NU144 · Unit 10

NU144 Unit 10 final case study example

Medical-Surgical Nursing II Purdue University Global Free custom sample in 24 to 48h

Terms in NU144 tend to close with one unstable patient followed from the first check of a shift to the handoff at its end. Followed here is a composite 79-year-old man found on his kitchen floor after about thirty hours, with muscle breakdown, a creatinine of 2.6 and a potassium of 6.1 already peaking his T waves.

What this page holds

One man, twelve hours, four reassessments: the NU144 final case study for Unit 10 traces a composite long lie through muscle breakdown, kidney injury, potassium and fluid overload. Searches like "nu 144 unit 10 assignment example", "nu144 unit 10 sample" and "nu144 unit 10 example" land here.

What a finished NU144 Unit 10 final case study looks like

About nine pages long, the study is built on the shift's clock rather than on a list of topics. After a one-page case summary and a pathophysiology section tracing muscle breakdown to myoglobin in the kidney tubules, four timed panels carry the rest. At 07:00 the potassium is 6.1 with peaked T waves, creatinine 2.6, CK 42,000 and urine 25 mL an hour, dark as tea. By 11:00, after calcium, insulin with glucose and fluids at 300 mL an hour, potassium is 5.4 and urine 110 mL. At 15:00 potassium has crept back to 5.6 and new crackles appear, so the plan weighs the kidney against the heart. The 19:00 panel shows both settling, the creatinine easing to 2.4, and ends in a written handoff.

How a NU144 Unit 10 example is structured

Most final case studies here keep a required order of headings, and the sample honors it while letting time organize the middle. Case summary, pathophysiology and data interpretation come first, with the CK, creatinine, potassium and urine findings read together as one process. Then the ranked problem list, stated once at 07:00 with its defense: hyperkalemia first, kidney injury second, then skin damage from the long lie and confusion with fall risk. Each timed panel repeats three moves, new data, what changed, and whether the ranking still holds, and at 15:00 it does not, since fluid overload climbs to second. Interventions sit inside the panel where they begin, each beside the finding that would show it worked. Evaluation against the morning goals, a written handoff and discharge considerations close the body, followed by eight current references.

Potassium treated in three moves

Calcium steadies the heart within minutes but lowers no potassium; insulin with glucose moves potassium into cells for a few hours; removal takes longer. The study names all three and explains why the 15:00 rise was predictable once the shift into cells wore off.

Glucose checked after the insulin

Insulin given for potassium can drop the glucose, and at 11:00 it reads 78. The panel records the checks the protocol sets after the dose, which graders often find missing from otherwise careful answers.

The kidney against the heart

Generous fluid protects the tubules from myoglobin, but his heart is older and weaker than the kidney plan assumes. The 15:00 panel shows the crackles, the lower saturation and the provider's reduced rate, the trade-off the whole case was built to test.

A problem list that moves

Fluid overload is a risk at 07:00 and an actual problem by 15:00. The study moves it up the list at that panel and says why, which shows the ranking as a working judgment rather than a decision made once.

Home medicines reviewed

His ACE inhibitor raises potassium and his statin can injure muscle. The study flags both for the provider's review rather than stopping them on its own authority, and ties the question to the pharmacist's reconciliation.

What the long lie left on his skin

Thirty hours on a hard floor leaves a deep tissue injury over the hip, recorded with its size and color. The panel sets turning, pressure relief and wound review into the same shift that is treating his potassium.

Where marks go in NU144 Unit 10

Treating the case as a potassium problem alone costs the most, since the numbers were chosen to show one process moving through muscle, kidney and heart. Close behind is calcium described as lowering potassium, a mechanism error that undermines everything after it. Papers that give fluid with no watch on the lungs miss the 15:00 turn the case was built around, and papers that stop fluid at the first crackle without weighing the kidney miss it from the other side. A problem list ranked once and never revisited ignores the unit's point about time. Missing the glucose checks after insulin draws a safety comment. Home medications left unreviewed, the pressure injury omitted, and evaluation with no measurable targets take the remaining points, along with references older than the course text.

Get a NU144 Unit 10 example written to your instructions

Sepsis, a bleed, burns or a long lie like this one: any unstable patient can anchor the closing case. Upload it with the required headings, the page limit and its rubric. Those headings are kept, each reassessment sits where the case supplies new data, and the ranking moves as the patient does. First custom sample free, typically back in 24-48h.

NU144 Unit 10 questions, answered

How many time points should a final case study show?

As many as the case supplies; where change is the question, never fewer than two. Four is common for a shift. Each should add new data and a judgment about whether the plan still fits; a time point that repeats the previous one adds length without reasoning. If your case gives only one set of results, the evaluation section can describe what the next set would need to show.

Why does the potassium rise again in the afternoon?

Insulin and glucose only move potassium into cells, and the effect lasts a few hours. Unless the kidneys start clearing it, or it is removed another way, the level drifts back up. A strong answer expects that rebound, schedules a repeat level, and names what the team would consider if urine output stayed low, including dialysis as the provider's decision.

Does the study need a handoff at the end?

Many final prompts ask for one, since a shift that ends without handing over is not complete. A short structured handoff, in the format your course uses, shows what the next nurse needs: current values with their direction, what is due, and what would prompt a call. Where the prompt does not ask, a closing summary of the patient's state at 19:00 usually serves the same purpose.