Funda Sample Scenario

Download as docx, pdf, or txt
Download as docx, pdf, or txt
You are on page 1of 2

TEAM A

Mitchie Ann S. Rafer Gadez Jeanpel Gonzales


Setty Haina D. Talon Shaina Erer
Dexie Chonita Chane C. Gacayan Christian Arthur Dasig
Jayriel Mae Nadela Nicole Kyla Garbo
Hannah M. Tabuco Precious Kyla Manapat
Patrick John Roefel Sinas Kaye Danielle Faith Singidas
Hannah Faith Bacalso  Christine Lanuza
Michael Josh Ariosa Joanna Kate Manguilimotan 
Princess Edelle Zafico Cindy Mae Marabiles 
Maria Isabela Barola Mary Ruth Benlot
Odette Gudito KJ Labadan
Mitchie Ann S. Rafer Gadez Jeanpel Gonzales

HYPOTHETICAL CASE PRESENTATION 

Client BM, 68 y.o female, married, is admitted with chief complaints of fever, nausea,
vomiting, and abdominal pain. She informs you that she is a “borderline diabetic”, and
“only has to watch what she eats”. She tells you that she has not eaten for 3 days and
has had difficulty “keeping liquids down”

While doing the nursing history. She describes her urine as dark and foul-smelling and
states has burning sensation upon urination. She describes her abdominal pain as
constant, and generalized and rates it as 6 on a scale of 0-10. 

Doctors orders: CBC and electrolyte STAT, CBG STAT and q4h, V/S and TPR q4h,
Urine specimen for C&S, CXR, UTZ of the whole abdomen 

Laboratory results are: WBC- 17 with neutrophils 80%, hematocrit 43.2

CONCEPT CARE MAP


NURSING CARE PLAN
ASSESSMENT DIAGNOSIS PLANNING INTERVENTION EVALUATION

Subjective: Acute pain related After 8 hours of Independent: After 8 hours of


“I am a borderline to possible nursing nursing
diabetic and only inflammation of intervention, the Assessed the interventions, the
has to watch what the urinary client’s pain will pain felt by the patient's pain is
I eat” bladder as be reduced from a patient reduced from 6
evidenced by an scale of 6 out of out of 10 to 4 out
“I have not eaten increased number 10 to 3 out of 10. Encouraged of 10. The patient
for 3 days and has of WBC, dark and fluid intake is able to urinate,
difficulty in foul-smelling The patient would reports feeling
keeping liquids urine, burning also be able to Provided comfortable, and
down” sensation during restore normal comfort is educated about
urination, and voiding patterns, measures (back hygiene in the
Objective: abdominal pain and regain normal rub and perineal area
 dysuria urine output positioned the Goals are partially
 dark and foul- Scientific Basis client for met
smelling urine comfort)
 abdominal A urinary tract
pain infection (UTI) Alternated cold
 pain scale of 6 may occur in the and hot therapy
out of 10 bladder, where it on the
 Lab results of is called cystitis, hypogastric
WBC-17 or in the urethra, region
neutrophils where it is called
80%, urethritis. Upper Encouraged the
Hematocrit tract infection patient to wipe
43.2 results in the perineal
pyelonephritis. area from front
Most UTIs result to back and
from ascending discard every
infections by wipe
bacteria that have
entered through Encouraged
the urinary patient of
meatus but some proper hygiene
may be caused by
hematogenous
Dependent:
spread. UTIs are
much common in
females because Administered
the shorter female antibacterial as
urethra makes prescribed by
them more the physician

Collaborative:

provided the
patient with a
low acid diet

Monitor urine
C&S results

You might also like