It is necessary for an RN-BSN-prepared nurse to demonstrate an enhanced understanding of thepathophysiological processes of disease, the clinical manifestations and treatment protocols, and how theyaffect clients across the life span.Evaluate the Health History and Medical Information for Mr. M., presented below.Based on this information, formulate a conclusion based on your evaluation, and complete the CriticalThinking Essay assignment, as instructed below.Health History and Medical InformationHealth HistoryMr. M., a 70-year-old male, has been living at the assisted living facility where you work. He has no knowallergies. He is a nonsmoker and does not use alcohol. Limited physical activity related to difficultyambulating and unsteady gait. Medical history includes hypertension controlled with ACE inhibitors,hypercholesterolemia, status post appendectomy, and tibial fracture status postsurgical repair with no obvioussigns of complications. Current medications include Lisinopril 20mg daily, Lipitor 40mg daily, Ambien 10mgPRN, Xanax 0.5 mg PRN, and ibuprofen 400mg PRN.Case ScenarioOver the past 2 months, Mr. M. seems to be deteriorating quickly. He is having trouble recalling the names ofhis family members, remembering his room number, and even repeating what he has just read. He isbecoming agitated and aggressive quickly. He appears to be afraid and fearful when he gets aggressive. Hehas been found wandering at night and will frequently become lost, needing help to get back to his room. Mr.M has become dependent with many ADLs, whereas a few months ago he was fully able to dress, bathe, andfeed himself. The assisted living facility is concerned with his rapid decline and has decided to order testing.Objective Data
Temperature: 37.1 degrees C2.BP 123/78 HR 93 RR 22 Pox 99%3.Denies painHeight: 69.5 inches; Weight 87 kgLaboratory Results4/19/2020 Writers Hub – Freelance Writinghttps://www.writershub.org/writer/orders/566542#instructions 5/7WBC: 19.2 (1,000/uL)Lymphocytes 6700 (cells/uL)CT Head shows no changes since previous scanUrinalysis positive for moderate amount of leukocytes and cloudyProtein: 7.1 g/dL; AST: 32 U/L; ALT 29 U/LCritical Thinking EssayIn 750-1,000 words, critically evaluate Mr. M.’s situation. Include the following:Describe the clinical manifestations present in Mr. M.Based on the information presented in the case scenario, discuss what primary and secondary medicaldiagnoses should be considered for Mr. M. Explain why these should be considered and what data is providedfor support.When performing your nursing assessment, discuss what abnormalities would you expect to find and why.Describe the physical, psychological, and emotional effects Mr. M.’s current health status may have onhim. Discuss the impact it can have on his family.Discuss what interventions can be put into place to support Mr. M. and his family.Given Mr. M.’s current condition, discuss at least four actual or potential problems he faces. Providerationale for each.
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