MR LEE SEIZURE CASE STUDY ESSAY
Order ID 53563633773 Type Essay Writer Level Masters Style APA Sources/References 4 Perfect Number of Pages To Order 5-10 Pages Description/Paper Instructions
Mr. Lee
GENDER male
SOCIOECONOMIC
AGE 55
SPIRITUAL/RELIGIOUS
SETTING Hospital
PHARMACOLOGIC ■ Phenytoin (Dilantin)
LEGAL
ETHNICITY ■ Black American
CULTURAL CONSIDERATIONS
ALTERNATIVE THERAPY
PREEXISTING CONDITION
PRIORITIZATION
Head trauma three months ago
■ Adverse medication reaction
COEXISTING CONDITION
DELEGATION Recent seizure
COMMUNICATION
DISABILITY Potential long-term complication
Overview: This case requires the nurse to implement strategies to maintain the client’s safety in the event of a seizure. The nurse also must recognize the signs and symptoms of an adverse reaction to a medication. The client must be transferred to the appropriate level of care. Treatment goals and priority nursing diagnoses are reviewed.
Client Profile
Mr. Lee is a 55-year-old man with a history of head trauma three months ago after falling from a ladder. He is seen in the emergency department today after experiencing a seizure at work. Mr. Lee received a loading dose of phenytoin in the emergency department and is admitted for a thorough work-up.
Case Study
Upon arrival to the nursing unit, Mr. Lee is alert and oriented but lethargic. The following day, Mr. Lee has received two doses of phenytoin, and he has not had a seizure since admission. His lethargy has resolved. Midafternoon, Mr. Lee calls for the nurse. He shows the nurse his arms and hands and asks, “Look at these red splotches and blisters. What do you think this is from?” The nurse asks Mr. Lee if he has any other symptoms. He replies, “My eyes are itchy and burning and my throat is a little sore. Maybe I am allergic to the laundry detergent the hospital uses to wash the bed sheets.” Assessment reveals symmetric reddish-purple macules and bullae on his arms, hands, chest, and back. Mr. Lee’s vital signs are within normal limits except his temperature, which is 102.1°F (38.9°C).
Questions
- Should the nurse be concerned that upon arrival to the nursing unit Mr. Lee is lethargic?
- What is the rationale for prescribing phenytoin for Mr. Lee?
- Lee’s plan of care includes seizure precautions. Explain how the nurse implements these precautions.
- What do you believe is the cause of Mr. Lee’s skin condition?
- Discuss three critical interventions upon diagnosing Mr. Lee’s reaction.
- Lee is transferred to the burn unit. Explain the rationale for this transfer.
- Identify four treatment goals the nurse will include while documenting Mr. Lee’s plan of care.
- Lee’s wife notices that the nurse checked the thermostat in Mr. Lee’s room even though Mr. Lee did not express discomfort with the room temperature. Why was the nurse checking the temperature in the room?
- Lee’s laboratory results are hemoglobin (Hgb) 18 g/dL, hematocrit (Hct) 57%, potassium (K+) 6.5 mEq/L; his sodium (Na2+) level is 126 mEq/L; and his bicarbonate (HCO3–) is 15 mEq/L. Are these results within normal limits? If not, explain what is causing any abnormal result.
- The nurse dons a protective gown, mask, gloves, and cap prior to changing Mr. Lee’s dressings. Why is this precaution necessary?
- Is Stevens Johnson Syndrome self-limiting or life threatening? Explain your answer.
- Briefly discuss three potential complications the nurse will watch for as Stevens Johnson Syndrome progresses.
- Lee’s coworker comes to visit and brings a beautiful vase full of flowers from her garden. The nurse asks that the visitor not bring the floral arrangement into Mr. Lee’s room. What is the rationale for the nurse’s request?
- Clients with Stevens Johnson Syndrome sometimes suffer long-term effects. Briefly discuss three long-term complications that may result.
- Identify five nursing diagnoses appropriate for Mr. Lee’s plan of care while being cared for on the burn unit. Prioritize the diagnoses you have identified.
- While providing discharge teaching, what should the nurse tell Mr. Lee (and his family) about preventing a recurrence of this adverse medication reaction in the future?
- What resource can the nurse suggest to help provide support once Mr. Lee is discharged from the hospital?
RUBRIC
QUALITY OF RESPONSE NO RESPONSE POOR / UNSATISFACTORY SATISFACTORY GOOD EXCELLENT Content (worth a maximum of 50% of the total points) Zero points: Student failed to submit the final paper. 20 points out of 50: The essay illustrates poor understanding of the relevant material by failing to address or incorrectly addressing the relevant content; failing to identify or inaccurately explaining/defining key concepts/ideas; ignoring or incorrectly explaining key points/claims and the reasoning behind them; and/or incorrectly or inappropriately using terminology; and elements of the response are lacking. 30 points out of 50: The essay illustrates a rudimentary understanding of the relevant material by mentioning but not full explaining the relevant content; identifying some of the key concepts/ideas though failing to fully or accurately explain many of them; using terminology, though sometimes inaccurately or inappropriately; and/or incorporating some key claims/points but failing to explain the reasoning behind them or doing so inaccurately. Elements of the required response may also be lacking. 40 points out of 50: The essay illustrates solid understanding of the relevant material by correctly addressing most of the relevant content; identifying and explaining most of the key concepts/ideas; using correct terminology; explaining the reasoning behind most of the key points/claims; and/or where necessary or useful, substantiating some points with accurate examples. The answer is complete. 50 points: The essay illustrates exemplary understanding of the relevant material by thoroughly and correctly addressing the relevant content; identifying and explaining all of the key concepts/ideas; using correct terminology explaining the reasoning behind key points/claims and substantiating, as necessary/useful, points with several accurate and illuminating examples. No aspects of the required answer are missing. Use of Sources (worth a maximum of 20% of the total points). Zero points: Student failed to include citations and/or references. Or the student failed to submit a final paper. 5 out 20 points: Sources are seldom cited to support statements and/or format of citations are not recognizable as APA 6th Edition format. There are major errors in the formation of the references and citations. And/or there is a major reliance on highly questionable. The Student fails to provide an adequate synthesis of research collected for the paper. 10 out 20 points: References to scholarly sources are occasionally given; many statements seem unsubstantiated. Frequent errors in APA 6th Edition format, leaving the reader confused about the source of the information. There are significant errors of the formation in the references and citations. And/or there is a significant use of highly questionable sources. 15 out 20 points: Credible Scholarly sources are used effectively support claims and are, for the most part, clear and fairly represented. APA 6th Edition is used with only a few minor errors. There are minor errors in reference and/or citations. And/or there is some use of questionable sources. 20 points: Credible scholarly sources are used to give compelling evidence to support claims and are clearly and fairly represented. APA 6th Edition format is used accurately and consistently. The student uses above the maximum required references in the development of the assignment. Grammar (worth maximum of 20% of total points) Zero points: Student failed to submit the final paper. 5 points out of 20: The paper does not communicate ideas/points clearly due to inappropriate use of terminology and vague language; thoughts and sentences are disjointed or incomprehensible; organization lacking; and/or numerous grammatical, spelling/punctuation errors 10 points out 20: The paper is often unclear and difficult to follow due to some inappropriate terminology and/or vague language; ideas may be fragmented, wandering and/or repetitive; poor organization; and/or some grammatical, spelling, punctuation errors 15 points out of 20: The paper is mostly clear as a result of appropriate use of terminology and minimal vagueness; no tangents and no repetition; fairly good organization; almost perfect grammar, spelling, punctuation, and word usage. 20 points: The paper is clear, concise, and a pleasure to read as a result of appropriate and precise use of terminology; total coherence of thoughts and presentation and logical organization; and the essay is error free. Structure of the Paper (worth 10% of total points) Zero points: Student failed to submit the final paper. 3 points out of 10: Student needs to develop better formatting skills. The paper omits significant structural elements required for and APA 6th edition paper. Formatting of the paper has major flaws. The paper does not conform to APA 6th edition requirements whatsoever. 5 points out of 10: Appearance of final paper demonstrates the student’s limited ability to format the paper. There are significant errors in formatting and/or the total omission of major components of an APA 6th edition paper. They can include the omission of the cover page, abstract, and page numbers. Additionally the page has major formatting issues with spacing or paragraph formation. Font size might not conform to size requirements. The student also significantly writes too large or too short of and paper 7 points out of 10: Research paper presents an above-average use of formatting skills. The paper has slight errors within the paper. This can include small errors or omissions with the cover page, abstract, page number, and headers. There could be also slight formatting issues with the document spacing or the font Additionally the paper might slightly exceed or undershoot the specific number of required written pages for the assignment. 10 points: Student provides a high-caliber, formatted paper. This includes an APA 6th edition cover page, abstract, page number, headers and is double spaced in 12’ Times Roman Font. Additionally, the paper conforms to the specific number of required written pages and neither goes over or under the specified length of the paper. GET THIS PROJECT NOW BY CLICKING ON THIS LINK TO PLACE THE ORDER
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