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RAPID Reasoning: Osteomyelitis & Surgery (Gene Potts, 78 Years Old) – Nursing Case Study 2026/2027

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This unfolding case study follows Gene Potts, a 78-year-old male with type 2 diabetes, dementia, and MRSA-positive osteomyelitis of the left great toe requiring amputation. It guides nursing students through clinical reasoning, including interpretation of relevant history, vital signs (fever, tachycardia, hypertension), lab data (elevated WBC, neutrophils, bands, glucose, creatinine), and diagnostic findings (osteomyelitis, cardiomegaly). The case emphasizes priority concepts such as infection, tissue integrity, perfusion, pain management, patient education, and ethical considerations (DNR/DNI, palliative care, caregiver stress). Ideal for developing clinical judgment in medical-surgical nursing and perioperative care.

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Institution
Nursing Case Study
Course
Nursing Case Study

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Osteomye litis/Surgery
RAPID Reasoning




Gene Potts, 78 years old

Primary Concept
Infection
Interrelated Concepts (In order of
emphasis)
● Tissue Integrity
● Perfusion
● Gas Exchange
● Pain
● Clinical Judgment
● Patient Education
NCLEX Client Need Categories Percentage of Items from Each Covered
Category/Subcategory in Case
Study
Safe and Effective Care Environment
✔ Management of Care 17- ✔
23%
✔ Safety and Infection Control 9-
15%
Health Promotion and Maintenance 6- ✔
12%

, Psychosocial Integrity 6- ✔
12%
Physiological Integrity
✔ Basic Care and Comfort 6- ✔
12%
✔ Pharmacological and Parenteral Therapies 12- ✔
18%
✔ Reduction of Risk Potential 9- ✔
15%
✔ Physiological Adaptation 11- ✔
17%

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Institution
Nursing Case Study
Course
Nursing Case Study

Document information

Uploaded on
April 12, 2026
Number of pages
14
Written in
2025/2026
Type
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