Create a nursing plan for the following patient below. With 2 nursing diagnosis, one short term...

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Create a nursing plan for the following patient below.
84 y/o F, Hospital Day # 9, 84 yo F with a PMH of Pulm HTN 2/2 OSA on CPAP, A flutter on Xarelto presenting with SOB and lowe

84 y/o F, Hospital Day # 9, 84 yo F with a PMH of Pulm HTN 2/2 OSA on CPAP, A flutter on Xarelto presenting with SOB and lowe

With 2 nursing diagnosis, one short term goal per diagnosis, five interventaions per diagnosis with five rationales and evaluation per goal.

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Answer 1

Answer #1

ANSWER.

NURSING DIAGNOSIS

GOALS

INTERVENTIONS

RATIONALE

EVALUATION.

Excess fluid volume related to cardiovascular disease.

Maintain normal fluid volume of the patient.

Assess the intake and output level of the patient daily.

Assess the body weight of the patient daily.

Prepare a low sodium diet for the patient.

Assist the patient in restriction of excess fluid intake.

Administer diuretics as per physicians order.

To identify the fluid status of the patient.

To identify changes in body weight due to excess fluid volume.

To maintain adequate fluid volume.

To eliminate excess fluid from the body.

Evaluate the current fluid status of the patient.

Fatigue related to low hemoglobin count and SOB.

Reduce the weakness level of the patient.

Provide adequate resting time and prepare a peaceful environment.

Prepare a diet plan which include vitamins,iron,folate etc.

Monitor vital signs and pulse oximeter reading closely.

Administer oxygen therapy when required.

Administer blood products (RBC's) as per physicians order.

To relieve weakness.

To regain normal hemoglobin count and reduce fatigue.

To assess the respiratory status.

To relieve weakness related to low oxygen level.

To relieve weakness related to low Hb level.

Evaluate the current activity level of the patient.

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Answer 2

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