Can you give Nursing Interventions with Rationale about a 79-year-old patient who has episodic shortness of breath and experiencing pitting edema from the feet to the knees on both sides, and Fullness and ballooning belly?
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Can you give Nursing Interventions with Rationale about a 79-year-old patient who has episodic shortness of breath and experiencing pitting edema from the feet to the knees on both sides, and Fullness and ballooning belly?
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- A 60-year-old male with a known history of chronic obstructive pulmonary disease (COPD) presents to the ED with increased shortness of breath, productive cough, and wheezing. His vital signs are: BP 150/90 mmHg, HR 110 bpm, RR 26 breaths/min, SpO2 88% on room air. What is the first-line nursing management? The first-line nursing management for a COPD exacerbation is to administer ________.Give a rationale for each nursing diagnosis listed below in regards to the scenario attached Jack Soo Park, a 78-year-old man receiving intravenous (IV) therapy with antibiotics, states, “I’m having trouble breathing. “ Vital signs include 156/88, Pulse 105, Respiratory Rate 30, Temperature 98.4F, and O2 Sat of 94% on 2LNC. It just started a little while ago. Physical examination reveals a bounding pulse; distended neck veins; shallow, rapid respirations; and crackles and wheezes in the lungs. Excess fluid volume is suspected. Further checking reveals an IV fluid-administration error that has resulted in overhydration. Nursing Diagnoses -Impaired gas exchange related to disease condition as evidenced by lung sounds. -Risk for excess fluid volume related to overhydration as evidenced by observation. -Risk for electrolyte imbalance related to excess fluid as evidenced by observation. -Risk for blood pressure instability related to reduced cardiac output as evidence for fluid volume…Which of the following would the nurse expect to see in client experiencing hypoventilation? increased oxygenation in the alveoli increased carbon dioxide in the bloodstream decreased hemoglobin in the bloodstream decreased carbon dioxide in the alveoli
- What is not a non-pulmonary assessment findings of patients with cystic fibrosis? pulmonary hypertension depression O pancreatic insufficiency anorexiaThe nurse makes a home visit. The family meets the nurse at the door reporting their father is "really anxious and is having problems breathing." The immediate intervention is to: Elevate the head of the bed to semi Fowler's position and provide supplemental oxygen via nasal cannula to improve gas exchange. Since the problem may be related to persuasion, take VS and administer anti-anxiety medications. Auscultate the lungs, since the patient may have pneumonia which is prohibiting adequate gas exchange. This may be an indication that this is the last stage of life and confusion may be causing the symptoms.Mrs blaze a 68 years old female visit her primary care provider office she has not been feeling well. Mrs blaze tells the nurse that she has been experiencing regular episodes of shortness of breath and fatigue for the last 2 weeks she does not have fever or productive cough. Upon assessment the client states that she has been smoking one pack of cigarettes per day for the past 40 years. 1 explain the normal age related changes that are occurring in Mrs blaze respiratory system. 2. Explain the normal process of inspiration and expiration. 3. Describe the physiological process that is occurring when Mrs blaze becomes short of breath.
- Can you give at least 5-10 Nursing Interventions with Rationale about a Nursing Diagnosis of Impaired Comfort about a 79-year-old patient who has episodic shortness of breath?A 6 month-old male infant is admitted to the hospital with diagnosis of recurrent pneumonia. His vital signs on admission: respiratory rate = 50 /min; heart rate = 170 beats/min; temperature – 102˚ F. Substernal retractions are prominent. Lung auscultation: bilateral wheezes and rhonchi. Medical history: this is a third admission since birth for pneumonia. His mother also states that he hasn’t gain body weight like her older child had at 6 months of age. 4) What is the rationale behind the poor weight gain? 5)What counseling or family education should be provided to the Family about cystic fibrosis before the child goes home? 6) What genetic counseling should be provided?A 6 month-old male infant is admitted to the hospital with diagnosis of recurrent pneumonia. His vital signs on admission: respiratory rate = 50 /min; heart rate = 170 beats/min; temperature – 102˚ F. Substernal retractions are prominent. Lung auscultation: bilateral wheezes and rhonchi. Medical history: this is a third admission since birth for pneumonia. His mother also states that he hasn’t gain body weight like her older child had at 6 months of age. How is this case consistent with cystic fibrosis diagnosis? What tests could be ordered to confirm the diagnosis? What interventions could help to alleviate respiratory distress?
- Category: Physiological Adaptation The nurse is monitoring a 78-year-old male patient who has experienced a significant cerebrovascular accident resulting in extensive brain damage. During a comprehensive evaluation, the nurse observes the patient’s respiratory pattern and identifies a cycle of respirations that increase and decrease in depth and rate, culminating in periods where breathing temporarily ceases. This observation is most consistent with which of the following descriptions? A. Progressively deeper breaths followed by shallower breaths with apneic periods. B. Rapid, deep breathing with abrupt pauses between each breath. C. Rapid, deep breathing and irregular breathing without pauses. D. Shallow breathing with an increased respiratory rate.At 11 p.m., a patient is admitted to the Emergency Department (ED) with a respiratory rate of 44 breaths/minute and SaO2 85%. They are anxious with audible wheezes. The patient is immediately given nebulised Salbutamol follow by oxygen via face mask and Hydrocortisone intravenously (i.v) Explain the reason for intravenous (JV) Hydrocortisone. . Provide two (2) nursing interventions with rationales to improve airway clearance and/or improve breathing patternWhat would be the complete Nursing Diagnosis of Impaired Comfort to the given case scenario? Scenario: Patient X, a 79-year-old male and retired construction worker from Cebu, was taken to the hospitalon September 3 due to a two-week progression of episodic shortness of breath. The patient was in good health until two weeks ago, when he discovered he was having trouble catching his breath while walking. He was used to walking 3 kilometers without stopping, but now he was out of breath after only 100 meters. The patient's symptoms were worsening, and he had been complaining of shortness of breath while lying down for the past three days. He had always slept with one pillow, but now he needed two. In addition, the patient reported an 8 to 10 pound weight gain in the previous 6 weeks. He had pitting edema from the feet to the knees on both sides. The patient was diagnosed with Class III Heart Failure by the doctor. The patient had been referred to Hospital two years prior with a…
