Nursing Management List ALL the nursing problems identified in this patient pre-operative (pre-op care plans) - State the nursing diagnosis formulated to address this problem - What was your desired outcomes for your patient (Short term and long term goals)
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Questions
Nursing Management
List ALL the nursing problems identified in this patient pre-operative (pre-op care plans)
- State the nursing diagnosis formulated to address this problem
- What was your desired outcomes for your patient (Short term and long term goals)
- What nursing measures can be done to meet your desired outcomes/ alleviate this problem.
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- COLLEGE NURSING National Management Office 0es Highland Parkway, Dewnes Greve, IL SIS I SSN 556K6I chamberfain.edu Please viit chamiherlain.edulocations for baton spectie adideess, plee ant fax infirmation NR 302 Analysis of Vital Signs Name, Date Directions: Have the students work in pairs or small groups and provide rationales of why the vital signs are out of range. Jesus Garcia, a 28-year-old Hispanic male, admitted to the medical unit with a diagnosis of dehydration. Mr. Garcia has ulcerative colitis. He reports 8-10 liquid bowel movements a day, decreased appetite, and vomiting twice today. He reports abdominal pain a five on a scale of 0-10. His most recent vital signs are BP 106/56, HR 105, RR 20, and Temperature 98.6 F. Which vital signs are out of range, and why? Vital Sign Rationale Blood pressure Heart Rate Respiratory Rate Temperature Pain Carl Rogers is a 67-year-old African American male with a 20-year history of type Il diabetes mellitus. He was admitted to the medical…CS_Chapter 34.docx nd.orbundsis.com/einstein-freshair/Videos/D671260A4C0A005E4832B3E307A98B64/CS_Chapter_3- (6) The Reason Why... om: Onlin... + Beyond The Lights... Isaiah Blames Zora... Watch Mar ase Study, Chapter 34,Nursing Assessment 1. Mr. Simms has been admitted to your unit complaining of chest pain. You introduce yourself to Mr. Sims and begin the nursing assessment. How will you explain the significance of the nursing assessment to Mr. Simms? (Learning Objectives 1, 2) 2. The following information is data collected from Mr. Simms. Label each piece of data collected with an (s) for subjective data or an (o) for objective data. Mr. Simms is a 65-year-old male presenting with "crushing chest pain radiating down the left arm to the fourth and fifth fingers." Temperature 99.0°F Pulse80 Respirations 16 Blood pressure 190/98 Oxygen saturation 96% 3. List three ways you will collect data from Mr. Simms. Complaints of nausea and dyspnea. Skin moist and pale. Oriented to person, place,…Patient John lives at home with his child Sam. John has a history of Alzheimer’s Disease, NIDDM, AF, GORD, CCF, mild depression, and previous hernia and AAA repair and one week ago was diagnosed with advanced CA of the liver and metastases in the pancreas, lungs, and brain. Two weeks ago, John was bought into ED by his daughter with a history of new confusion, fevers, and rash, refusing diet and fluids for the previous two days and was jaundiced in colour. Jo deteriorated with sepsis. He experienced a cardiac arrest in ED. Following resuscitation, John was transferred to intensive care. He underwent further investigations and was diagnosed with advanced CA of the liver with metastases in the pancreas, lungs, and brain. John’s family then requested no further active treatment and asked that he be discharged home with support from the community nurses. Find 2 nursing problems with high priority for John and For the nursing problem of highest importance: Establish a minimum 3 goals for…
- 12 13 14 15 CASE STUDIES FOR MANAGEMENT OF MED-SURG PATIENTS. Case 1 Doris Lochan, is a 54-year-old female admitted to the Accident & Emergency Department at the San Fernando General Hospital on Thursday January 30th, 2021 at 5am. On arrival to the Accident and Emergency department in the San Fermando General Hospital, she was alert and oriented to time, person, and place, she was in distress due to severe pain, she complained of fever, nausea and vomiting, abdominal pain 8 out of 10 on pain scale, protruding hernia, constipation. Patient vital signs Temp 38.8 Celsius Pulse 136 bpm Respiration 22bpm Blood Pressure 160/102 mmHg Blood Sugar 306 mg/dl Spo2 97 % Urinalysis Blood + Glucose ++ Patient was examined by Dr. R who found that her bowel sounds were normoactive on auscultation, abdomen was generally soft, but a firm, focally tender mass was noted in the left lower quadrant. Local examination revealed a 4 cm mass palpable in the navel region. Plan ordered as follows: 1.Abdominal…Case #2Mr. H is a 52-year-old male who presents to the emergency department. His left leg is in a cast, and he states that 1 week ago he was in an automobile crash and broke his upper leg. Since that time he has had difficulty “getting around” and has mostly been lying on the couch watching television. On the evening of admission he noticed a sudden onset of dyspnea and chest pain. He denies having orthopnea, cough, hemoptysis, or wheezing. He smoked two packs of cigarettes a day for 19 years, but quit 3 years ago. Mr. H suggests hypoxemia and respiratory alkalosis which might be an indication of serious illness such as pulmonary embolism. Part 1: His arterial-venous oxygen content (Ca-vO2) difference is 5.73 mL/dL Part 2: His extraction ratio (ER) 0.276 or 27.6% What is clinically happening to the patient? Please explain.Case #2Mr. H is a 52-year-old male who presents to the emergency department. His left leg is in a cast, and he states that 1 week ago he was in an automobile crash and broke his upper leg. Since that time he has had difficulty “getting around” and has mostly been lying on the couch watching television. On the evening of admission he noticed a sudden onset of dyspnea and chest pain. He denies having orthopnea, cough,hemoptysis, or wheezing. He smoked two packs of cigarettes a day for 19 years, but quit 3 years ago.Blood work values on room air:Blood Gas Blood Gas Arterial Venous pH 7.51 7.40 PaCO2 30 mmHg 45 mmHg PaO2 60 mmHg 30 mmHg HCO3 24 mEq/l 21 mEq/l BE - 1 - 4 SaO2 90% 60% Hb 15 g/dl 15 g/dl Part 1: Interpret the ABGPart 2: What is the arterial- venous oxygen content (Ca-vO2) difference for this patient?
- Provide the appropriate nursing interventions based on the signs and symptoms presented SIGNS and SYMPTOMS NURSING INTERVENTIONS 1. Baby Rina 9 months old is hot to touch with temperature of 38.2C. 2. Lola Remedios complaints of difficulty of breathing. 3. Mrs. Gravida just gave birth to baby Nicolai. With foley catheter and has not taken a bath. 4. Lolo Carding complaints of muscle stiffness of the fingers and knees.Patient is a 70 year old male with Parkinson’s disease, depression, HTN, and insomnia. He fell at hometwo weeks ago fracturing his forearm and bumping his head. He states that he was going into the kitchento make breakfast and his slipper caught the corner of the floor rug. He has no known drug allergies.Allergies NKDA Current MedicationsLevodopa/Carbidopa (Sinemet®) 25/250mg po TIDFluoxetine (Prozac®) 20mg po daily at bedtime (started 2 weeks ago)Amlodipine 5mg PO once dailyKetorolac (Toradol®) 10mg po every 6 hours prn arm pain x last two weeksDiazepam (Valium) 10mg po at bedtime for sleepPMH Parkinson’s DiseaseDepressionHTNInsomnia1. Discuss possible reasons this patient fell.2. List common side effects of Levodopa/Carbidopa3. He states that he doesn’t think his antidepressant is working. How will you address his concern?4. Which of his medications might be causing the insomnia? How could this be addressed?5. List some general education points regarding sleep hygiene.6. Do you have…Patient is a 70 year old male with Parkinson’s disease, depression, HTN, and insomnia. He fell at hometwo weeks ago fracturing his forearm and bumping his head. He states that he was going into the kitchento make breakfast and his slipper caught the corner of the floor rug. He has no known drug allergies.Allergies NKDA Current MedicationsLevodopa/Carbidopa (Sinemet®) 25/250mg po TIDFluoxetine (Prozac®) 20mg po daily at bedtime (started 2 weeks ago)Amlodipine 5mg PO once dailyKetorolac (Toradol®) 10mg po every 6 hours prn arm pain x last two weeksDiazepam (Valium) 10mg po at bedtime for sleepPMH Parkinson’s DiseaseDepressionHTNInsomniaWhich of his medications might be causing the insomnia? How could this be addressed?
- Patient is a 70 year old male with Parkinson’s disease, depression, HTN, and insomnia. He fell at hometwo weeks ago fracturing his forearm and bumping his head. He states that he was going into the kitchento make breakfast and his slipper caught the corner of the floor rug. He has no known drug allergies.Allergies NKDA Current MedicationsLevodopa/Carbidopa (Sinemet®) 25/250mg po TIDFluoxetine (Prozac®) 20mg po daily at bedtime (started 2 weeks ago)Amlodipine 5mg PO once dailyKetorolac (Toradol®) 10mg po every 6 hours prn arm pain x last two weeksDiazepam (Valium) 10mg po at bedtime for sleepPMH Parkinson’s DiseaseDepressionHTNInsomnia 1. His wife tells you that he has started having hallucinations. Which medication might be causing this?Discuss why this happens.Patient is a 70 year old male with Parkinson’s disease, depression, HTN, and insomnia. He fell at hometwo weeks ago fracturing his forearm and bumping his head. He states that he was going into the kitchento make breakfast and his slipper caught the corner of the floor rug. He has no known drug allergies.Allergies NKDA Current MedicationsLevodopa/Carbidopa (Sinemet®) 25/250mg po TIDFluoxetine (Prozac®) 20mg po daily at bedtime (started 2 weeks ago)Amlodipine 5mg PO once dailyKetorolac (Toradol®) 10mg po every 6 hours prn arm pain x last two weeksDiazepam (Valium) 10mg po at bedtime for sleepPMH Parkinson’s DiseaseDepressionHTNInsomnia 5. List some general education points regarding sleep hygienePatient is a 70 year old male with Parkinson’s disease, depression, HTN, and insomnia. He fell at hometwo weeks ago fracturing his forearm and bumping his head. He states that he was going into the kitchento make breakfast and his slipper caught the corner of the floor rug. He has no known drug allergies.Allergies NKDA Current MedicationsLevodopa/Carbidopa (Sinemet®) 25/250mg po TIDFluoxetine (Prozac®) 20mg po daily at bedtime (started 2 weeks ago)Amlodipine 5mg PO once dailyKetorolac (Toradol®) 10mg po every 6 hours prn arm pain x last two weeksDiazepam (Valium) 10mg po at bedtime for sleepPMH Parkinson’s DiseaseDepressionHTNInsomnia Do you have any concerns about his pain medication?