Write at least 3 nursing diagnosis and prioritize them. Check the attached case scenario. Patient X is a 41-year-old G2P0010 with no pre pregnancy medical problems. LMP was last August 2, 2021. She said that she experienced a bad headacheover the past week but considered it normal for a pregnant mother. She quantified the pain as bearable accompanied by blurring of vision which promptsher to take a rest every time. Patient was noted to have puffiness in the face, hands and reported edema of the feet at the end of the day. The nurserefers the patient for having seizure while being assessed at the ER. ISonogram reveals no fetal heart sounds.BP 170/90, RR 40, PR 110Urine analysis: 6+ protein

Nursing diagnosis is the component of nursing care that clinically judges the patient's condition.…

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Write at least 3 nursing diagnosis and prioritize them. Check the attached case scenario.

Comprehensive Medical Assisting: Administrative and Clinical Competencies (MindTap Course List)

6th Edition

ISBN:9781305964792

Author:Wilburta Q. Lindh, Carol D. Tamparo, Barbara M. Dahl, Julie Morris, Cindy Correa

Publisher:Wilburta Q. Lindh, Carol D. Tamparo, Barbara M. Dahl, Julie Morris, Cindy Correa

Chapter43: Specialty Laboratory Tests

Section: Chapter Questions

Problem 43.2CS

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Patient X, 47 years old was admitted last April 15, 2021. During admission the patient experiences dark brown to bright red vaginal blessing for the last 3 months, severe nausea and vomiting, pain on the pelvic area and notice some grapelike cyst pass on her vagina. She also mentioned feeling of dizziness and fatigue. Her admitting diagnosis is: - Gravida 7; Para 3 (6016) - Gestational Tromphoblastic NeoPlasia IV:16 High Risk - Hypertension Stage 2 Controlled -Status Post Exploratory Laparotomy for Total Abdominal Hysterectomy with bilateral salpingo-oophorectomy (10-18-20) Based on the following data, answer the following:1. As a nurse on duty, give at least two (2) priority nursing diagnoses based on the admitting diagnosis.
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One of the problems that Nurse Rain was able to identify is pre-eclampsia of Mrs., Cantos, 36 years old mother of 5 children. She is at 22 weeks A0G, with BP of 140/90. There is pedal edema and weighs 120 lbs. One of the family nursing problems that was identified was the inability to recognize the presence of possible complication in pregnancy due to lack of knowledge. One of the interventions was geared towards broadening the knowledge of the family on possible complications of pregnancy. What will be the more specific actions of the nurse for this? Choose all that apply. Discuss the implications of the signs and symptoms presented by Mrs. Cantos. Discuss with the family the causes of pre-eclampsia and risk factors of pre-eclampsia. Explore with the family the available courses of action open to them. Discuss the consequences of a possible consequence of pre-eclampsia
Ms. B was admitted at OBW - BRTTH last April 7, 2022 at 1:20 am, cervix 1 cm dilated. Her BP was 160/100 and her pain level of 0/10. IVF of D5LR 1Lwas inserted at the right hand, regulated at 20 gtts/min. Laboratories such as Complete Blood Count (CBC) with typing, Blood Urea Nitrogen (BUN), Hepatitis BSurface Antigen (HBsAg), Creatinine, Platelet count, and Urinalysis were done to the pregnant mother. The Admitting Diagnosis was Pre-eclampsia withsuperimposed chronic hypertension, and the final diagnosis was Pre-eclampsia with severe features. Monitoring of V/S and FHT q 4hrs was ordered and done. At9:45 pm, delivered to a baby boy with AS of 8, 9. Several hours after delivery, the mother was ordered to undergo laboratory tests. The findings are normal resultsin CBC with typing, platelet count, and creatinine. Non-reactive HBsAg and high levels of BUN and oliguria in urinalysis. Upon checking the mother, she exhibitededema around her hands. The V/S of the mother is BP: 140/90 mmHg, T:…
This patient is a 55-year-old male, known to me for several years. He is here, today, for his annual physical examination. Vitals are of concern, as he is showing an elevated blood pressure (152/92 mm Hg) and his weight is 50 pounds over where it should be. Patient complained that he has been feeling sluggish and fatigued more often than not. Patient stated that he has been taking his BP medication and believes that he sleeps well. However, the patient shares that his wife has been complaining recently about his loud snoring and told him that he appears to be breathing irregularly when asleep. I am recommending that he go through diagnostic testing for suspected obstructive sleep apnea (OSA). Why should you query this physician and what would you ask? A. Missing detail: Does the patient have OSA or not? B. Missing detail: Does the patient have OSA or not? C. Ambiguous information: Was the wife's assessment accurate? D. Contradictory information: Does the patient have elevated BP or…
Ms. B was admitted at OBW - BRTTH last April 7, 2022 at 1:20 am, cervix 1 cm dilated. Her BP was 160/100 and her pain level of 0/10. IVF of D5LR 1L was inserted at the right hand, regulated at 20 gtts/min. Laboratories such as Complete Blood Count (CBC) with typing, Blood Urea Nitrogen (BUN), Hepatitis B Surface Antigen (HBsAg), Creatinine, Platelet count, and Urinalysis were done to the pregnant mother. The Admitting Diagnosis was Pre-eclampsia with superimposed chronic hypertension, and the final diagnosis was Pre-eclampsia with severe features. Monitoring of V/S and FHT q 4hrs was ordered and done. At 9:45 pm, delivered to a baby boy with AS of 8, 9. Several hours after delivery, the mother was ordered to undergo laboratory tests. The findings are normal results in CBC with typing, platelet count, and creatinine. Non-reactive HBsAg and high levels of BUN and oliguria in urinalysis. Upon checking the mother, she exhibited has distended bladder and her uterus is still boggy. The V/S…
Ms. B was admitted at OBW - BRTTH last April 7, 2022 at 1:20 am, cervix 1 cm dilated. Her BP was 160/100 and her pain level of 0/10. IVF of D5LR 1L was inserted at the right hand, regulated at 20 gtts/min. Laboratories such as Complete Blood Count (CBC) with typing, Blood Urea Nitrogen (BUN), Hepatitis B Surface Antigen (HBsAg), Creatinine, Platelet count, and Urinalysis were done to the pregnant mother. The Admitting Diagnosis was Pre-eclampsia with superimposed chronic hypertension, and the final diagnosis was Pre-eclampsia with severe features. Monitoring of V/S and FHT q 4hrs was ordered and done. At 9:45 pm, delivered to a baby boy with AS of 8, 9. Several hours after delivery, the mother was ordered to undergo laboratory tests. The findings are normal results in CBC with typing, platelet count, and creatinine. Non-reactive HBsAg and high levels of BUN and oliguria in urinalysis. Upon checking the mother, she exhibited edema around her hands, has severe dehydration, decreased…
Ms. B was admitted at OBW - BRTTH last April 7, 2022 at 1:20 am, cervix 1 cm dilated. Her BP was 160/100 and her pain level of 0/10. IVF of D5LR 1L was inserted at the right hand, regulated at 20 gtts/min. Laboratories such as Complete Blood Count (CBC) with typing, Blood Urea Nitrogen (BUN), Hepatitis B Surface Antigen (HBsAg), Creatinine, Platelet count, and Urinalysis were done to the pregnant mother. The Admitting Diagnosis was Pre-eclampsia with superimposed chronic hypertension, and the final diagnosis was Pre-eclampsia with severe features. Monitoring of V/S and FHT q 4hrs was ordered and done. At 9:45 pm, delivered to a baby boy with AS of 8, 9. Several hours after delivery, the mother was ordered to undergo laboratory tests. The findings are normal results in CBC with typing, platelet count, and creatinine. Non-reactive HBsAg and high levels of BUN and oliguria in urinalysis. Upon checking the mother, she exhibited has severe dehydration, decreased urine output, and her uterus…
A 32-year-old woman was referred to a teaching hospital with a blood pressure of 220/120 mm Hg. Her hypertension appeared during a pregnancy, 6 years previously, and over the years has been treated with a variety of antihypertensive drugs. Blood pressure was equal in all 4 extremities, and bilateral abdominal bruits were noted on physical examination. Fundoscopy showed A/V nicking, extensive hemorrhages and exudates. Her serum & urine laboratory values were within normal limits except her serum K+ 3.3 mEq/L (4). A renal arteriogram revealed bilateral fibromuscular dysplasia, with evidence of high-grade obstruction on the left side. • What is the most probable diagnosis and what are the most probable causes for the disease?
Mr. Henry is a 50-year-old male who presents to the office for headaches. he has a known history of sinus infections when the seasons change, high blood pressure and depression. his medications include Lopressor 50mg, daily and Claritin 10mg daily. he has a family history significant for aneurysms and depression. His vitals are BP 196/86 right arm seated, HR 87 regular, RR 13, Temp 98 oral. What is a NANDA approved diagnosis you could give her?
Mr. Reddy is a 62 yo presenting to ED at 1500hrs. He was preparing the gas cylinder for a Sunday BBQ when it suddenly exploded while he was trying to connect the hose. Family standing by tried to extinguish the fire with their hands and tried to remove his clothing. Burns 30% TBSA – Face, hands, bilateral lower limbs. Complaints of severe pain and burning 10/10. Past Medical History: Hypertension, Type II DM Regular medications – Candesartan 8mg, Glimepiride 4mg, Metformin 500mg and Pravastatin 20mg. Fully vaccinated against COVID. Airway. - Patent, superficial burns to right side of face Breathing. - Spontaneous, RR-22mt, SPO2-92% RA, air-entry equal Circulation- Lower limb odema, cap refill 3 seconds, bilateral dorsal pedis pulses weak. BP- 88/50 mmHg, HR- 127/mt, sinus tachycardia, Disability - GCS-15 E4V5M6, PEARL- 3mm, Exposure - Temperature 35.9 deg Celsius. Full thickness burns to right lower limb and right arm, partial thickness burns to left lower limb, bilateral hands.…
Patient A has 8 weeks pregnant in the date of April 3, 2021. When was the date she conceived the baby?