Nursing-Complete Metabolic Panel
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.
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