NRNP6566 Week 1 | Sex Culture and Identity in Gender Studies - Walden university

Question 1 An 87 year male is brought to the emergency department from a nursing home by his family with concerns about his functional status. They state that over the past week he is very somnolent and not participating in his own care very much. The family is worried that he has had a stroke or is overmedicated by the nursing home staff. Medical record from the nursing home shows that he is disruptive and has daily wrist restraints ordered. The patient is arousable but somnolent when no one is speaking with him. His past medical history is unremarkable. He was placed in the nursing home due to his age and inability to care for himself at home. His family states that he is usually quite alert and interactive. The patient is widowed and has been at the nursing home for about 2 months. He has no routine medications but several PRN mediations including haloperidol, valium, and milk of magnesia.

BP 100/53 T 98.3 HR 88 RR 14

Mucous membranes are dry. Pulmonary, cardiovascular, abdominal, and extremity examinations are normal. Chest x-ray shows no infiltrate and voided urine shows no evidenced of UTI.

LAB DATA:

-Sodium 162 -Potassium 3.4 -Chloride 130 -Bicarbonate 23

-BUN 38

-Creatinine 1.8 -Glucose 97 -Calcium 10.3 What is your working diagnosis for this patient? How would you treat it?