Exam (elaborations) Harrison Ticket solved (NUR330)
BSN Course Objectives (COs): By the end of the course, the student should be able to:
1. Identify
... [Show More] competent nursing care for clients with chronic conditions, utilizing evidence-based practice guidelines (SLO 1,2,5).
2. Differentiate care needs of the elderly adult experiencing alterations in health (SLO 2,3,5).
3. Acknowledge legal and ethical issues in healthcare (SLO 3).
4. Prioritize nursing care for patients with chronic alterations in health (SLO 1.2.4.5).
5. Develop an individualized teaching plan for the client with the goal of improving and maintaining personal health (SLO 1,2,3,4).
6. Correctly calculate medication doses appropriate for the population (SLO 1,5).
THOROUGHLY ANSWER THE FOLLOWING COMPREHENSIVELY and upload 24 hours BEFORE SIMULATION TIME (48
hours preferable). Incomplete tickets will be returned for redo, and must be in before next simulation at discretion of instructor.
**ANSWERS MUST BE paraphrased AND CITE PROFESSIONAL source (Author, year, page).
1. “Sacred Cow”: Everyone “knows” that confusion in the elderly indicates an underlying UTI. What are some pathophysiology theories about how the correlation?
Because the body’s immune system change’s with age, it responds differently to an infection. Instead of pain symptoms, seniors with a UTI may show increased signs of confusion, agitation or withdrawal and for the elderly who have dementia these behavioral changes may come across as part of that condition or signs of advanced aging. If the underlying UTI goes unrecognized and untreated for too long, it can spread to the bloodstream and become life threatening.
Opinion based on research: What do you think?
It’s hard to say without scientific evidence showing the exact correlation, however I can see why the theory exists. My thoughts veer towards the simplicity regarding the body’s reaction to overuse of antibiotics that change the chemistry within the body’s cells and if the cells are not provided with nutrition like ATP, glucose and all the other mechanisms that are on the microscopic level then yes the person along with having dementia, Parkinson’s, and Alzheimer’s will experience these symptoms because the brain isn’t getting what it needs.
2. Opinion based on research: How might Parkinson’s Disease increase the risk of UTI? Parkinson’s disease patients are prone to urinary tract infections. When the bladder is full, it alerts the brain through nerve cells, and the brain uses additional nerve cells to tell the muscles to relax and allow the urine to excrete. On the other hand, the patient may be able to urinate but does not have enough muscle control to empty all urine from the bladder completely. Thus, Parkinson’s disease patients have a hard time emptying their bladder, creating a breeding ground for bacteria. [Show Less]