From the data provided, formulate a nursing diagnosis and a nursing care plan (by using A-ssessment, D-iagnosis, P-lanning/Goal, I-ntervention with Rationale, E-valuation) to be implemented in the emergency room for this client. This is a case of a 65 year old female with a 10 year history of hypertension and diabetes. Sheis taking Micardis 40 mg in the morning and Amlodipine 5 mg at night for hypertension. Fordiabetes she is being given Janumet 100mg/1g 2x a day and Gliclazide 60 mg OD beforebreakfast. The daughter reported poor compliance with medications.The patient was brought to the emergency room due to difficult of breathing. Condition started2 days PTA when the patient had easy fatigability going to the comfort room. She startedtaking all her medications again but she did not seek consult. Symptom persisted until shewould have difficulty of breathing when getting out of bed.In the emergency room BP 180/100 HR 110/min RR 35/min 02 sat 93%, Temp 36.8, patient ispale, diaphoretic and in severe respiratory distress. (+) edema up to the knees area, (+)crackles from lower to mid portion of the lungs.In the emergency room, the client was given 02 per canula at 4-5lpm. IVF was initiated. Thedoctor ordered for Furosemide 40 mg IV stat. CXR was done in the emergency room showingpulmonary edema and heart enlargement

The nursing process helps the nurse to provide the need based care. The main steps of the nursing…

From the data provided, formulate a nursing diagnosis and a nursing care plan (by using A-ssessment, D-iagnosis, P-lanning/Goal, I-ntervention with Rationale, E-valuation) to be implemented in the emergency room for this client.

From the data provided, formulate a nursing diagnosis and a nursing care plan (by using A-ssessment, D-iagnosis, P-lanning/Goal, I-ntervention with Rationale, E-valuation) to be implemented in the emergency room for this client.

An Illustrated Guide To Vet Med Term

4th Edition

ISBN:9781305465763

Author:ROMICH

Publisher:ROMICH

Chapter13: Nerves Of Steel

Section: Chapter Questions

Problem 1.1CS

See similar textbooks

Related questions

Q: Select all that apply. Which of the following is an example of potential red flag(s) on a controlled…

A: A Controlled substances is drug or chemical whose or chemical whose possession , manufacture and use…

Q: How can a nurse entrepreneur benefit from having a good attitude

A: Hundred of nurse entrepreneur used their skills and knowledge to start the business. A nurse…

Q: What is the preferrable method to be used with a diabtes patient, syringe method or evacuated system…

A: Diabetes is an endocrine disorder which leads inappropriate or high level of blood sugar due to…

Q: What were the independent, dependent, and controlled variables in this investigation? What type of…

A: In this research setup, there are various food samples and their weight according to the temperature…

Q: Task 3. Compare the combined drugs containing local anesthetic substances. Pharmacological Trade…

A: Local anesthesia also known as a local anesthetic, is a one-time injection drug that numbs the small…

Q: Typed answer required, question is related to the management Explain the steps in designing a…

A: A training program is an activity including the undertaking of a series or one of the courses for…

Q: Do you AGREE or NOT in this medication? PLEASE EXPLAIN YOUR ANSWER. 1. palliative sedation 2. stem…

A: Palliative care is medical specialty care provided for people suffering from a serious and complex…

Q: What suggestions can be offered to bridge the gap in the disparities in the Ambulatory setting.

A: Ambulatory care means the health care services provided in an outpatient settings. Ambulatory…

Q: A woman with normal blood clotting mates with a man who has hemophilia. Their first child is a boy…

A: A nurse's knowledge of pathophysiology and causal factors of an illness is crucial. Only the…

Q: laborate about the differences between heme and hemoglobin, and between ferritin and transferrin?

A: Anaemia is the result of iron loss, which may be a progressive process. As a result, hemoglobin…

Q: 19

A: The term doula is derived from a greek word which means helper or maid servant. A doula is not…

Q: Nursing Diagnosis is Risk for bleeding related to esophageal varices as evidenced by prolonged…

A: Esophageal varices are abnormal, enlarged veins in the esophagus that leak blood and eventually…

Q: WHAT IS THE PRIMARY HALLMARK OF SEDATIVE-HYPNOTIC TOXIDROME?

A: Ans. Toxidrome describes a group of signs and symptoms or characteristic effects related with…

Q: as a medical technologist what is your standpoint in use of uncrossmatched erythrocytes in emergency…

A: Uncrossedmatched erythrocytes serve as a lifeline between a bleeding patient with an unidentified…

Q: 1. Discuss the procedures of how to clean the stoma of the patient. 2. Create a table to help other…

A: A surgical technique that establishes a route (stoma) from an inner organ to the outside is known as…

Q: D. Which of the following is not a method for reducing hematoma rmation? * A. Remove tourniquet…

A: Hematoma is a condition, in which a pool of blot clot formed in the tissue, organ, or body space due…

Q: st the six major classes

A: For survival, growth, maintenance, reproduction, production of energy, and repair, the body requires…

Q: Case Study: Jason is a 52-year-old Asian American male visiting his doctor for a routine exam. He…

A: Cardiovascular disorder are the common among the old age or near to geriatrics. These disorders are…

Q: The nurse is assessing an 80-year-old patient. Which of these findings would be expected from this…

A: Ageing is a natural process and takes place in everyone's life according to their time. Ageing can…

Q: 9. A physican orders a 90-day supply of Protonix (pantoprazole) 20 mg tablets with the following sig…

A: Drug Calculation is an essential aspect of medication administration that is carried out by nurses.…

Q: Judith cuts her finger whilst cutting some of the vegetables for the meal. You assess the cut and…

A: Blood spill is the spillage of blood that occur inside or outside the environment which needs…

Q: How is a person tested for HIV and what are the tests called that are used in the labaortory?

A: Immune system is defined as the complex network of cells, tissues, organs and other substances that…

Q: False False Pre-Analytical Variables Tests Affected Rationalization Increase Decrease One of the…

A: Fasting -: Test affected- HDL, LDL, LFT, RFT. Fasting is generally false increase.…

Q: based from the topic, kindly lists the a.) risks, benefits and safety b.) privacy and…

A: Dysmenorrhea is pain during menstruation caused by the contractions of the uterus. It is seen in a…

Q: 1. Which is not a diadetic ketoacidosis symptom? lect one: nypoglycemia Stomach pain

A: Diabetic ketoacidosis (DKA) is a dangerous and life-threatening condition that affects persons…

Q: Give a brief note on Thalamic and Hypothalamic hormones ? Answer should include all pharmacological…

A: The hypothalamus and pituitary gland generate hormones that regulate metabolism, growth, and…

Q: What are the basic skills you need to develop to be able to document your patient's information…

A: **Nursing information system is part of health information system which beforehand known as medical…

Q: Write construct the Facility design for Sterile product manufacturing? Write by your own sentences…

A: Sterile product is a medication or nourishing substance that is free from living microbes and is…

Q: Answer the question about Glipizide drug. Contraindications, Precautions and Counselling points of…

A: GLIPIZIDE- Glipizide is an oral diabetic medication that helps our pancreas produce insulin, which…

Q: 101. Which of the following tests would become rejected if the collected samples clotted? * А. СВС…

A: The correct answer explain next step

Q: Which serotonin agents is NOT acting via interaction with membrane serotonin receptors? a)…

A: Serotonin is a monoamine neurotransmitter that the nerve cells produce. 5-hydroxytryptamine is…

Q: Chapter 11 4. Which is an accurate statement about a preschool girl who has a diagnosed milk-protein…

A: Ans. Answer correct with reason.

Q: How does the Joint Commission’s NPSG #2 “Improve the Effectiveness of Communication Among…

A: Communication is a process of exchanging the information, ideas, thoughts. The main components of…

Q: How to solve this one? Calculate the daily rate of maintenance fluids and the IV hourly flow rate…

A: Maintanace fluids are the fluid therapy that is aimed to provide and preserve the normal water and…

Q: A client is experiencing an asthma attack. Which prescription should the nurse administer first? A.…

A: Asthma is a lung disease ,which is most common long -term diseases of children .Asthma causes…

Q: What are some of the possible causes of unintentional injuries? How can you avoid accidentally…

A: Unintentional injury Unintentional injuries are events that happen which are not deliberate or done…

Q: Why are age-related stereotypes important in thecontext of health care?

A: Introduction- Aging has individualized effect and very hard to understand from the perspective of…

Q: What is the Effect of Breathing Depth and Frequency on Alveolar Ventilation?

A: We know that The flow of gas between the alveoli and the exterior setting is known as alveolar…

Q: 07

A: Nursing is the profession of healthcare that delivers care to the patient in order to cure them and…

Q: 7. A report issued in 2009 by the NCRP (No. 160) indicates that CT exams (x-ray computed tomography)…

A: Answer- Option B This is because the medical procedures like CT exam is equivalent to adult…

Q: Case Study: The following 5 questions correspond with the case study described below. Jason is a…

A: Obesity and stress are the leading cause for multiple diseases and disorder .It ca lead to…

Q: The tonsils are abnormally larger in children than in adults trur or false

A: Human immune system consist of organs and glands which help us fight against pathogens which try to…

Q: How would can you reduce financial risk for health providers?

A: Financial risk is the prospect of losing money on an expenditure or business progress. Some more…

Q: diadetic ketoacidosis

A: Diabetic ketoacidosis which is also known as DKA is a life threatening complication associated with…

Q: The most important relationship in the health care system is the relationship between the which…

A: Physicians are the professionals who have a medical practicing degree and they play an important and…

Q: As the older adult transitions across care settings, the nurse understands that to ensure safety one…

A: (a) Communication skills:- Good communication skills in a nurse helps to develop a good…

Q: Write a seminar on meningitis. It contains all of the following: 1-diagnostics evaluation…

A: Meningitis is an inflammation of the meninges caused by Neisseria Meningitides which are the most…

Q: Solutions/ recommendations for leadership and governance critical challenges in african health care…

A: Leadership and governance in health care system involves ensuring that strategic policy frameworks…

Q: Explain why the underproduction of albumin by a cirrhotic liver contributes to excessive filtration,…

A: What is ascites? Theabnormal build-up of fluid in the abdomen is known as ascites. It is more…

Q: Differentiate between Pregnancy Induce hypertension, mild pre-eclampsia, severe preeclampsia and…

A: During pregnancy, high blood pressure can appear in a variety of forms. *Chronic Hypertension– Women…

Question

100%

From the data provided, formulate a nursing diagnosis and a nursing care plan (by using A-ssessment, D-iagnosis, P-lanning/Goal, I-ntervention with Rationale, E-valuation) to be implemented in the emergency room for this client.

This is a case of a 65 year old female with a 10 year history of hypertension and diabetes. She
is taking Micardis 40 mg in the morning and Amlodipine 5 mg at night for hypertension. For
diabetes she is being given Janumet 100mg/1g 2x a day and Gliclazide 60 mg OD before
breakfast. The daughter reported poor compliance with medications.
The patient was brought to the emergency room due to difficult of breathing. Condition started
2 days PTA when the patient had easy fatigability going to the comfort room. She started
taking all her medications again but she did not seek consult. Symptom persisted until she
would have difficulty of breathing when getting out of bed.
In the emergency room BP 180/100 HR 110/min RR 35/min 02 sat 93%, Temp 36.8, patient is
pale, diaphoretic and in severe respiratory distress. (+) edema up to the knees area, (+)
crackles from lower to mid portion of the lungs.
In the emergency room, the client was given 02 per canula at 4-5lpm. IVF was initiated. The
doctor ordered for Furosemide 40 mg IV stat. CXR was done in the emergency room showing
pulmonary edema and heart enlargement

Expert Solution

This question has been solved!

Explore an expertly crafted, step-by-step solution for a thorough understanding of key concepts.

SEE SOLUTION Check out a sample Q&A here

Step 1

VIEW

Step 2

VIEW

Step by step

Solved in 2 steps

SEE SOLUTION Check out a sample Q&A here

Similar questions

This is a case of a 65 year old female with a 10 year history of hypertension and diabetes. She is taking Micardis 40 mg in the morning and Amlodipine 5 mg at night for hypertension. For diabetes she is being given Janumet 100 mg/1g 2x a day and Gliclazide 60 mg OD before breakfast. The daughter reported poor compliance with medications. The patient was brought to the emergency room due to difficulty breathing. Condition started 2 days PTA when the patient had easy fatigability going to the comfort room. She started taking all her medications again but she did not seek consultation. Symptoms persisted until she would have difficulty breathing when getting out of bed. In the emergency room BP 180/100 HR 110/min RR 35/min O2 sat 93%, Temp 36.8, patient is pale, diaphoretic and in severe respiratory distress. (+) edema up to the knees area, (+) crackles from lower to mid portion of the lungs. In the emergency room, the client was given O2 per cannula at 4-5lpm. IVF was initiated. The…
This is a case of a 65 year old female with a 10 year history of hypertension and diabetes. She is taking Micardis 40 mg in the morning and Amlodipine 5 mg at night for hypertension. For diabetes she is being given Janumet 100mg/1g 2x a day and Gliclazide 60 mg OD before breakfast. The daughter reported poor compliance with medications. The patient was brought to the emergency room due to difficult of breathing. Condition started 2 days PTA when the patient had easy fatigability going to the comfort room. She started taking all her medications again but she did not seek consult. Symptom persisted until she would have difficulty of breathing when getting out of bed. In the emergency room BP 180/100 HR 110/min RR 35/min O2 sat 93%, Temp 36.8, patient is pale, diaphoretic and in severe respiratory distress. (+) edema up to the knees area, (+) crackles from lower to mid portion of the lungs. In the emergency room, the client was given O2 per canula at 4-5lpm. IVF was initiated. The doctor…
Patient is a 55 year old female with a diagnosis of diabetes. She was diagnosed when she was 50 aftershe changed jobs and became more sedentary and which also resulted in a poor diet. She currentlyoverweight with a BMI of 32.Allergies NKDACurrent MedicationsMetformin 1000 mg BIDLisinopril 10 mg once dailyPMH Propranolol 10 mg TIDDMHTN1. What concerns do you have with the propranolol?
Patient is a 55 year old female with a diagnosis of diabetes. She was diagnosed when she was 50 aftershe changed jobs and became more sedentary and which also resulted in a poor diet. She currentlyoverweight with a BMI of 32.Allergies NKDACurrent MedicationsMetformin 1000 mg BIDLisinopril 10 mg once dailyPMH Propranolol 10 mg TIDDMHTNList the long term complications of DM
the medication dexamethasone is ordered at 4 mg IV Patient: 25 kg; 6 years oldit is supplied: 4 mg/ml injectionsafety issues dictate 0.09 to 0.3 mg/kg/day, divided Q6-12H; give undiluted over 30 secondsor less is safe the medication azithromycin 300 mg is ordered as one dosethe Patient: 30 kg; 10-year-oldit is supplied as 100 mg/5mL oral suspensioncurrent safety documents indicate it is safe for individuals 2 to 15 years, 10 mg/kg (not more than 500 mg/dose) on day 1
A child who weighs 25 kg is prescribed gentamicin 40 mg IVPB twice per day over 20 minutes. The volume of the medication to be administered is 4 mL. The amount of diluent to be added is 16 mL. The rate of administration is __ mL/hr?
A 6 YO child weighting 50lb is diagnosed with bacterial sinusitis and is prescribed azithromycin 10mg/kg PO once daily for 3 days. Azithromycin oral suspension is availalbe in 15, 22.5 and 30ml bottles containing 200mg/5mL. How many mL will you administer?
The physician assistant orders Augmentin oral suspension 75 mg po every 8 hours. The child weighs 17 lbs 6 oz. The safe dose is 20-40mg/kg/day. The available dose is 125mg/5mL. if safe, how many mLs will you give?