Review the following case study and complete the questions that follow. For this assignment write your responses to each question as one narrative rather than separating your responses by question number. Include an introduction and a conclusion. Submit your answers using APA format well-written sentences and detailed explanations. Your analysis must be scientifically soundnecessary andsufficient.
Youmustalso include a bibliography of at least 3 sources (with at least one non Internet source). Your textbook may not be included as a source for this assignment.Refer to the rubric for more information on how your assignment will be graded.
Case Study
M.K. is a 45-year-old female measuring 55 and weighs 225 lbs. M.K. has a history of smoking about 22 years along with a poor diet. She has a history of Type II diabetesmellitusalong with primary hypertension. M.K. has recently been diagnosed with chronic bronchitis. Her current symptoms include chronic cough more severe in the mornings with sputumlight-headedness distended neck veins excessive peripheral edema and increase urination at night. Her current medications includeLotensinandLasixfor the hypertension along withGlucophagefor the Type II diabetesmellitus.
The following are lab findings that are pertinent to this case:
Vitals
BP
158/98 mm Hg
CBC
Hematocrit
57%
Glycosylatedhemoglobin (HbA1c)
7.3 %
Arterial Blood Gas Assessment
PaCO
52 mm Hg
PaO
48 mm Hg
Lipid Panel
Cholesterol
242 mg/dL
HDL
32 mg/dL
LDL
173 mg/dL
Triglycerides
1000 mg/dL
Nursing Question
I’m studying for my Nursing class and need an explanation.
Ann and Michael have been married for 55 years. Ann is 80 years-old, and suffers from lung cancer and advanced Alzheimer’s disease. She currently resides in a nursing home, and often does not recognize Michael when he visits. Last night she was admitted to the hospital with difficulty breathing. Today, you are the nurse caring for Ann, and her physician is suggesting surgery to remove part of her lung to potentially slow the progression of her cancer. Michael is feeling unsure about this course of treatment, and asks for your advice and guidance.
How would you respond to Michael and serve as advocate for your patient?
