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What are 3 interventions with rationale for a patient with impaired gas exchange, acute pain, and imbalanced nutrition due to lung cancer.
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- What are 3 interventions with rationale for a patient with imbalanced nutrition due to lung cancer.Case Study 1 You have a 52- year old male patient who comes in stating, “I feel like I can’t breathe.” Patients’ respirations are 28 breaths per minute and their heart rate is 115 beats per minute. The patient then grabs his chest and says, “My chest hurts so bad, please help!” You ask the patient to rate the pain on a scale from 0-10, 10 being the worst pain ever. The patient replies, “10, it hurts so badly!” You then ask the patient to describe what the pain feels like, the patient reports that his pain feels like pressure. Your patient then starts to become diaphoretic and pale. You take an EKG that shows Sinus Tachycardia. The pulse oximeter shows 100% on room air and the patients’ blood pressure is 120/80 mmHg. Identify the Objective and Subjective Data.Explain what assessment and monitoring needs to be attended for someone that has BiPAP and CPAP therapy insitu. Include a minimum of 4 points.
- tein X Case Studies.docx X + rl=https://wheatland.orbundsis.com/einstein-freshair/Videos/0216D9403D0ED43358766A676D8A4817/Case+Stuc TCentral | NBA... a Amazon.com: Onlin... (6) The Reason Why... Isaiah Blames Zora... Beyond The Lights... Case Study, Chapter 26, The Digestive System Mr. McArthur is hospitalized with pancreatitis and cholecystitis. Neither his gallbladdernor his pancreas are functioning normally at this time. The client is placed on a NPO (nothing by mouth) diet order, given intravenous fluids and pain medication. The nurse is aware that the pancreas has two functions: one being endocrine, secretion of hormones to assist with glucose control and the other being exocrine, aiding the digestive system. Mr. McArthur is scheduled for gallbladder removal in the morning to treat the cholecystitis. (Learning Objective 4) 1. The client asks what his gallbladder does. What is the nurse's best response? 2. The client also asks how the pancreas works to help with digestion. What…A nurse is caring for a preschooler on the pediatric unit. Exhibit 1 Provider Prescriptions Day 1, 2350: Admit for observation. Obtain vital signs every 4 hr and PRN. Administer oxygen 2 L/min via nasal cannula to maintain oxygen saturation above 95%. Initiate saline lock. Administer ceftriaxone 250 mg IV every 12 hr. Administer acetaminophen oral suspension 240 mg every 4 hr PRN for temperature greater than 38° C (100.4° F). Place on regular diet and encourage oral fluids of preschooler's choice. Monitor intake and output every 8 hr. Exhibit 2 Assessment Day 2, 0030: Preschooler lying on bed, awake and alert. Breath sounds with wheezing auscultated on expiration on the right side. Nonproductive cough with no retractions or nasal flaring observed. Abdomen soft and nondistended, bowel sounds active in all four quadrants. Preschooler reports headache and pain in abdomen. Rates pain in abdomen as a 2 on a 0 to 10 FACES pain scale. Exhibit 3 Vital Signs Day 2, 0030: Temperature 38.1°…Discuss the nursing interventions for a patient with sleep apnea.
- Concept Map which consists of: 1 nursing diagnosis 1 Goal 3 Nursing interventions with rationale evaluation Completed medication cards Mr. S.B. has been a smoker for 20 years. He has noticed increased shortness of breath (SOB) for the past week and is complaining of a productive cough with thick whitish phlegm. VSS 99.9F, 92HR, 32R, and 152/90. Pulse oximetry is 90% on room air. Medications: Prednisone 10mg orally dailyProventil MDI 180mcg. 2 puffs inhaled every 6 hoursThe Advanced Practice Nurse is instructing a patient on managing Asthma exacerbations at home. This instruction would include that first the patient would increase the beta 2 agonists frequency. The next action the patient would take is to: O A) Contact the provider B) Double inhaled corticosteroid dose C) Wait 24 hours for symptoms to improve D) Start montelukast (Singulair)Case Study 2Respiratory DrugsBrett is a 12 y/o boy with a history of asthma, diagnosed 2 years ago. He is an outgoing, active boy and participates in a swim club and soccer, but he has a difficult time adjusting to the limitations of his asthma. He has learned to control acute attacks by using albuterol (Proventil) metered-dose inhaler, and because his asthma is often triggered by exercise, he has been using a budesonide (Pulmicort) inhaler and taking montelukast (Singulair). After competing in his swim meet at the local indoor pool, Brett began experiencing respiratory distress. He alerted his coach, who retrieved the albuterol inhaler from Brett’s backpack. After two inhalations, Brett was still in distress and the rescue team was called.On admission to the emergency department, Brett is in obvious distress with pulse oximeter readings of 90% to 91%. He has nasal flaring and bilateral wheezing is heard in is his lung fields, pulse rate is 122 beats/min, and he is orthopneic.…
- Case Study # 2 A 50-year-old man has developed shortness of breath with exertion several weeks after experiencing a viral iliness. This is accompanied by swelling of the feet and ankles and some increasing fatigue. On physical examination he is found to be mildiy short of breath lying down, but feels better sitting upright. Pulse is 105 and regular, and blood pressure is 90/60 mm Hg. His lungs show crackles at both bases, and his jugular venous pressure is elevated. A third heart sound is present but no mumurs are heard on auscultation of the heart. The liver is enlarged, and there is 3+ edema of the ankles and feet. An echocardiogram shows a dilated, poorly contracting heart with a left ventricular ejection fraction of about 20%. Because of an abnormal ECG, he undergoes a coronary angiogram, which shows normal coronary arteries. The presumptive diagnosis is dilated cardiomyopathy secondary to a viral infection with stage C heart failure. He is placed on a low-sodium diet and treated…2. Case Study 2.1- Cardiorespiratory Exercise Prescription Yolanda L. is a 33-year-old, moderate-risk elient. She is overweight and sedentary but otherwise appears healthy. She states that she would like to become more fit, but she has trouble finding time in her schedule for exercise. Design a general exercise program for her to improve cardio respiratory fitness. Case Study 2.2- Exercise Prescription Using % HRmax Tawana R. is a 37-year-old woman who wishes to enter your aerobic dance class. She has already been screened and is in the low-risk category. During the class, you will be starting with a warm-up and gradually building to a fairly vigorous routine. You tell the class participants to check their HR frequently to see that they are working within the target zone. Using the % HRmax Method, what is Ms. R.'s upper and lower limits of the HR range? If you use a 10- second count in your class, what number of beåts should she be looking for?QUESTIONS: 1. Explain the role of dietary fat in atherosclerosis. 2. Define essential fatty acids and give examples.