SOLVED1189
Assessment database: Need for safety LOC: Consciousness in normal range Orientation: The patient knows who he is, where he is, and the time. Siderails: Down Call bell: In patient reach at all times, the patient doesn’t use the call bell; patient checks on regularly. Allergies: NSAIDS, SERTRA, Quetiapine, IV dye Immune status: COPD, Acute Pulmonary Embolus Teaching: Educate on condition, medication, CT scan, and safety precautions. Other factors affecting safety. (anxiety, depression, pain…) The patient has pain, depression, and anxiety. Subjective Data: • Patients report cough and sputum that had been progressively worse for over a week. • Patients’ allergies • Patients express anxiety and depression. • Patient lives at home with family. Objective Data: • Patients past medical history • Patient walks with a cane • Patient is oriented. • Diagnosis- COPD and Acute Pulmonary Embolus • Patient is 71 years old Please provide: Nursing Diagnosis (Short and long term goals), Expected Outcome, Nursing interventions (3 examples), Rationale, Evaluation
SCIENCE
HEALTH SCIENCE
NURSING
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