Situation |
I am concerned about fall due to his unsteady gait and breathing difficulty when he ambulates mostly turning off the call bell. Now 2L O2 via nasal cannula He requires a walker and gait belt for assistive walking.Due to investigations and client behaviour the antibiotic was not on time and delayed and the subsequent dose has to be adjusted accordingly |
Background |
Mr.Sam Fire is 79year/M admitted with complaints of exacerbation of COPD,severe shortness of breath is a known case of hypertension and active smoker. Allergic to Amoxicillin, Percocet and on FULL CODE, |
Assessment |
He is alert ,oriented with positive bowel sounds His chest x Ray reveals pneumonia in left lower lobe The colour of the urine is yellow |
Recommendation |
I would suggest the following
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You are performing bedside shift report to the night nurse. The patient is a 70-year-old male...
CLIENT PROFILE Mr. Cohen is a 75-year-old male admitted with an exacerbation of chronic obstructive pulmonary disease (emphysema). He has been keeping the head of the bed up for most of the day and night to facilitate his breathing which has resulted in lower back pain. Acetaminophen was not effective in reducing his pain, so the health care provider has prescribed oxycodone/acetaminophen one to two tablets PO every four to six hours as needed for pain. Mr. Cohen is on...
Weakness A 40-year-old male client was admitted to the hospital for significant weakness. Which has gotten worse over the last year. The client attributed the symptoms to the long working hours required as part of his job (chief executive officer of a health system). When the symptoms first started, the client would resolve with rest so he thought the symptoms were due to fatigue. Recently the client has had vision changes and difficulty urinating. The nurse has performed an assessment...
A 50 year old patient is admitted to the medical-surgical floor from the emergency department with severe abdominal pain thought to be from acute pancreatitis. He case a history of drinking at least a case of beer a day. He also smokes and appears cachectic. His old chart indicates a history of COPD, but he does not take drugs for this. He does have a new productive cough. At chage of shift, the nurse finds the patient dyspneic and slight...
A 50 year old patient is admitted to the medical-surgical floor from the emergency department with severe abdominal pain thought to be from acute pancreatitis. He case a history of drinking at least a case of beer a day. He also smokes and appears cachectic. His old chart indicates a history of COPD, but he does not take drugs for this. He does have a new productive cough. At chage of shift, the nurse finds the patient dyspneic and slight...
Patient Profile F.T. is a 70-year-old African American man who comes to the emergency department (ED) complaining of increased shortness of breath. He states that he started using his albuterol inhaler every 4 hours a few days ago, but it does not seem to be helping. He has been having trouble sleeping or doing any activity because of his shortness of breath. SUBJECTIVE Data: PMH: COPD, hypertension, and benign prostatic hyperplasia. No history of allergies. Medications: metoprolol (Lopressor) 50 mg/day...
Patient Profile F.T. is a 70-year-old African American man who comes to the emergency department (ED) complaining of increased shortness of breath. He states that he started using his albuterol inhaler every 4 hours a few days ago, but it does not seem to be helping. He has been having trouble sleeping or doing any activity because of his shortness of breath. SUBJECTIVE Data: PMH: COPD, hypertension, and benign prostatic hyperplasia. No history of allergies. Medications: metoprolol (Lopressor) 50 mg/day...
History: Mr. Dan Griffith is a 65 year old male who presented to the emergency department with shortness of breath and chest tightness of recent onset. He has a 7 year history of COPD and is on oxygen at home. Physical assessment reveals a respiratory rate of 32 and slightly labored, temperature of 98.9, and SpO2 of 86% while on oxygen via nasal cannula at 2 L/min. Question: Mr. Griffith is admitted to the pulmonary unit with acute exacerbation of...
Explain how the professional nurse utilizes the nursing process in the nurse-client relationship: Mr. Samuel Lawson is a 79-year-old African American retired maintenance worker, with a 10-year history of COPD and HTN. He was admitted to a medical-surgical unit via ambulance from his home in Bowie, MD with a diagnosis of Pneumonia. His three grown children who live out of state are gainfully employed and are the pride of his life. His wife died a year ago and his Christianity...
Explain how the professional nurse utilizes the nursing process in the nurse-client relationship: Mr. Samuel Lawson is a 79-year-old African American retired maintenance worker, with a 10-year history of COPD and HTN. He was admitted to a medical-surgical unit via ambulance from his home in Bowie, MD with a diagnosis of Pneumonia. His three grown children who live out of state are gainfully employed and are the pride of his life. His wife died a year ago and his Christianity...
Antiparkinsonian Drugs Chapter 28 Discussion: Antiparkinson Drugs Mr. Stevens is a 70-year-old client was admitted to the hospital after a fall at his home. After a comprehensive assessment, the healthcare provider has diagnosed him with idiopathic Parkinson's disease. His symptoms include tremors of the hands, a shulling gait, and slow movements. He has been started on the drug carbidopa/levodopa. He is now ready to be discharged home. The nurse is conducting discharge teaching with Mr. Stevens and his wife. Mrs....