Case Study 3 - NUR 427 Example 3

Case Study 3 for the NUR 427 Course...

John 35 years old male, married for 5 years. He lives with his wife, in a suburban area in New York. He is a Civil Engineering with a master degree and his wife is an Architect. They have no children at this time, but they been trying. He is very active, stated he goes to the gym three times per week and eat healthy. Also he enjoys going fishing with his brother and play golf weekly. John love going to the theater with his wife. Six months ago John was diagnose with renal failure. John has history of diabetes and hypertension and family history of renal failure, a medical condition that might make him infertile and impotent.

Renal failure is the failure of the kidneys to perform the function of cleansing the blood of waste products. The primary method of cleansing the body of waste involves the liver forming urea and the kidneys filtering this product out of the blood to be excreted in urine. Blood urea nitrogen and creatinine are nitrogenous wastes, end products of protein metabolism. The amount of urea in the blood can be measured with a blood test called blood urea nitrogen (BUN). Creatinine levels also can be measured in the blood. BUN and creatinine levels are utilized to measure kidney function. A high urea level in the blood is called uremia, literally meaning urine in the blood. Urea is eventually converted to ammonia, leading to toxicity and related symptoms in all systems of the body (Neighbors & Tannehill-Jones 2006).

Chronic renal failure occurs slowly and is usually the result of chronic kidney disease such as glomerulonephritis, pyelonephritis, renal hypertension, and polycystic disease. Long-term substance abuse, alcoholism, and diabetes also may cause chronic renal failure. (Neighbors & Tannehill-Jones 2006).

Symptoms of renal failure are not significant until approximately 75 percent of kidney function has been destroyed. Symptoms may include those of acute failure, plus problems of infertility, impotence, and bone weakness, leading to pain and fractures.(Neighbor & Tannehill-Jones 2006).

John has an educational background which allows him to understand a written educational material. He stated he likes to learn by reading, and look up information on the...[continues]

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