Sharon is a 68 year old woman presenting short of breath, pale and cyanosed and talking in short sentences while holding her chest. She is coughing most the time. Sharon has been diagnosed with pneumonia with SPO2 range of 93%, RR 28 and irregular and temp 38.4 degrees centigrade. How would a nursing intervention of patient positioning help Sharon and how does it relate to the underlying pathophysiology of her condition.
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- A 60-year old male patient, right-handed, single, tricycle driver is diagnosed with R CVD infarct, at day 5 post-ictus. On personal social history, the patient is living in a bungalo house with his 70-year old sister and her 20-year old son. Upon evaluation, the patient is awake, dysarthric, but manages to follow commands. The following are the pertinent physical examination findings: Shallow R nasolabial fold, fair gutturals, lingual, (+) gag reflexTone and reflex: hypotonic, hyporeflexive left upper and lower extremitiesMotor: MMT 0/5 left upper and lower extremities, 5/5 on right upper and lower extremitiesSensory: 50% deficit on left upper and lower extremitiesOther systemic physical examination findings were unremarkableFunctional assessment: moderately assisted in all ADLs The patient will be progressed from bed mobility skills to transitions to sitting. How will this be instructed?A 60-year old male patient, right-handed, single, tricycle driver is diagnosed with R CVD infarct, at day 5 post-ictus. On personal social history, the patient is living in a bungalo house with his 70-year old sister and her 20-year old son. Upon evaluation, the patient is awake, dysarthric, but manages to follow commands. The following are the pertinent physical examination findings: Shallow R nasolabial fold, fair gutturals, lingual, (+) gag reflexTone and reflex: hypotonic, hyporeflexive left upper and lower extremitiesMotor: MMT 0/5 left upper and lower extremities, 5/5 on right upper and lower extremitiesSensory: 50% deficit on left upper and lower extremitiesOther systemic physical examination findings were unremarkableFunctional assessment: moderately assisted in all ADLs The short-term goal for the patient is to be minimally assisted in bed mobility. What are two bed mobility activities to teach this patient to achieve this goal.The patient is a 45-year-old male admitted with cough, shortness of breath, congestion, and fever overnight which the physician diagnosed after looking at his x rays of left lower lobe pneumonia. His blood pressure is 132/70, his heart rate 110, respiratory rate 20 on 1L Nasal cannula his oxygen saturation is 94% and he has a temperature of 103.2 F. On assessment he is sweaty and complaining of being hot with no pain and no respiratory distress. The only medical history he has is appendectomy when he was 10 and eczema. He is a full code. He has an allergy to penicillin and gets a rash. As the nurse you are going through the physicians orders and see that he only has IV fluids of Normal Saline ordered at 70ml/hr that are currently infusing through a 20 gauge peripheral IV to the left antecubital, Ceftriaxone 2g IM once daily, and an PRN albuterol nebulizer treatment given by the respiratory therapist. As his nurse you have decided to call the physician based on his assessment and vital…
- What 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…A 62-year-old man is initially seen in the Emergency Room complaining of difficulty with speech and swallowing due to an enlarged tongue. Physical examination also reveals a large, sublingual hematoma. In addition, multiple ecchymoses of his skin are noted. He has no history of trauma nor has there been any pervious episodes of bleeding. Coagulation studies show: Platelet Count: 180,000/cumm PT: 12 sec APPT: 72 sec TCT or thrombin time: 10 sec Fibrinogen: 225% Additional laboratory studies reveal: (Mixing Studies) Normal plasma: 20% 50% 80% Patient plasma 80% 50% 20% Repeat APPT: 72 sec 70 sec 68 sec Questions: What additional Laboratory test to confirm the diagnosis? Give the relevance of the laboratory tests ordered to the case. Why it is necessary?A 62-year-old man is initially seen in the Emergency Room complaining of difficulty with speech and swallowing due to an enlarged tongue. Physical examination also reveals a large, sublingual hematoma. In addition, multiple ecchymoses of his skin are noted. He has no history of trauma nor has there been any pervious episodes of bleeding. Coagulation studies show: Platelet Count: 180,000/cumm PT: 12 sec APPT: 72 sec TCT or thrombin time: 10 sec Fibrinogen: 225% Additional laboratory studies reveal: (Mixing Studies) Normal plasma: 20% 50% 80% Patient plasma 80% 50% 20% Repeat APPT: 72 sec 70 sec 68 sec Question: What additional Laboratory test to confirm the diagnosis? Give the relevance of the laboratory tests ordered to the case. Why it is necessary?
- A 62-year-old man is initially seen in the Emergency Room complaining of difficulty with speech and swallowing due to an enlarged tongue. Physical examination also reveals a large, sublingual hematoma. In addition, multiple ecchymoses of his skin are noted. He has no history of trauma nor has there been any pervious episodes of bleeding. Coagulation studies show: Platelet Count: 180,000/cumm PT: 12 sec APPT: 72 sec TCT or thrombin time: 10 sec Fibrinogen: 225% Additional laboratory studies reveal: (Mixing Studies) Normal plasma: 20% 50% 80% Patient plasma 80% 50% 20% Repeat APPT: 72 sec 70 sec 68 sec Question: What additional Laboratory test to confirm the diagnosis? Give the relevance of the laboratory tests ordered to the case. Why it is necessary?The additional test is von willebrand test because it's specific for clotting factor 8. Why is it necessary?An old patient suffers from difficulty in evacuation process and lose of weights. During the diagnostic procedures, the physician examine his bowel sounds and identify the presence of mild ascites. He also noted the following symptoms and signs: Phlebitis, Aphthous ulcer, episcleritis and spider naevus. His total bilirubin is 1.5 mg/dl , albumin is 4 g/dl and prothrompine time is 3 sec. laboratory measured In addition, skip lesions between healthy areas diagnosed during the study of the inside of view of the entire colon. A) Calculate and explain the scoring for the Child-Pugh Grading with this case and identify his class. B) Identify the specific types of diseases he is suffering from and the physical examination that used in this case.A GIPO PU 32 weeks was brought to the ER because of severe headache and blurring of vision. BP was 170/110 mm Hg. Fundic height was 30 cms, FB on the left, FHT 157/min. There was also grade Il bipedal edema, edema of hands and face. The nurse should correctly identify that which of the following should be done first? Do immediate CS Load MgSO4 Give Hydralazine Administer Diazepam IV
- 6 Mr. Davis has a diagnosis of acute maxillary sinusitis. His licensed prescriber orders Biaxin 500 mg q 12 h × 10 days. How many tablets will the nurse administer per dose? Exp. Lot ⒸAbbott 03-2185-3/R5 0074336860 Store tablets at 15° to 30°C (59° to 86°F). SPECIMEN NDC 0074-3368-60 60 Tablets BIAXINⓇ FILMTABⓇ clarithromycin tablets 250 mg 2 Caution: Federal (U.S.A.) law prohibits dispensing without prescription. 6505-01-354-8582 Do not accept if seal over bottle opening is broken or missing. Dispense in a USP tight, light-resistant container. Each tablet contains: 250 mg clarithromycin. Usual Adult Dose: One or two tablets every twelve hours. See enclosure for full prescribing information. Filmtab-Film-sealed tablets, Abbott Abbott Laboratories North Chicago, IL60064, U.S.A.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.A 3-year-old boy, Jessie James is admitted at 0700hrs for elective adenotonsillectomy on the morning of surgery. Apart from chronic symptoms relating to enlarged tonsils and adenoids he is generally fit, well, alert and communicative. Medical history: He has had 2 previous anaesthetics at age of 2 and 3 years old for cautery of nose to treat epistaxis. His mother was instructed that Jessie be nil by mouth (NBM) from 12midnight, but he has had nothing since 1830hrs last night. He has had no pre-medication. On admission he is taken to the playroom where he plays Nintendo Wii with Captain Starlight. At 1045hrs Jessie’s mother returns him to his room. He is drowsy, confused, cold, clammy, and sweaty. He lies curled up with severe abdominal pain. His mother rings the call bell for the nurse.Q1. What would be your next nursing actions?