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University of Texas, Arlington *
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N2300
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Nursing
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Apr 29, 2024
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Weatherford College ADN Program
Clinical Portfolio Level III, IV
Student Name: Clinical Date:10-25-19
Assessment
Include a complete head to toe assessment of the patient.
History of Present Illness (HPI):
Pt is 45 y/o Caucasian male admitted 10/24/19. Pt came into ER with HTN (191/85) and difficult to urinate for 2days. Pt has uncontrolled DM II (blood glucose 395). Stable vital signs
( BP 191/ 85) T- 36.7 C, R- 16 RA, P- 87 O2 sat-98% RA) Pt stated he was prescribed 9 different antihypertensive medication, and did not take any of them. Pt now admitted to Med Surg 3 for monitoring blood pressure. Plan is to discharge home 10/26/19.
Subjective:
Pt stated he did not take blood pressure medication for 3weeks.
“Doctors have been playing with my blood pressure medication, every time I visited them, they changed my medication. They must not know what they are doing, that’s why I don’t take the medication.”
Objective:
N: AAOx3, pleasant affect, conversational
HEENT: Facial features symmetrical, EOMS intact bilat.,
nares patent bilat., no septum deviation noted, nasal mucosa pink, no ear drainage bilat., oral
mucosa pink, tongue protrudes midline, swallow reflex intact, no JVD noted, non-tender nodes
upon palpation, trachea midline, carotid pulses present bilat., thyroid non-palpable. CV: S1 and S2 present, murmur, radial pulses present bilat. 2+, pedal pulses dimished bilat. Pitting Edema (+1), warm lower extremities on palpation bilat.
capillary refill less than 3 seconds.
Pulm: room air, unlabored respirations, deep inhalation, clear breath sounds upon auscultation x5 lobes.
GI: bowel sounds present x4 quads, last BM reported 10/23/19
GU: continent, distended abdomen, painful on palpation over bladder area, urine as yellow, cloudy with foul smell.
MS: full ROM upper extremities,
muscle strength 5/5 upper extremities bilat without pain, full ROM lower extremities, muscle strength 5/5 bilat without pain.
Revised Spring 2018-CB
Patient Analysis
Weatherford College ADN Program
Clinical Portfolio Level III, IV
INTEG: no tenting noted, PIV access in R wrist, no redness
and swelling.
Warm on palpation on both feet. Dry and intact
Antecedents
Primary Problem With Definition
PMH:
HTN, DMII, peyronie’s disease, emphysematous cystitis, retinopathy, venous stasis of LE, MRSA positive RLE, OSA, obesity hypoventilation syndrome
Primary Medical Diagnosis:
Hypertention
Risk Factors:
Obesity(BMI : 45.4), Hx of smoking for 15 yrs, DM II, physical inactivity, stress, decreased GFR
(41) High-sodium, high-saturated fat diet
Primary Conceptual Problem:
Perfusion: the flow of blood through arteries and capillaries delivering nutrients and oxygen to cell and removing cellular waste.
Pathophysiology of Primary Medical Diagnosis
Include a description of the physiological process that occurs in the disease to the cellular level.
Hypertension:
Blood pressure is the result of cardiac output multiplied by peripheral resistance.
Each time the heart contracts, pressure is transferred from the heart muscle to the blood and then pressure is forced by the blood as it flows through the blood vessels.
Increases in cardiac output and constriction of the blood vessels lead to expand vascular volume and it
causes blood pressure elevated. (Hinkle, 2018)
Complete Problem List
Label the top three prioritized problems.
Problem (S/S, Manifestations, Labs, psychosocial, etc)
Related Concept
HTN - elevated BP (191/85)
- persistent elevated systolic BP 190-210 -murmur heart sound
- High-sodium, high-saturated fat diet
Perfusion
DM II
-uncontrolled blood glucose (316)
-polydipsia
-slow healing ulcer
-retinopathy
Metabolism
Revised Spring 2018-CB
Weatherford College ADN Program
Clinical Portfolio Level III, IV
-decreased kidney function
-OSA
- diminished pedal pulse bilat
Difficult to urinate
-distended abdomen
-difficult to urinate for 2 days
-when void foul smell & pain
- Dribbling after urinating
Elimination
Sleep Apnea
-OSA
-wearing CPAP mask on at night -obesity (BMI 45.4)
Sleep
Cystitis -distended abdomen
- painful on palpitation
- cloudy and foul smelling urine
Immunity
Anemia
-decreased Hgb: 11 Gas Exchange
-Hx of frequent venous stasis ulcer on lower extremities Tissue integrity
Revised Spring 2018-CB
Weatherford College ADN Program
Clinical Portfolio Level III, IV
Prioritized Problem #1 and related concept
Hypertension - Perfusion
Attributes
Include the data specific to the patient that is pertinent to the prioritized problem.
Physical Assessment
Lab/ Diagnostics
Associated Medications
-Elevated BP :191/85
-pitting +1 edema on lower extremities bilat.
-diminished dorsal pedal bilat.
-murmur sound on auscultation
persistent elevated systolic BP
190-210
BUN – 35 (Elevated)
Creatinine-1.9(Elevated)
GFR-41 (Decreased)
Chest X ray- Cardiomegaly
EKG
Lasix-Furosemide- 40mg P.O.
daily
Antecedents
Specific to the prioritized problem
PMH:
HTN, DMII, peyronie’s disease, emphysematous cystitis, retinopathy, venous stasis of LE, MRSA positive RLE, OSA, obesity hypoventilation syndrome
Risk Factors:
Obesity(BMI : 45.4), Hx of smoking for 15 yrs, DM II, physical inactivity, stress, decreased GFR (41) High-sodium,
high-saturated fat diet
Goals
Teamwork and Collaboration to Meet Goal
Justify why this person should be included
Short Term (for your shift):
Pt’s systolic blood pressure will be lowered below 150 mmHg.
Dietitian: they assist pt to eat heart healthy diet and educate pt to choose appropriate food for heart disease
Long Term:
Pt will maintain systolic blood pressure between 120 and 130 mmHg.
Plan of Care
Interventions
Rationale with
reference in APA
Positive Outcomes
Negative Outcomes
Administer antihypertensive medication as ordered. Loop diuretic medication
inhibit water and sodium reabsorption. Decreased fluid volume facilitate to lower blood pressure. (Hinkle, 2018) Pt,s blood pressure has been lowered.
Pt’s blood pressure is not controlled.
Potassium is below 3.5 mEq/L Pt is dehydrated.
Assess blood pressure every 2 hour. Blood pressure medication cause a drop
in blood pressure.
Pt’s blood pressure has been controlled. Pt’s blood pressure has been elevated or decreased compared to Revised Spring 2018-CB
Problem Number 1 Analysis
Weatherford College ADN Program
Clinical Portfolio Level III, IV
(medical surgical nursing, 10
th
ed) base line. Educate pt about DASH diet. Studies suggest that diets high in fruits, vegetables, and low-fat dairy products can prevent the development of hypertension and lower elevated blood pressure (Hinkle, 2018)
Pt understands DASH diet and pt knows what to choose for their meal.
Pt is unable to choose low sodium and low fat diet.
Educate pt regarding HTN complication.
The excessive pressure on your artery walls caused by high blood pressure can damage your blood vessels, as well as organs in your body. The higher your blood pressure and the longer it goes uncontrolled, the greater the damage.
(mayo clinic, 2018)
Pt verbalizes understanding of HTN and its long term effects on target organ.
Pt is unable to verbalizes
understanding of HTN and its long term effects on target organ.
Instruct pt to change position slowly. Instruct pt who are taking antihypertensives
to change position slowly to be careful when getting out of bed and ambulating until medication’s effects are fully known.
(medical surgical nursing, 10th ed)
pt moves slowly when he is getting out of bed. Pt fell when he is getting
of bed. Evaluation
Was your goal met?
Partially
(lowerd BP- 171/ 79)
What would you recommend to the next shift based on your evaluation?
BP has been lowered (171/81) systolic blood pressure still need to be lower than 150. I would reinforce of pt education regarding importance of adhering to medical treatment. Revised Spring 2018-CB
Weatherford College ADN Program
Clinical Portfolio Level III, IV
Prioritized Problem #2 and related concept
DM II - Metabolism
Attributes
Include the data specific to the patient that is pertinent to the prioritized problem.
Physical Assessment
Lab/ Diagnostics
Associated Medications
-Polydipsia
-slow healing ulcer
-retinopathy
-diminished pedal pulse bilat
elevated blood glucose – 314
HbA1C – 9%
Humalog
Lantus
Antecedents
Specific to the prioritized problem
PMH:
HTN, DMII, peyronie’s disease, emphysematous cystitis, retinopathy, venous stasis of LE, MRSA positive RLE, OSA, obesity hypoventilation syndrome
Risk Factors:
Obesity(BMI : 45.4), Hx of smoking for 15 yrs, DM II, physical inactivity, stress, decreased GFR (41) High-sodium,
high-saturated fat diet
Goals
Teamwork and Collaboration to Meet Goal
Justify why this person should be included
Short Term (for your shift):
Pt’s s blood glucose will be lowered below 150.
Dietitian: they assist pt to eat low fat diet and educate pt to choose appropriate food to lose weight.
Long Term:
Pt will maintain blood glucose between 120 and 140.
Plan of Care
Interventions
Rationale with
reference in APA
Positive Outcomes
Negative Outcomes
Administer insulin
as ordered
Insulin therapy helps prevent diabetes complications by keeping your blood sugar within your target range.
(American Diabetes Association,2019)
Pt’s blood glucose has been lowered.
Pt’s blood glucose has not been lowered.
Check blood glucose before meal.
If glucose levels get too low, we can lose the ability to think and function normally. Pt’s blood glucose is under control. Pt’s blood glucose is too low or too high.
Revised Spring 2018-CB
Problem Number 2 Analysis
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Questions
Nursing Management
List ALL the nursing problems identified in this patient pre-operative and post-operative (pre-op care plans, post op care plans)
- State the nursing diagnosis formulated to address this problem
- What was your desired outcomes for your patient (Short term and long term)
- What nursing measures can be done to meet your desired outcomes/ alleviate this problem.
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Question:Make nursing care plan(ncp)
Past health history: constipation for the last 7 days accompanied by difficulty of breathing (DOB) and Abdominal pain.
Present Health history:
chief complaint of Abdominal pain. Prior to admission, facial edema and bipedal edema was notice during physical assessment.
Laboratory:
Temperature 36°c, Pulse Rate -127, Respiratory Rate- 22,Blood Pressure -120/90,URIC ACID :10.20 mg/dL,CREATININE :1.33 mg/dL
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4:03 & ¢0OV,
O 5G` 73%
Discussions
10 pts
?
Course Outcome/Objective addressed
by question:
The student will recognize legal and
ethical issues in nursing practice.
To complete this assignment:
Read Black Chapters 6 and 7
Discussion Forum on Legalities and
Ethics
YOU HAVE TWO CHOICES FOR
THIS DISCUSSION BOARD
Initial Question:
Discuss the legal (one legal issue)
and ethical issues (three ethical
principles) for a nurse who is asked by a
nurse manager to help clear up a
backlog of paperwork by postdating
forms and signing off on equipment
inspections that were not performed as
required.
This week's discussion board is asking
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one legal issue. You should explain the
legal issue as it relates to the scenario.
It is also asking you to identify three
ethical principles and explain each one
as it relates to the scenario. Please bold
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Or
Another choice is to find a YouTube
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Questions
Nursing Management
List ALL the nursing problems identified in this patient pre-operative (pre-op care plans)
- State the nursing diagnosis formulated to address this problem
- What was your desired outcomes for your patient (Short term and long term goals)
- What nursing measures can be done to meet your desired outcomes/ alleviate this problem.
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signment Week 5 - Nursing x
9:51
→
m/courses/205/assignments/844
+
Alia Dase Datanice
Oxygenation
Fluid Electrolytes
• Cognition
C
Photo
G Search or type URL
B
Dencient
Imbalanced
• Impaired
Assignment 3: CARE PLAN
Write an example nursing statement to distinguish a problem-focused, risk, health promotion,
and syndrome nursing diagnosis based on the case scenario.
Susan is a 24-year-old female with a childhood history of asthma enters the emergency room by
ambulance for a sudden onset of shortness of breath while playing pickleball with her finance.
She is complaining of difficulty breathing and is crying because she says it happens every time she
plays pickleball. While in triage, Susan becomes anxious with her breathing appearing more
labored. Her vital signs are R-26, P-90, T. 98, and BP-150/78.
Ineffective
Risk for
☆
Done
+
€
➜
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nurse intervention for Mr. Reddy is a 62 yo presenting to ED at 1500hrs. He was preparing the gas cylinder for a Sunday BBQ when it suddenly exploded while he was trying to connect the hose. Family standing by tried to extinguish the fire with their hands and tried to remove his clothing. Burns 30% TBSA – Face, hands, bilateral lower limbs. Complaints of severe pain and burning 10/10. Past Medical History: Hypertension, Type II DM Regular medications – Candesartan 8mg, Glimepiride 4mg, Metformin 500mg and Pravastatin 20mg. Fully vaccinated against COVID.
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Patient Data
History and Physical Nurses' Notes Flow Sheet
Imaging Studies
不
0730
The nurse assumes care for a 77-year-old female client who was admitted to the
medical-surgical unit from the emergency department (ED). The client's
admitting diagnosis is pneumonia. The client has a productive cough with green
phlegm. Dyspnea and bilateral diminished breath sounds are noted. Client
reports shortness of breath and chills. Client is agitated but oriented to person,
time, place, and situation. Administered acetaminophen prescribed for
temperature greater than 101° F. Radiology report received. Notified healthcare
provider regarding client status and radiology report.
0800
Reassessed vital signs and increased oxygenation.
Vital signs: temperature 102.2° F (39° C), pulse 82 beats/minute and regular,
respirations 28 breaths/minute and labored, BP 138/88 mmHg, oxygen saturation
91% on 3 L oxygen via nasal cannula.
The nurse reviews the nurses' notes, history and physical, and flow sheet to…
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Nursing: 25 medications with details logged, I need the chart filled out with these categories listed below (If 25 is too many as many as you can would be great!)
To Do:
Medication Names (generic)
Class
Action
Reason for Administration
Common Adverse Effects
Pre-administration Assessment
Post-administration Evaluation
Nursing Considerations
Ignore the category "Date Administered".
Thank you!
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Make a Discharge Planning
Diagnosis:
Impaired comfort related to tissue trauma and edema in the episiotomy site as evidenced by right mediolateral episiotomy, 1 cm of edema and ecchymosis around her episiotomy site, Patient is pale and tired,droopy/hanging eyelids, has dark circles under the eyes, pale skin, are indicative of both sleep deprivation and looking fatigue. Reports of dizziness and light-headedness when standing up, feeling disturbed with the episiotomy as verbalized I'm scared cause the stitch might rip if I forced it” Reports pain "I'm scared cause the stitches hurt and might be rippen."
I. Specific Objectives
1.
2.
3.
4.
5.
II. Health Teaching
1. Knowledge
a.
b.
c.
d.
e.
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Assessor comments:
No comments provided
15. Identify the different types if PPE and the reasons for using each
of the PPE you have identified. Describing the correct practice in the
application, removal and disposal of the said PPE
Type your answer here:
Assessor comments:
No comments provided
H
Save & Refresh
HI
Unit/
Outcomes
Outcome 5
Save & Quit
C
Criteria
ac[5.2] Identify different types of PPE
ac[5.3] Explain the reasons for use of PPE
ac[5.7] Describe the correct practice in the
application and removal of PPE
ac[5.8] Describe the correct procedure for disposal of
used PPE
Cancel
14
13/01/20
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6:32
To Do
O pts
Assignment Details
NUR 101 Nursing Skills I
Not Submitted
Due
Dec 3, 2023 at 11:59 PM
Submission Types
Discussion Comment
Submission & Rubric
Description
Krystal Grant
Nov 28, 2023 at 1:41 AM
Dashboard
Discuss the importance of accurately
measuring and documenting vital signs in
patient care. How do vital signs provide
valuable information about a patient's
health status? Share examples of how
abnormal vital signs can help identify
potential health concerns or guide nursing
interventions
View Discussion
Calendar
To Do
a
>
Notifications
Inbox
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PATIENT ASSIGNMENT: RB is a 63-year-old male admitted to the nursing unit yesterday with acute exacerbation of chronic obstructive pulmonary disease (COPD). He has a history of HTN. He has NKDA, is a full code, and is on a low-salt diet. His Braden score is 22 and his activity is as tolerated. He is married with three grown children and four grandchildren. He works full-time as a CPA in an accounting firm. INITIAL ASSESSMENT: 0700: VS: T 38.9 C (102 F), BP 142/84, P 78 and regular, R 22 and labored, O2 saturation 93% on 2 L O2 per NC. Denies pain. A&Ox4, DOE, wheezes, and crackles are audible on auscultation, productive cough, and greenish sputum. Complaint of chest tightness. The apical pulse is 80 bpm. The abdomen is soft and non-tender with BS x 4. Urine is clear and light yellow. MAE. Pedal pulses are 1+ bilaterally. Capillary refill >3 seconds. RB has a 20-gauge saline lock in his left hand. He becomes winded with any activity and requires short breaks while completing…
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UNIT 7 CRITICAL THINKING QUESTIONS
Critical Thinking Questions
1. Imagine that there has been an emergency and you are calling 911. Write a brief
paragraph describing the situation and giving what necessary information you would give
on the phone call.
2. Under what circumstances would a health care professional not begin an exarsination by
checking the vital signs?
3. If a woman is in an accident and her blood pressure is high immediately afterwards, is this
an indication of a health problem?
4. The unit discusses the importance of hand washing in health care. Think of three other
industries that would need to be especially careful about hand washing and explain its
important in these fields.
5. Think about the kinds of common errors in health care described in Unit 6. How could root
cause analysis be used to help health care facilities avoid errors?
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Question: Make a nursing care plan for heart failure:
Past health history: constipation for the last 7 days accompanied by difficulty of breathing (DOB) and Abdominal pain.
Present Health history:
chief complaint of Abdominal pain. Prior to admission, facial edema and bipedal edema was notice during physical assessment.
Laboratory:
Temperature 36°c, Pulse Rate -127, Respiratory Rate- 22,Blood Pressure -120/90,URIC ACID :10.20 mg/dL,CREATININE :1.33 mg/dL
Clinical impressions:
Kidney failure
Laboratory ultrasound report impressions:
1.enlarges liver(but no pqrenchymal disease or lesion)
2.partial and mild(grade 1)acute medical renal disease right kidney
3.pleural effusion: right henitrox volume=850 cc.
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Options v
Question 28
A nurse on the previous shift removed an indwelling catheter from a patient. What is the oncoming shift nurse's priority?
Answers:
Assisting the client to the toilet.
O Assessing for urinary retention.
Teaching the client bladder retaining excercises.
Obtaining a specimen of urine.
Question 29
The client's two-way catheter has blocked. An open irrigation has been ordered. Why should the solution be instilled gently and s
Answers:
To minimize the risk of bladder spasms.
To increase the effectiveness of the solution.
To prevent air being instilled into the bladder.
To reduce the risk of introducing microorganisms into the urinary tract.
Question 30
The patient is admitted to hospital diagnosed with urinary retention. After inserting an indwelling catheter, the nurse notes a pungent…
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NURSING DIAGNOSIS EXERCISES: WRITING DIAGNOSIS STATEMENTS
Instruction: Formulate a three-part diagnostic statement that clearly describes the nursing diagnosis. In other words, you also must include the “relate to” and “as evidenced by” statements that corresponds to the given situation.
Carl James was hospitalized yesterday. Today he demonstrates the following signs and symptoms: blood pressure, 138/78 mm Hg; pulse rates, 102 beats/min and regular; respiratory rate, 24 breaths/min and using accessory muscles; restless; and irritable. Oral temperature is 99.80 The pulse oximeter reading is 94%. Mr. James is diaphoretic and complains of a headache. His lung sounds are clear but diminished. He states he feels “light-headed” when he moves from his bed to chair.
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DISCHARGE PLAN
What is the health teachings for discharge plan in the case scenario.
Nutritional Instructions
Medications
Follow up Visits
CASE APPLICATION:
Patient A.P.. 40 years old, married and a teacher, was admitted to the hospital last June 11, 2021 because of difficulty of breathing and fever. He was diagnosed to have Bronchial Asthma and subsequently tested positive with COVID 19. He was admitted for 2 weeks and undergone diagnostic and laboratory tests like Chest x-ray which revealed result of pneumonia, CBC, urinalysis, fecalysis, and blood chemistry tests with results of high cholesterol level and normal blood sugar and was managed with intravenous fluids to maintain his hydration, medications for his asthma and pneumonia and high cholesterol level - steroids, antibiotics, pulmo-aide inhalation, cholesterol medication and multivitamins and O2 at 2L/min via nasal cannula. He's on full diet and encouraged to increase fluid intake and rest. and was placed in…
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Provide 3 interventions for each diagnosis that are evidenced based
Involving the patient and her family members and instructing them about hygiene measures
Assisting the patient during activities of daily living when needed
Encouraging patient to perform the active exercise to improve mobility and assisting the patient in passive exercises
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Subject: Emergency Nursing. Identify course of action, nursing management including medications and possible medical management using the basic techniques of triage and emergency care within the first, most critical hour, of a patient’s arrival at the hospital.Situation:Patient RT 57/M came in due to chest pain, pain rate of 9/10. He described the pain as excruciating, radiating to shoulder and back, he is also nauseated, experienced vomiting, lightheadedness and headache prior to arrival at ER. History shows smoking for 40 years approximately 1 pack per day, works as company driver, weighs 90kgs and 5’5” in height. He is not known diabetic nor hypertensive, no check up records, no laboratory records and he self medicate when he is not feeling well. Initial vital signs showed, temperature of 36.7 RR of 32, PR 44, BP 210/100. After 5 minutes vital signs showed BP of 0, breathing 0 and PR 0.
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DISCHARGE PLAN
What is the health teachings for discharge plan in the case scenario.
Activities of daily living
CASE APPLICATION:
Patient A.P.. 40 years old, married and a teacher, was admitted to the hospital last June 11, 2021 because of difficulty of breathing and fever. He was diagnosed to have Bronchial Asthma and subsequently tested positive with COVID 19. He was admitted for 2 weeks and undergone diagnostic and laboratory tests like Chest x-ray which revealed result of pneumonia, CBC, urinalysis, fecalysis, and blood chemistry tests with results of high cholesterol level and normal blood sugar and was managed with intravenous fluids to maintain his hydration, medications for his asthma and pneumonia and high cholesterol level - steroids, antibiotics, pulmo-aide inhalation, cholesterol medication and multivitamins and O2 at 2L/min via nasal cannula. He's on full diet and encouraged to increase fluid intake and rest. and was placed in isolation.
As his condition…
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QUESTIONS.
A. What are the priority nursing responsibilities in the care of this patient?
B. Based on the assessment data presented, what are the priority nursing diagnoses? Are there any collaborative problems?
Thank you!
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Questions for the Case Study:1. Make a table of the medications prescribed to the patient. Include the indication, mechanism of action, standard dose, and frequency.
2. Analyze the case and identify the adverse reaction/s that occurred. What type of ADR happened?
3. What should be done to avoid the type of adverse reaction that happened to the patient?
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NURSING QUESTION 1d.
The nurse is completing the admission assessment for a patientscheduled for cataract surgery in the outpatient center. Having cataract can be common during old age. Because the patient is over the age of 70 and has several chronic conditions, including hypertension and congestive heart failure, the nurse focuses on completing a thorough medication history.
1. What questions should the nurse include in the medication history? Discuss.?
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ASSESSMENT
A nurse is caring for a client with edema due to HF. The PHCP has prescribed spironolactone for the client. Which of the following adverse reactions to the drug should the nurse monitor for in the client?
1. Vertigo
2. Paresthesias
3. Hyperkalemia
4. Anorexia
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Directions: Supply the correct abbreviation for each medical term. You can also
Assessment 7.10
Identifying Abbreviations
complete this activity online using EduHub.
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Provide 3 interventions for each diagnosis that are evidenced based
Involving the patient and her family members and instructing them about hygiene measures
Assisting the patient during activities of daily living when needed
Encouraging patient to perform the active exercise to improve mobility and assisting the patient in passive exercises
(easy and simple)
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- Questions Nursing Management List ALL the nursing problems identified in this patient pre-operative and post-operative (pre-op care plans, post op care plans) - State the nursing diagnosis formulated to address this problem - What was your desired outcomes for your patient (Short term and long term) - What nursing measures can be done to meet your desired outcomes/ alleviate this problem.arrow_forwardQuestion:Make nursing care plan(ncp) Past health history: constipation for the last 7 days accompanied by difficulty of breathing (DOB) and Abdominal pain. Present Health history: chief complaint of Abdominal pain. Prior to admission, facial edema and bipedal edema was notice during physical assessment. Laboratory: Temperature 36°c, Pulse Rate -127, Respiratory Rate- 22,Blood Pressure -120/90,URIC ACID :10.20 mg/dL,CREATININE :1.33 mg/dLarrow_forward4:03 & ¢0OV, O 5G` 73% Discussions 10 pts ? Course Outcome/Objective addressed by question: The student will recognize legal and ethical issues in nursing practice. To complete this assignment: Read Black Chapters 6 and 7 Discussion Forum on Legalities and Ethics YOU HAVE TWO CHOICES FOR THIS DISCUSSION BOARD Initial Question: Discuss the legal (one legal issue) and ethical issues (three ethical principles) for a nurse who is asked by a nurse manager to help clear up a backlog of paperwork by postdating forms and signing off on equipment inspections that were not performed as required. This week's discussion board is asking you to look at the scenario and identify one legal issue. You should explain the legal issue as it relates to the scenario. It is also asking you to identify three ethical principles and explain each one as it relates to the scenario. Please bold each ethical principles and legal issues identified. Reply to two peers. Or Another choice is to find a YouTube video on…arrow_forward
- Questions Nursing Management List ALL the nursing problems identified in this patient pre-operative (pre-op care plans) - State the nursing diagnosis formulated to address this problem - What was your desired outcomes for your patient (Short term and long term goals) - What nursing measures can be done to meet your desired outcomes/ alleviate this problem.arrow_forwardsignment Week 5 - Nursing x 9:51 → m/courses/205/assignments/844 + Alia Dase Datanice Oxygenation Fluid Electrolytes • Cognition C Photo G Search or type URL B Dencient Imbalanced • Impaired Assignment 3: CARE PLAN Write an example nursing statement to distinguish a problem-focused, risk, health promotion, and syndrome nursing diagnosis based on the case scenario. Susan is a 24-year-old female with a childhood history of asthma enters the emergency room by ambulance for a sudden onset of shortness of breath while playing pickleball with her finance. She is complaining of difficulty breathing and is crying because she says it happens every time she plays pickleball. While in triage, Susan becomes anxious with her breathing appearing more labored. Her vital signs are R-26, P-90, T. 98, and BP-150/78. Ineffective Risk for ☆ Done + € ➜arrow_forwardnurse intervention for Mr. Reddy is a 62 yo presenting to ED at 1500hrs. He was preparing the gas cylinder for a Sunday BBQ when it suddenly exploded while he was trying to connect the hose. Family standing by tried to extinguish the fire with their hands and tried to remove his clothing. Burns 30% TBSA – Face, hands, bilateral lower limbs. Complaints of severe pain and burning 10/10. Past Medical History: Hypertension, Type II DM Regular medications – Candesartan 8mg, Glimepiride 4mg, Metformin 500mg and Pravastatin 20mg. Fully vaccinated against COVID.arrow_forward
- Patient Data History and Physical Nurses' Notes Flow Sheet Imaging Studies 不 0730 The nurse assumes care for a 77-year-old female client who was admitted to the medical-surgical unit from the emergency department (ED). The client's admitting diagnosis is pneumonia. The client has a productive cough with green phlegm. Dyspnea and bilateral diminished breath sounds are noted. Client reports shortness of breath and chills. Client is agitated but oriented to person, time, place, and situation. Administered acetaminophen prescribed for temperature greater than 101° F. Radiology report received. Notified healthcare provider regarding client status and radiology report. 0800 Reassessed vital signs and increased oxygenation. Vital signs: temperature 102.2° F (39° C), pulse 82 beats/minute and regular, respirations 28 breaths/minute and labored, BP 138/88 mmHg, oxygen saturation 91% on 3 L oxygen via nasal cannula. The nurse reviews the nurses' notes, history and physical, and flow sheet to…arrow_forwardNursing: 25 medications with details logged, I need the chart filled out with these categories listed below (If 25 is too many as many as you can would be great!) To Do: Medication Names (generic) Class Action Reason for Administration Common Adverse Effects Pre-administration Assessment Post-administration Evaluation Nursing Considerations Ignore the category "Date Administered". Thank you!arrow_forwardMake a Discharge Planning Diagnosis: Impaired comfort related to tissue trauma and edema in the episiotomy site as evidenced by right mediolateral episiotomy, 1 cm of edema and ecchymosis around her episiotomy site, Patient is pale and tired,droopy/hanging eyelids, has dark circles under the eyes, pale skin, are indicative of both sleep deprivation and looking fatigue. Reports of dizziness and light-headedness when standing up, feeling disturbed with the episiotomy as verbalized I'm scared cause the stitch might rip if I forced it” Reports pain "I'm scared cause the stitches hurt and might be rippen." I. Specific Objectives 1. 2. 3. 4. 5. II. Health Teaching 1. Knowledge a. b. c. d. e.arrow_forward
- Assessor comments: No comments provided 15. Identify the different types if PPE and the reasons for using each of the PPE you have identified. Describing the correct practice in the application, removal and disposal of the said PPE Type your answer here: Assessor comments: No comments provided H Save & Refresh HI Unit/ Outcomes Outcome 5 Save & Quit C Criteria ac[5.2] Identify different types of PPE ac[5.3] Explain the reasons for use of PPE ac[5.7] Describe the correct practice in the application and removal of PPE ac[5.8] Describe the correct procedure for disposal of used PPE Cancel 14 13/01/20arrow_forward6:32 To Do O pts Assignment Details NUR 101 Nursing Skills I Not Submitted Due Dec 3, 2023 at 11:59 PM Submission Types Discussion Comment Submission & Rubric Description Krystal Grant Nov 28, 2023 at 1:41 AM Dashboard Discuss the importance of accurately measuring and documenting vital signs in patient care. How do vital signs provide valuable information about a patient's health status? Share examples of how abnormal vital signs can help identify potential health concerns or guide nursing interventions View Discussion Calendar To Do a > Notifications Inboxarrow_forwardPATIENT ASSIGNMENT: RB is a 63-year-old male admitted to the nursing unit yesterday with acute exacerbation of chronic obstructive pulmonary disease (COPD). He has a history of HTN. He has NKDA, is a full code, and is on a low-salt diet. His Braden score is 22 and his activity is as tolerated. He is married with three grown children and four grandchildren. He works full-time as a CPA in an accounting firm. INITIAL ASSESSMENT: 0700: VS: T 38.9 C (102 F), BP 142/84, P 78 and regular, R 22 and labored, O2 saturation 93% on 2 L O2 per NC. Denies pain. A&Ox4, DOE, wheezes, and crackles are audible on auscultation, productive cough, and greenish sputum. Complaint of chest tightness. The apical pulse is 80 bpm. The abdomen is soft and non-tender with BS x 4. Urine is clear and light yellow. MAE. Pedal pulses are 1+ bilaterally. Capillary refill >3 seconds. RB has a 20-gauge saline lock in his left hand. He becomes winded with any activity and requires short breaks while completing…arrow_forward
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