regularly he may end up with kidney failure and all. give psychological support that he can lead a normal life like healthy person only if he takes medicine regularly.

14 Ans.

a. Since a Taradol is a NSAID which works by reducing hormones that cause inflammation and pain in the body. Being a nurse i would recommend this drug only for short period like 5days.

b. I you use it for longer that would results in damage your kidneys or cause bleeding.

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