solved. Question
Answered step-by-step
Asked by melongnelly87
Scenario
Mr Marshall, 68 years old male resident at fairfax virginia was brought at the hospital by his daughter. He presents with fever, headache, chills and mild cough. He was well until 3 days earlier, when he suffered the onset of a nasal stuffiness, mild sore throat, a cough productive of small amounts of clear sputum and diarrhea. He came in today because of an increase in temperature to 102 degree and spams of coughing that produce purulent secretions. He passed swallowing test. Chest radiography documents bilateral lower lobe infiltrates that are more pronounced on the right side. There are no pleural effusions.
Medical history: He has a history of chronic kidney disease, hypertension. He is allergic to codeine.
Vitals: His vitals were as follow : BP:118/68 , Temp :102 , HR: 18 breaths/min , Pulse ratev: 110 beats/ min0xygen sat : 93% room air , There is mild erythema of the mucosa of the nose. Ins piratory “rales” are heard at the right lungs.
ABGs = PH : 7. 20 , PCO2 : 52, BICARB : 35
LABS= HEMOGLOBIN : 12.4 , HEMATOCRIT: 37.3, PLATELET: 97, RBC: 39, BUN: 24.0, CREATININE: 1.3, CO2: 18, ALBUMIN: 2.5, GFR: 53.1
Patient is diagnosed with PNEUMONIA .
Plan: Incentive spirometer, Monitor vitals, admitted, thrombocypotenia
QUESTIONS:
1) List of possible problems can be actual risk or potential with supporting subjective or objective data for this patient
2) a- List a Nursing Diagnosis with supporting objective/subjective data
b- Goal with expected outcome should be (S specific, M measurable, A achievable, R reality based, T time oriented)Â
c- Nursing actions to meet goals and rationale for each nursing action
d- Evaluation of outcome
3) a- Educational diagnosis with objective and subjective data
b- Goal with expected outcome should be (S specific, M measurable, A achievable, R reality based, T time oriented)Â
c- Nursing actions to meet goals and rationale for each nursing action
d_ Evaluation of outcome
PLEASE NOTE THAT ALL THREE PARTS OF NURSING DIAGNOSIS MUST BE DISPLAYED SUCH ( PROBLEM …, RELATED TO…. AND AS EVIDENCED BY) YOU WILL NOT RECEIVE POINTS IF THEY ARE NOT CLEARLY LISTED. ALSO LIST THE RATIONALE AND EVALUATION FOR EACH NURSING ACTIONS. BE PRECISE AND CONSISE IN YOUR ANSWERS.
SCIENCE
HEALTH SCIENCE
NURSING
NURSE 240
