Solution Manual for Nursing Diagnosis Handbook 11th Edition by Ackley

Solution Manual for Nursing Diagnosis Handbook 11th Edition by Ackley

Table of Contents     41 cases

 Lecture Notes

Problem-Based Learning/Critical Thinking

Case Study – Restless Leg Syndrome

Case Scenario

Abdul Malek is a 21 year old college student. He attends the local state university and is a junior studying graphic design.  Three (3) weeks into his fall semester, Abdul’s professors notice that he is falling asleep in class and often looks restless. Abdul taps his foot and squirms around in his seat. Abdul, who is usually an excellent student, has failed his first test in his Graphic Design II course. His professor asks him to see his advisor because the fear is that Abdul has become chemically impaired. His advisor sends Abdul to the student health services and his case is reviewed by the nurse.

 Nursing Assessment

 Abdul is a well-developed 22 year old male with a BMI of 20. His vital signs are: blood pressure 104/78; temperature 98.4 degrees F.; heart rate – 64 BPM; respiratory rate – 16 per minute. A nutritional history confirms a well-balanced diet with the exclusion of pork products. Abdul had been working out every day at the University gym but reports that he is currently “too tired” to do so.  Abdul denies drug or alcohol use and this is confirmed by serum analysis. Abdul complains about sleeping poorly and feeling as if, “I am moving all night.” He states that he often wakes up his dorm mate and feels badly about that.  The nurse reclines Abdul on the examination table and checks his deep tendon reflexes (DTRs) which are all 2 . The nurse asks Abdul to relax and dims the lights while she consults with the primary care practitioner. While the nurse is out of the examination room Abdul dozes and when the nurse returns the nurse observes Abdul’s right leg jerking several times before she arouses him.

1. ASSESS
2. Identify significant symptoms by underlining them in the assessment.
3. List those symptoms that indicate the client has a health problem (those you have underlined).

• falling asleep in class
• often looks restless
• taps his foot
• squirms around in his seat
• failed his first test
•  “too tired”
• complains about sleeping poorly
• “I am moving all night”
• often wakes up
• dozes
• right leg jerking several times

3. Group the symptoms that are similar.

• falling asleep in class
• often looks restless
• taps his foot
• squirms around in his seat
• failed his first test
• complains about sleeping poorly
• dozes
•  “too tired”
• “I am moving all night”
• often wakes up
• right leg jerking several times