Gladys Hammer is an 83 year old female who is seen in the emergency department with complaints of shortness of breath an...
Gladys Hammer is an 83 year old female who is seen in the emergency department with complaints of shortness of breath and fever. Her vital signs are T. 102 F, P115, and irregular, shallow respirations at 35, B/P 168/66. Her height is 5ft 3 in and weight is 96 pounds. On assessment, her skin is very dry and warm. Her color is dusky. Scattered wheezes and rhonchi are heard throughout all lung fields. Her chest is hyperresonant to percussion. A pulse oximeter is applied and the O 2saturation is reading is 88%. Mrs. Hammer has a past history of emphysema for 10 years, complaints of shortness of breath on exertion, and has a chronic cough productive of thick, grayish sputum. Her spouse passed away 5 years ago and she has lived with her two adult sons since then.
Identify 3 nursing diagnoses.
Note the priority nursing diagnosis
Identify 1 goal for each diagnosis.
Note 4 interventions for the priority problems.
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Gladys Hammer is an 83 year old female who is seen in the emergency department with complaints of shortness of breath an...
The patient is a 60-year-old Caucasian female presenting to the emergency department with acute onset shortness...
The patient is a 60-year-old Caucasian female presenting to the emergency department with acute onset shortness of breath. Symptoms began approximately 2 days before and had progressively worsened with no associated, aggravating, or relieving factors noted. She had similar symptoms approximately 1 year ago requiring hospitalization. She uses BiPAP ventilatory support at night when sleeping. She denies fever, chills, cough, wheezing, and sputum production but does get short of breath easily. There are no known ill contacts at home. Her...
The patient is a 60-year-old Caucasian female presenting to the emergency department with acute onset shortness...
The patient is a 60-year-old Caucasian female presenting to the emergency department with acute onset shortness of breath. Symptoms began approximately 2 days before and had progressively worsened with no associated, aggravating, or relieving factors noted. She had similar symptoms approximately 1 year ago requiring hospitalization. She uses BiPAP ventilatory support at night when sleeping. She denies fever, chills, cough, wheezing, and sputum production but does get short of breath easily. There are no known ill contacts at home. Her...
John is a 59-year-old man admitted to the emergency department with complaints of severe shortness of breath and a cough...
John is a 59-year-old man admitted to the emergency department with complaints of severe shortness of breath and a cough producing frothy, blood-tinged mucous. His history reveals a myocardial infarction 2 years ago. Since then, he has been on a low-salt diet, digoxin, and furosemide for control of congestive heart failure. The client is admitted to the hospital for treatment of acute pulmonary edema secondary to congestive heart failure. On his fourth hospital day, the client complains of tingling and...
A 25-year-old female was hospitalized because of increasing shortness of breath and development of a cough...
A 25-year-old female was hospitalized because of increasing shortness of breath and development of a cough with blood-tinged sputum. Except for asthmatic attacks precipitated by various environmental allergies, she had always been in good health. One week before hospitalization, this patient had developed what she called "a cold" characterized by a mild sore throat and nonproductive cough, malaise, and a generalized dull headache. Three days prior to hospitalization the patient experienced a 15 minute severe shaking chill. After this episode...
A 60-year-old present to the emergency department with acute onset shortness of breath. Symptoms began approximately...
A 60-year-old present to the emergency department with acute onset shortness of breath. Symptoms began approximately 2 days before and had progressively worsened There are no known ill contacts at home. Her family history includes significant heart disease and prostate malignancy in her father. Social history is positive for smoking tobacco use at 30 pack years. She quit smoking 2 years ago due to increasing shortness of breath. She denies all alcohol and illegal drug use. There are no known...
Ms. Huang is a 72- year- old Asian female who was admitted for an exploratory laparotomy....
Ms. Huang is a 72- year- old Asian female who was admitted for an exploratory laparotomy. She underwent surgery and was found to have a perforated bowel secondary to a ruptured appendix. She currently is receiving chemotherapy for severe rheumatoid arthritis. Ms. Huang is POD (post-op day) #2 and the AM assessment reveals the following: B/P 144/86, P 92, R 26, T 38 C. The client has an N/G to 20 cm. suction, foley catheter, O2 at 3 l/min via...
John is a 59-year-old man admitted to the emergency department with complaints of severe shortness of...
John is a 59-year-old man admitted to the emergency department with complaints of severe shortness of breath and a cough producing frothy, blood-tinged mucous. His history reveals a myocardial infarction 2 years ago. Since then, he has been on a low-salt diet, digoxin, and furosemide for control of congestive heart failure. The client is admitted to the hospital for treatment of acute pulmonary edema secondary to congestive heart failure. On his fourth hospital day, the client complains of tingling and...
Patient Profile R.D is a 51-year-old male who comes to the emergency department with complaints of...
Patient Profile R.D is a 51-year-old male who comes to the emergency department with complaints of weakness and abdominal pain. He reports he is homeless. His medical history includes Methicillin-Resistant Staphylococcus Aureus (MRSA) bacteria of the nares. Subjective Data Reports he does not drink or eat food consistently Says he has no family or any social support Had “a drink or two a little while ago” Objective Data Physical Examination Blood pressure 144/86, pulse 92, temperature 98.2°F, respirations 24 Height...
D. D. is a 66 year-old female suffering from shortness of breath. She smoked 2 packs...
D. D. is a 66 year-old female suffering from shortness of breath. She smoked 2 packs a day until she quit 2 years ago. She has a history of bronchiolitis, hyperinflated lungs, pulmonary edema, and syncope. Her primary care practitioner suspects she also has pulmonary hypertension (PH). After examination, D. D. has a PAP of 35mmHg and mild CHF. What is pulmonary hypertension and how could D.D. have developed PH? How does her history fit in with her new diagnosis?...
subject: medical Surgical. The patient is a 60-year-old Caucasian female presenting to the emergency department with...
subject: medical Surgical.
The patient is a 60-year-old Caucasian female presenting to the emergency department with acute onset shortness of breath. Symptoms began approximately 2 days before and had progressively worsened with no associated, aggravating, or relieving factors noted. She had similar symptoms approximately 1 year ago requiring hospitalization. She uses BiPAP ventilatory support at night when sleeping. She denies fever, chills, cough, wheezing, and sputum production but does get short of breath easily. There are no known ill contacts...
A 60-year-old present to the emergency department with acute onset shortness of breath. Symptoms began approximately 2 days before and had progressively worsened There are no known ill contacts at home. Her family history includes significant heart disease and prostate malignancy in her father. Social history is positive for smoking tobacco use at 30 pack years. She quit smoking 2 years ago due to increasing shortness of breath. She denies all alcohol and illegal drug use. There are no known...
subject: medical Surgical.
The patient is a 60-year-old Caucasian female presenting to the emergency department with acute onset shortness of breath. Symptoms began approximately 2 days before and had progressively worsened with no associated, aggravating, or relieving factors noted. She had similar symptoms approximately 1 year ago requiring hospitalization. She uses BiPAP ventilatory support at night when sleeping. She denies fever, chills, cough, wheezing, and sputum production but does get short of breath easily. There are no known ill contacts...
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