Question Answered step-by-step Could you help me understand the following, please about this case… Could you help me understand the following, please about this case study and the tables below with the relevant data and clinical significance? Thank you! HPI: Mr. Edwards is a 67-yr.- old who presented to Emergency Department with shortness of breath, lethargy, generalized edema, pruritus, nausea and vomiting after missing three hemodialysis sessions. His wife reports his foot was bothering him and did not what to leave the house. She called 911 when he woke this morning with SOB, confusion and generalized edema.PMH: T2DM, HTN, hyperlipidemia, end stage renal disease (ESRD), coronary artery disease (CAD), STEMI 2017, diastolic heart failure, diabetic nephropathy, chronic anemia. Allergy: Sulfa drugsFH/SH: 57 pack years smoker, quit in 2009. Retired insurance agent. Three adult children. Review and interpret the lab data. What is the clinical significance of each lab value relative to the client’s clinical status?LabCurrentHigh/low – RelevanceWBC11.1 Hemoglobin8.7 g/dL BUN46 Creatinine6.2 mg/dL Serum albumin3.3 g/dL HbA1c9.8% Glucose (random)286 mg/dL Calcium8.7 mg/dL Phosphorus4.2 mg/dL Potassium 6.8 mg/dL ABGpH 7.31CO2 40HCO3 12O2 72 VRE (wound)Positive 4. What data is relevant and must be interpreted as clinically significant by the nurse?CurrentClinical SignificanceT: 98.6 F/37.0 BP: 198/110 HR: 92 RR: 28 SaO2: 98% 4L NC Neuro: Lethargic, pleasantly confused, oriented to person Cardiac: regular rhythm with S1, S2, S4 gallop, florid face and neck, bounding pulses throughout, 3+ pitting edema lower extremities from knees down bilaterally, jugular venous distention, (JVD) noted, right brachiocephalic fistula without bruit or thrill Resp: Deep, rapid, labored effort, coarse crackles scattered throughout all fields GI: Abdomen soft/nontender, bowel sounds audible per auscultation in all four quadrants GU: Anuric Skin: Left foot, dorsal aspect, 2 cm annular ulceration with purulent exudate, poor skin turgor, no tenting present. Health Science Science Nursing NURS 608 Share QuestionEmailCopy link Comments (0)