STUDENT NUMBER: 201904759
SURNAME: PUTSOA
NAME: KELETSO
NURS 3305
Assignment 1
CASE STUDY 1
Question 1
 Risk for impaired gas exchange related to decrease in effective lung surface.
 Risk of severe urinary infection related to difficulty to pass urine.
 Risk of bladder cancer related to cancer spreading to other parts of the body therefore
generally affecting urination.
Question 2
DIAGNOSIS
SUBJECTIVE DATA
Impaired gaseous exchange
He
says
he
OBJECTIVE DATA
experiences Very slow deep breaths
difficulty in breathing due to
chest pains
Urinary infection
Difficulty to urinate
Voiding very few drops of
urine
Bladder cancer
Pain on groin area
Question 3
Impaired gaseous exchange
Clear the airway by releasing the mucous buildup in the lungs.
Urinary infection
Swelling on the groin
Insert indwelling catheter to ease the patient from the urge to urinate to avoid associating
urinating with pain.
Bladder cancer
Relief pain and swelling within 2 days.
Question 4
 Educate the patient about tuberculosis and prostate cancer for self reassurence and
acceptance.
 Reinforce teaching regarding disease and treatment and provide information as
appropriate about dying.
 Take the patient to the isolated room in other to prevent any form of spread to other
patients.
 Provide the patient with condom urinary catheter for more relaxation since sometimes
when the cancer is severe indwelling catheter maybe painful due to the cancer tumor
pressing over the urethra.
CASE STUDY 2
Question 1
 As per her age and BMI, she is said to be overweight and this can cause hypertension
since the heart has to work harder than normal to supply the body with blood.
 Normal potassium levels are considered to be from 3.5mmol/L so low potassium
caused a stress on the blood vessels walls resulting in an increase in blood pressure.
 Lack of physical activity can contribute in hypertension as it has direct link to weight
gain therefre increasing the risk of hypertension.
 She eats a lot of canned food which can be associated with unhealthy diet since they
are considered to be high in sodium
Question 2
 Overweight
 Elderly age
 Lack of physical exercise
 Stress
Question 3
 Eating fresh fruits and vegetables for relaxation of blood vessels.
 Encourage low-fat dairy food and reduced in overall fat.
 At least use fruit flavours in her food instead of salt.
 Discourage her from eating lot of canned food to reduce sodium intake.
 Encourage her to eat more vegetables and water than carbohydrates in order to
maintain her body weight therefore achieving a better BMI.
Question 4
Potassium sparing diuretics because this diuretics help to get rid of sodium and water and
this is done by the kidneys to release more sodium into urine. There after, sodium will
help decrease blood pressure by taking water with it from blood therefore decreasing the
amount of fluid flow through blood vessels. Example: triamterene.
Question 5
 Teaching the patient to take medication as prescribed to maintain a normal
hypertension and avoid stroke in a long run.
 Teach her how monitor blood pressure so she can continue doing so at home.
 Tell the patient to start to engage herself on physical activities like going for walk to
dwell on her body weight.
 Tell family members or care takes about hypertension and health support to the
patient.
Question 6
 High risk for obesity related to lack of physical activity.
 Risk for coronary heart disease associated with atherosclerosis related to
cardiovascular resistance.
 Risk for food poisoning related to eating a lot of canned food that can be associated
with bacterial infection during canning.