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Joe LeRoy, age 60, was brought in by his daughter and admitted to your small rural hospital. He has had the stomach flu at home for several days and is suffering from dehydration. He has right-sided hemiplegia due to a cerebral vascular accident (CVA) 3 years ago. Mr. LeRoy has remained in bed during his hospital stay due to extreme weakness and fatigue.

You received the report from the previous nurses related to your five patients. From the report, you note that Mr. LeRoy continues to have frequent liquid stools (averaging about three or four times per shift). The doctor has ordered a stool sample for culture and sensitivity. When entering your patient’s room, you notice his sheets are very dirty and he has a strong body odor.

 

Prescribed Interventions

Intravenous fluids: D5 ½ NSS at 125 mL/hr

Stool sample for culture and sensitivity

Vital signs every shift

 

Developing Clinical Reasoning

 

Develop your priorities and rationales for the following nursing care for Mr. LeRoy:

Considerations when collecting the stool sample
Changing his sheets
Completing the initial nursing assessment

Are there any assessments that you would want to pay particular attention to during your nursing care?

Obtaining vital signs
Collecting the sample
Giving a bath

Describe how your attitude and nonverbal behavior could affect Mr. LeRoy’s hospital experience.

SCIENCE
HEALTH SCIENCE
NURSING

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