Question

The objective of this assignment is to apply the nursing process to medication administration. Read the following two case study and answer the corresponding questions . This assignment does not require an APA formatted Title page, running head, or headers, but do include APA formatted references at the end. You may complete the assignment in another document or add your responses to the existing document (please use a different font color) Case Study #1 Pharmacology Nursing Process M.J. is a 45 yo Caucasian female. Following a dinner with her friends, where she consumed 2 glasses of wine and shrimp stir-fry, she presented to the emergency room complaining of “Feeling hot and itch all over. Something bad is happening”. Her initial vital signs were T 99.8 °F temporal, heart rate 100 bpm, respiratory rate 28 bpm, and blood pressure 135/80 mmHg. Her physical assessment noted: • Red skin rash around the face, neck, and hands • Bilateral wheezing in all lung field • Swelling to the lips • “I am having troubles catching my breath” Assignment: 1. List the Subjective and Objective assessment findings 2. List two nursing diagnosis with related to and as evident by statements (no not use “at risk for” at this time). 3. Write two planning or outcome goals for the patient in SMART (specific, measurable, achievable, realistic, and timely) for the patient. i. One must be a short-term goal: the first this to address. ii. The other is a long-term goal, before patient is discharged. After being seen by the attending physician, she issues the following medication orders: • Epinephrine 0.3 mg IM Stat • Diphenhydramine 25 mg liquid PO now • Prednisone 20 mg PO now Assignment: 4. Name three nursing interventions for all three medications (you may not repeat any interventions) 5. Name an assessment findings (one for each medication) that indicate the medication effectiveness. Following administration of the medications, the following assessment findings are noted: • “I feel jittery, but I can breathe again!” • Heart rate increases to 120 bpm, respirations decrease to 24 bpm, blood pressure increases to 148/96 • Lung sounds are clear in all fields • Rash to face, neck, and hands is gone • Patient complains of nausea and has emesis of undigested food. Assignment: 6. What is the significance of these findings? 7. What would be your follow-up action? 8. Name five teaching points to communicate before the patient’s discharge.  

Answer 1

4 Nursina inlervenhon SEPMechveneu nt mesdi ce bon rwe Td releveor