Nursing-Complete Metabolic Panel Here is the background of the question.

You are working in an extended care facility (ECF) when M.Z. ‘s daughter brings her mother in for a week stay while she goes on vacation. M.Z. is an 89-year-old widow with a 4-day history of dysuria, back pain, incontinence, severe mental confusion, and loose stools. Her most current vital signs (VS) are 118/60, 88, 18, 99.4° F.

The medical director ordered several lab tests on admission. The results were as follows:

■ WBC: 11 thou/cmm

■ Complete Metabolic Panel (CMP) within normal limits (WNL)

■ Post-void catheterization yielded 100 ml, and urinalysis (UA) showed WBC 100+/HPF (high-powered field), RBC 3 to 6/HPF, bacteria rare.

■ Urinary culture and sensitivity (C&S) results were as follows: Escherichia coli, more than 100,000 colonies, sensitive to ciprofloxacin, trimethoprim-sulfamethoxazole, and nitrofurantoin.


Correlate the patient’s need for teaching with the concept of mobility.

I need at least 500 wordings, and at least 4 references. I will check the references to see if it matches what is in the essay, thank you.

Case 3

MR, a 23-year-old Native American male comes in to see you because he has been having anxiety and wants something to help him. He has been smoking “pot” and says he drinks to help

him too. He tells you he is afraid that he will not get into Heaven if he continues in this lifestyle. He is not taking any prescriptions medications and denies drug use. He has a positive family history of diabetes, hypertension, and alcoholism.

To prepare:

● Reflect on your experiences as a nurse and on the information provided in this week’s Learning Resources on diversity issues in health assessments.

● Select one of the three case studies. Reflect on the provided patient information.

● Reflect on the specific socioeconomic, spiritual, lifestyle, and other cultural factors related to the health of the patient you selected.

● Consider how you would build a health history for the patient. What questions would you ask, and how would you frame them to be sensitive to the patient’s background, lifestyle, and culture? Develop five targeted questions you would ask the patient to build his or her health history and to assess his or her health risks.

● Think about the challenges associated with communicating with patients from a variety of specific populations. What strategies can you as a nurse employ to be sensitive to different cultural factors while gathering the pertinent information?