Patient DataHistory and Physical Nurses' Notes Flow SheetImaging Studies不0730The nurse assumes care for a 77-year-old female client who was admitted to themedical-surgical unit from the emergency department (ED). The client'sadmitting diagnosis is pneumonia. The client has a productive cough with greenphlegm. Dyspnea and bilateral diminished breath sounds are noted. Clientreports shortness of breath and chills. Client is agitated but oriented to person,time, place, and situation. Administered acetaminophen prescribed fortemperature greater than 101° F. Radiology report received. Notified healthcareprovider regarding client status and radiology report.0800Reassessed vital signs and increased oxygenation.Vital signs: temperature 102.2° F (39° C), pulse 82 beats/minute and regular,respirations 28 breaths/minute and labored, BP 138/88 mmHg, oxygen saturation91% on 3 L oxygen via nasal cannula.The nurse reviews the nurses' notes, history and physical, and flow sheet to develop the plan of care.For each nursing action, click to specify the findings that support the action as appropriate for the care of this client.Each nursing action may be supported by more than one finding to support the nursing action. Each category musthave at least one response option selected.Nursing ActionPosition client with head of bedelevated 30 to 45 degrees.Administer supplementaloxygen as prescribed.Educate client regarding risksfor recurring respiratoryinfections and oxygenationissues.Findings That Support Nursing ActionTemperature 102.2 °F (39 °C)Bilateral diminished breath soundsOxygen saturation 91% on 3 L oxygen via nasal cannulaRespiratory rate 28 with labored respirationsRadiology reportShortness of breathPulse 84 and regularOxygen saturation of 95% on 4 L oxygen via nasal cannula77 years of ageHistory of asthmaKChange in respiratory rate from 28 to 24 breaths per minuteClient statement that she smokes half a pack of cigarettes per day

Pneumonia is an infection that inflames one or both of the lungs. It can be caused by bacteria,…

History and Physical Nurses' Notes Flow Sheet Imaging Studies 0730 The nurse assumes care for a 77-year-old female client who was admitted to the medical-surgical unit from the emergency department (ED). The client's admitting diagnosis is pneumonia. The client has a productive cough with green phlegm. Dyspnea and bilateral diminished breath sounds are noted. Client reports shortness of breath and chills. Client is agitated but oriented to person, time, place, and situation. Administered acetaminophen prescribed for temperature greater than 101° F. Radiology report received. Notified healthcare provider regarding client status and radiology report. Vital signs: temperature 102.2° F (39° C), pulse 82 beats/minute and regular, respirations 28 breaths/minute and labored, BP 138/88 mmHg, oxygen saturation 91% on 3 L oxygen via nasal cannula. 0800 Reassessed vital signs and increased oxygenation. For each nursing action, click to specify the findings that support the action as appropriate for the care of this client. Each nursing action may be supported by more than one finding to support the nursing action. Each category must have at least one response option selected. Nursing Action Position client with head of bed elevated 30 to 45 degrees. Administer supplemental oxygen as prescribed. Educate client regarding risks for recurring respiratory infections and oxygenation issues. Findings That Support Nursing Action Temperature 102.2 °F (39 °C) Bilateral diminished breath sounds. L Oxygen saturation 91% on 3 L oxygen via nasal cannula Respiratory rate 28 with labored respirations Radiology report Shortness of breath Pulse 84 and regular Oxygen saturation of 95% on 4 L oxygen via nasal cannular 77 years of age History of asthma Change in respiratory rate from 28 to 24 breaths per minute Client statement that she smokes half a pack of cigarettes per day

3rd Edition

ISBN:9781337676908

Author:SCHNERING

Publisher:SCHNERING

Chapter4: Revenue Management

Section: Chapter Questions

Problem 4.11.1C