After 8 hours of Nursing Interventions, what would be the Goal and Objective for a 79-year-old patient with episodic shortness of breath with a Nursing Diagnosis of Impaired Comfort related to episodic shortness of breath?
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After 8 hours of Nursing Interventions, what would be the Goal and Objective for a 79-year-old patient with episodic shortness of breath with a Nursing Diagnosis of Impaired Comfort related to episodic shortness of breath?
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- Q: What would be the Subjective or Objective Data if the Nursing Diagnosis is Impaired Comfort related to episodic shortness of breath? Scenario: Patient X, a 79-year-old male and retired construction worker from Cebu, was taken to the hospitalon September 3 due to a two-week progression of episodic shortness of breath. The patient was in good health until two weeks ago, when he discovered he was having trouble catching his breath while walking. He was used to walking 3 kilometers without stopping, but now he was out of breath after only 100 meters. The patient's symptoms were worsening, and he had been complaining of shortness of breath while lying down for the past three days. He had always slept with one pillow, but now he needed two. In addition, the patient reported an 8 to 10 pound weight gain in the previous 6 weeks. He had pitting edema from the feet to the knees on both sides. The patient was diagnosed with Class III Heart Failure by the doctor. The patient had been…A 50-year-old client who has retired to the country has been diagnosed with emphysema. The symptoms include mild chronic cough, wheezing, and fatigue. During assessment, the client denies smoking or any history of smoking. The client mentions eating a well-balanced diet and regularly exercising. The client likes outdoor activities but is fatigued most of the time recently. The client is worried about the diagnosis and asks the nurse why this has happened. What kind of data provided by the client requires further validation? Give reasons. How should the nurse validate the client’s information and findings?A 50-year-old client who has retired to the country has been diagnosed with emphysema. The symptoms include mild chronic cough, wheezing, and fatigue. During assessment, the client denies smoking or any history of smoking. The client mentions eating a well-balanced diet and regularly exercising. The client likes outdoor activities but is fatigued most of the time recently. The client is worried about the diagnosis and asks the nurse why this has happened. What kind of data provided by the client requires further validation? Give 2. How should the nurse validate the client’s information and findings?
- Discuss the nursing interventions for a patient with sleep apnea.What would be the complete Nursing Diagnosis of Impaired Comfort to the given case scenario? Scenario: Patient X, a 79-year-old male and retired construction worker from Cebu, was taken to the hospitalon September 3 due to a two-week progression of episodic shortness of breath. The patient was in good health until two weeks ago, when he discovered he was having trouble catching his breath while walking. He was used to walking 3 kilometers without stopping, but now he was out of breath after only 100 meters. The patient's symptoms were worsening, and he had been complaining of shortness of breath while lying down for the past three days. He had always slept with one pillow, but now he needed two. In addition, the patient reported an 8 to 10 pound weight gain in the previous 6 weeks. He had pitting edema from the feet to the knees on both sides. The patient was diagnosed with Class III Heart Failure by the doctor. The patient had been referred to Hospital two years prior with a…Category: Physiological Adaptation The nurse is monitoring a 78-year-old male patient who has experienced a significant cerebrovascular accident resulting in extensive brain damage. During a comprehensive evaluation, the nurse observes the patient’s respiratory pattern and identifies a cycle of respirations that increase and decrease in depth and rate, culminating in periods where breathing temporarily ceases. This observation is most consistent with which of the following descriptions? A. Progressively deeper breaths followed by shallower breaths with apneic periods. B. Rapid, deep breathing with abrupt pauses between each breath. C. Rapid, deep breathing and irregular breathing without pauses. D. Shallow breathing with an increased respiratory rate.
- The Advanced Practice Nurse is instructing a patient on managing Asthma exacerbations at home. This instruction would include that first the patient would increase the beta 2 agonists frequency. The next action the patient would take is to: O A) Contact the provider B) Double inhaled corticosteroid dose C) Wait 24 hours for symptoms to improve D) Start montelukast (Singulair)A 50-year-old client who has retired to the country has been diagnosed with emphysema. The symptoms include mild chronic cough, wheezing, and fatigue. During assessment, the client denies smoking or any history of smoking. The client mentions eating a well-balanced diet and regularly exercising. The client likes outdoor activities but is fatigued most of the time recently. The client is worried about the diagnosis and asks the nurse why this has happened. A.what kind of data provided by the client requires furuer validation.Give reasons B.how should a nurse validate clients information and findingsA 50-year-old client who has retired to the country has been diagnosed with emphysema. The symptoms include mild chronic cough, wheezing, and fatigue. During assessment, the client denies smoking or any history of smoking. The client mentions eating a well-balanced diet and regularly exercising. The client likes outdoor activities but is fatigued most of the time recently. The client is worried about the diagnosis and asks the nurse why this has happened. a. What kind of data provided by the client requires further validation? Give reasons. b. How should the nurse validate the client’s information and findings?
- Question: Which of the following nursing interventions is most appropriate for a patient experiencing respiratory distress? A) Administering a sedative medication B) Elevating the head of the bed C) Providing a warm blanket D) Encouraging deep breathing exercisesWhat is the nursing care plan of the following scenario? Mr. Bryan L. was assessed and found to have the following signs and symptoms: awake, confused and agitated. He responds to your questions but sometimes he does not use appropriate terminology. He knows his name, but does not know he is in the hospital. He has productive cough, which he spits in the emesis basin. The sputum is thick and yellow, with streaks of blood. Mr. L. states, “I smoke 3 packs of cigarettes a day for many years and I’m going to keep on smoking!” Laboratory values reflect an elevated level of carbon dioxide in his blood. On minimal exertion, he is experiencing shortness of breath (dyspnea); respiratory rate is 29 breaths/min and uses his abdominal accessory muscles to breathe. Capillary refill is sluggish, greater than 3 seconds. Both of his hands and feet are pale and cold to touch. Assessment Diagnosis Goal/expected outcome Planning Intervention Rationale Evaluation Objective data: Subjective…A post-op client is receiving morphine sulfate (Duramorph®) for pain. Upon assessment, the nurse notes that the client's respiratory rate is very slow and that there is a slight bluish discoloration around the lips. The nurse immediately prepares to administer which of the following? O Flumazenil (Romazicon) naloxone (Narcan) Activated Charcoal acetylcysteine