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- Nursing Care Plan Diagnosis Goal Intervention Rationale Evaluation Activity intolerance isassociated withreduced hemoglobin,as seen by weaknessand exhaustion as aresult of fatigue. Subjective:She would complain offatigability, giddiness,blurring of visionwhich is relieved uponrest.Objective:Hemoglobin: 100 g/L)_)_________A patient admitted to an acute care facility with pneumonia is receiving supplemental oxygen, 2 L/ minute via nasal prongs. The patient’s history includes chronic obstructive pulmonary disease (COPD) and coronary artery disease (CAD), because of these history findings ,the Nurse closely monitors the oxygen flow and the patient's respiratory status *Which complication may arise if the patient receives a high oxygen concentration? *List two (2) nursing Interventions with rationales for this patient.A patient admitted to an acute care facility with pneumonia is receiving supplemental oxygen, 2 L/ minute via nasal prongs. The patient’s history includes chronic obstructive pulmonary disease (COPD) and coronary artery disease (CAD), because of these history findings ,the Nurse closely monitors the oxygen flow and the patient's respiratory status Explain the pathophysiology of Chronic Obstructive Pulmonary Disease (COPD) Which complication may arise if the patient receives a high oxygen concentration? List two (2) nursing Interventions with rationales for this patient mark for each nursing intervention 2 marks for each rationale
- The nurse is assessing the respirations ola client with chronic obstructivepulmonary disease (COPD). What is therationale for the nurse to assess therespiratory rate without the client beingaware of it? It is more efficient for the nurse todo so because it takes less time Client awareness might alter therespiratory rate or pattern The client might suppressKussmaul's respirations if awarethe respirations are being counted It allows for observation forrespiratory distress, tachypnea, ororthopneaKindly differentiate the below into the various nursing analysis phases: Assessment Diagnosis Planning Implementation & Rationale Evaluation Based on the provided information, a possible nursing diagnosis for this patient could be "Impaired Gas Exchange related to decreased oxygen saturation and presence of crackles in bilateral lower base of lungs." Rationale: The patient's shortness of breath, decreased oxygen saturation (93%), and presence of crackles indicate an impaired gas exchange, suggesting that the patient may be experiencing difficulties in oxygenation and ventilation. The chronic cough and thick yellowish sputum suggest an underlying respiratory condition that may contribute to impaired gas exchange. The patient's recent history of visiting the emergency department and being prescribed azithromycin and prednisone indicate a respiratory infection or exacerbation of a chronic respiratory condition. The nursing diagnosis of "Impaired Gas Exchange" is…When assessing a patient receiving a continuous opioid infu-sion, the nurse immediately notifies the physician when the patient has:a. A respiratory rate of 10/min with normal depthb. A sedation level of 4c. Mild confusiond. Reported constipation
- For each of the following Patient Profiles, determine the most appropriate triage category (red, yellow, green, or black), and why. patient profiles: 1. Profuse bleeding from scalp wound. - talking to you - respirations : 20/min - radial pulse : present 2. Complaining of severe back pain and pelvic pain. - tells you her back hurts - respirations : 20/min - radial pulse : present 3. Nothing obvious problem, covered in debris. - unconsious - respirations : 8/min - radial pulse : present 4. amputation of left arm - talking to you, attempting to stop the bleeding - respirations : 25/min - radial pulse : present 5. impaled object, very pale and sweaty - tells you she feel sick - respirations : 27/min - radial pulse : presentFORM ADPIE FROM THE FF SITUATION; (ASSESSMENT, DIAGNOSIS, PLANNING, INTERVENTION, EVALUATION) based on the ff situation: MAIN DRUG: Erythromycin Age: 7 Sex: F Educational status: N/A Occupation: Pupil Weight and BMI: 23 KGS/NORMAL Blood pressure: 80/40 Heart rate: 90 Respiratory rate: 20 Temperature: 36.2 Diagnosis: Conjunctivitis, Left eye Chief complaint: Red eyes, discharges in eyes Prescription: Erythromycin 2% ointment in lower conjunctivaA nurse is caring for a preschooler on the pediatric unit. Exhibit 1 Provider Prescriptions Day 1, 2350: Admit for observation. Obtain vital signs every 4 hr and PRN. Administer oxygen 2 L/min via nasal cannula to maintain oxygen saturation above 95%. Initiate saline lock. Administer ceftriaxone 250 mg IV every 12 hr. Administer acetaminophen oral suspension 240 mg every 4 hr PRN for temperature greater than 38° C (100.4° F). Place on regular diet and encourage oral fluids of preschooler's choice. Monitor intake and output every 8 hr. Exhibit 2 Assessment Day 2, 0030: Preschooler lying on bed, awake and alert. Breath sounds with wheezing auscultated on expiration on the right side. Nonproductive cough with no retractions or nasal flaring observed. Abdomen soft and nondistended, bowel sounds active in all four quadrants. Preschooler reports headache and pain in abdomen. Rates pain in abdomen as a 2 on a 0 to 10 FACES pain scale. Exhibit 3 Vital Signs Day 2, 0030: Temperature 38.1°…
- A Rapid Response Team (RRT) was called to the medical-surgical unit to evaluate a patient who was admitted 4 days ago with pneumonia. The primary nurse called the RRT team due to recognizing the following early clinical manifestations of acute respiratory distress syndrome (ARDS): a. Bradycardia and increased work of breathing b. Respiratory distress and frothy sputum c. Dyspnea and tachypnea d. Cyanosis and apprehensionPlease help me to choose the letters with the CORRECT answers.1. A 3-year old was brought to the hospital due to dyspnea. Upon assessment the nurse notes for crackles, difficulty verbalizing, sternal retractions and respiratory rate of 40 cycles per minute. The nurse analyzes the collected data and identified the priority nursing diagnosis: A. Impaired gas exchange B. Ineffective breathing pattern C. Airway clearance, ineffective D. Risk for aspiration2. A person with Sickle Cell Trait would: A. Be advised to avoid fluid loss and dehydration. B. Be proacted from crisis under ordinary circumstances. C. Have chronic anemia. D. Experience hemolytic jaundice. 3. On initial assessment of the child with asthma, the nurse would observe for th following EXCEPT: A. Shortness of breath B. Rales C. Absence of wheezing D. Loose cough4. The mother asks the nurse what measures she can take to help prevent her child's asthma attacks. Which of the following suggestions by the nurse would be most…1. Create CHART (C-omplaint, H-istory, A-ssessment, R-x - Drugs, T-reatment) documentation for the patient. 2. The discharge goal for the patient? Create discharge instructions for the patient using METHOD. (M-edications, E-nvironment, T-reatment, H-ealth teaching, O-ut patient referral, D-iet) see photo for reference Thank you so much!