Osteomyelitis & Sepsis Case Study | Nursing NCLEX Prep | Gene Potts 78-Year-Old PDF | Diabetes & MRSA Foot Ulcer

Master the nursing assessment and clinical reasoning of a 78-year-old male with diabetes, dementia, and osteomyelitis using this comprehensive unfolding case study PDF (Gene Potts). Perfect for nursing students, NCLEX-RN preparation, medical students, and RN refresher courses, this guide walks you through the full emergency department and post-operative encounter—chief complaint (increased foot pain, chills, fever, weakness for 2 days), relevant history (type 2 diabetes, MRSA-positive left foot ulcer, progressive dementia, DNR/DNI, palliative care involved), initial vital signs (T 101.5°F, HR 98, RR 22, BP 148/90, O2 sat 94%), and physical exam findings (left great toe black, stage III ulcer 1×1 cm, redness extending from foot to lower leg, positive CT for osteomyelitis). The case covers interpretation of relevant labs (WBC 18.5 on admission progressing to 20.2, Hgb 10.2, platelets 285, neutrophils 92%, bands 2%, creatinine 1.8, glucose 254, lactate 1.2, PT/INR 2.6), post-operative complications (atrial flutter, diminished breath sounds, hypoactive bowel sounds, urinary incontinence, pale dusky right heel), nursing priorities (sepsis prevention, impaired physical mobility, infection risk, dementia-related confusion), collaborative care (piperacillin/tazobactam, vancomycin, contact precautions, blood glucose monitoring every 4 hours with sliding scale), and psychosocial considerations (wife as caregiver, goals of care, end-of-life discussions). Includes EKG interpretation, chest X-ray findings (cardiomegaly, possible mild CHF), and nursing reflection. Instant digital download—ideal for medical-surgical nursing, NCLEX-RN infection and inflammation, or clinical rotation assignments.