Can you give Nursing Interventions with Rationale about a 79-year-old patient who has episodic shortness of breath and experiencing pitting edema from the feet to the knees on both sides.
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Can you give Nursing Interventions with Rationale about a 79-year-old patient who has episodic shortness of breath and experiencing pitting edema from the feet to the knees on both sides.
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- A 60-year-old male with a known history of chronic obstructive pulmonary disease (COPD) presents to the ED with increased shortness of breath, productive cough, and wheezing. His vital signs are: BP 150/90 mmHg, HR 110 bpm, RR 26 breaths/min, SpO2 88% on room air. What is the first-line nursing management? The first-line nursing management for a COPD exacerbation is to administer ________.The nurse makes a home visit. The family meets the nurse at the door reporting their father is "really anxious and is having problems breathing." The immediate intervention is to: Elevate the head of the bed to semi Fowler's position and provide supplemental oxygen via nasal cannula to improve gas exchange. Since the problem may be related to persuasion, take VS and administer anti-anxiety medications. Auscultate the lungs, since the patient may have pneumonia which is prohibiting adequate gas exchange. This may be an indication that this is the last stage of life and confusion may be causing the symptoms.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…
- A nurse is caring for a client who presented to the emergency department with an acute asthma exacerbation. The respiratory rate is 36 breaths/min, and a pulse oximeter is 85% on room air with accessory muscle use to breathe. The nurse placed the client on oxygen 4 liters nasal cannula. The arterial blood gas (ABG) is as follows: pH: 7.28, PaCO2: 50 mm Hg, PaO2: 75 mm Hg, and HCO3: 26 mEq/L. Which of the following treatments is the nurse's highest priority? A) Administer bronchodilators B) Administer sodium bicarbonate Administer methylprednisolone (D) Perform a chest x-rayon 23 May ●●● aut.au1.qualtrics.com Incorrect For which of the following conditions would you immediately Dial 111? (tick all that apply) Unconscious, unresponsive person Shock Surface burns smaller than 1cm Asthma attack, improving with inhaler Arterial Bleeding Head injury - person is drowsy and confused StrokeWhich of the following would the nurse expect to see in client experiencing hypoventilation? increased oxygenation in the alveoli increased carbon dioxide in the bloodstream decreased hemoglobin in the bloodstream decreased carbon dioxide in the alveoli
- Give a rationale for each nursing diagnosis listed below in regards to the scenario attached Jack Soo Park, a 78-year-old man receiving intravenous (IV) therapy with antibiotics, states, “I’m having trouble breathing. “ Vital signs include 156/88, Pulse 105, Respiratory Rate 30, Temperature 98.4F, and O2 Sat of 94% on 2LNC. It just started a little while ago. Physical examination reveals a bounding pulse; distended neck veins; shallow, rapid respirations; and crackles and wheezes in the lungs. Excess fluid volume is suspected. Further checking reveals an IV fluid-administration error that has resulted in overhydration. Nursing Diagnoses -Impaired gas exchange related to disease condition as evidenced by lung sounds. -Risk for excess fluid volume related to overhydration as evidenced by observation. -Risk for electrolyte imbalance related to excess fluid as evidenced by observation. -Risk for blood pressure instability related to reduced cardiac output as evidence for fluid volume…What is not a non-pulmonary assessment findings of patients with cystic fibrosis? pulmonary hypertension depression O pancreatic insufficiency anorexiaPatient has CAD, Acute respiratory failure, stroke, and altered mental status...weakness in RUE and unable to RASS (Las; : 0-Alert and Calm respond to questions. Upon presentation CAM Score(Last) : to the ED the patient was found to have V-tach, CBGs >1000 and was intubated Vital Sign for airway protection, admitted for AHRF PLEASE HELP WITH CARE PLAN
- Mrs blaze a 68 years old female visit her primary care provider office she has not been feeling well. Mrs blaze tells the nurse that she has been experiencing regular episodes of shortness of breath and fatigue for the last 2 weeks she does not have fever or productive cough. Upon assessment the client states that she has been smoking one pack of cigarettes per day for the past 40 years. 1 explain the normal age related changes that are occurring in Mrs blaze respiratory system. 2. Explain the normal process of inspiration and expiration. 3. Describe the physiological process that is occurring when Mrs blaze becomes short of breath.At 11 p.m., a patient is admitted to the Emergency Department (ED) with a respiratory rate of 44 breaths/minute and SaO2 85%. They are anxious with audible wheezes. The patient is immediately given nebulised Salbutamol follow by oxygen via face mask and Hydrocortisone intravenously (i.v) Explain the reason for intravenous (JV) Hydrocortisone. . Provide two (2) nursing interventions with rationales to improve airway clearance and/or improve breathing patternConcept Map which consists of: 1 nursing diagnosis 1 Goal 3 Nursing interventions with rationale evaluation Completed medication cards Mr. S.B. has been a smoker for 20 years. He has noticed increased shortness of breath (SOB) for the past week and is complaining of a productive cough with thick whitish phlegm. VSS 99.9F, 92HR, 32R, and 152/90. Pulse oximetry is 90% on room air. Medications: Prednisone 10mg orally dailyProventil MDI 180mcg. 2 puffs inhaled every 6 hours
