RP is a 68 year-old male who was admitted to the hospital from his long-term care facility after 1 week of dyspnea and cough

RP is a 68 year-old male who was admitted to the hospital from his long-term care facility after 1 week of dyspnea and cough

RP is a 68 year-old male who was admitted to the hospital from his long-term care facility after 1 week of dyspnea and cough. He was seen by a staff physician at the long-term care facility and was diagnosed with a COPD exacerbation. He was prescribed azithromycin, but has not improved after 3 days of antibiotics. He has a history of dyslipidemia, COPD, alcoholic cirrhosis, and HTN. He routinely takes lisinopril, atorvastatin, tiotropium and fluticasone/salmeterol, and has recently had a heavier reliance on his rescue albuterol inhaler.

Vital signs:BP: 140/86, HR: 89, RR: 18, TMAX: 102.2°F, O2 saturation: 84% on 4LNC, Pain 0/10

Assessment findings: alertness slightly altered, but baseline, coarse breath sounds, rhonchi and wheezesheard throughout with an occasional productive cough, dyspnea is worse than baseline; regular rate and rhythm, no murmurs, no edema, decreased peripheral pulses bilaterally, feet cool to touch; abd slightly distended; skin excoriated, otherwise normal

Requirements: 2 pages

 

Assignment # 3 Mini Concept Map

Using this scenario:

RP is a 68 year-old male who was admitted to the hospital from his long-term after 1 week of dyspnea and cough. He was seen by a staff physician at the long-term care facility and was diagnosed with a COPD exacerbation. He was prescribed azithromycin, but has not improved after 3 days of antibiotics. He has a history of dyslipidemia, COPD, alcoholic cirrhosis, and HTN. He routinely takes lisinopril, atorvastatin, tiotropium and fluticasone/salmeterol, and has recently had a heavier reliance on his rescue albuterol inhaler.

Vital signs:BP: 140/86, HR: 89, RR: 18, TMAX: 102.2°F, O2 saturation: 84% on 4LNC, Pain 0/10

Assessment findings: alertness slightly altered, but baseline, coarse breath sounds, rhonchi and wheezesheard throughout with an occasional productive cough, dyspnea is worse than baseline; regular rate and rhythm, no murmurs, no edema, decreased peripheral pulses bilaterally, feet cool to touch; abd slightly distended; skin excoriated, otherwise normal

Discharge Plan:

 

LabsMicro

Na: 141Creatinine: 1.6Blood Culture: No growth at 48 hrs

K: 4.2WBC: 19.6Gram Stain: 4+ squamous, no organisms

Cl: 98Hgb: 10.8Culture: No growth at 48 hours

Bicarb: 23 Hct: 36.2Pneumococcal:Positive

BUN: 24 Platelets: 300

Radiology Chest X-ray showed focal consolidation in the right lower lobe, suggestive of pneumonia.

 

You are expected to develop 2 actual nursing diagnosis for your patient. Only use 1 Nursing Diagnosis per page

Assign 2 priority interventions for EACH Nursing Diagnosis

Establish 1 short term goal

Establish 1 long term goal

For the short-term goal, was your patient able to meet it? If so, how was that demonstrated. If not, what could you do differently to help the patient to meet the goal?

Please use the sample concept map below for the 2 Nursing Diagnosis you selected

 

Answer preview to RP is a 68 year-old male who was admitted to the hospital from his long-term care facility after 1 week of dyspnea and cough  RP is a 68 year-old male who was admitted to the hospital from his long-term care facility after 1 week of dyspnea and cough

APA

527 words

Get instant access to the full solution from  by clicking the purchase button below








We offer the bestcustom writing paper services. We have done this question before, we can also do it for you.

Why Choose Us

  • 100% non-plagiarized Papers
  • 24/7 /365 Service Available
  • Affordable Prices
  • Any Paper, Urgency, and Subject
  • Will complete your papers in 6 hours
  • On-time Delivery
  • Money-back and Privacy guarantees
  • Unlimited Amendments upon request
  • Satisfaction guarantee

How it Works

  • Click on the “Place Order” tab at the top menu or “Order Now” icon at the bottom and a new page will appear with an order form to be filled.
  • Fill in your paper’s requirements in the "PAPER DETAILS" section.
  • Fill in your paper’s academic level, deadline, and the required number of pages from the drop-down menus.
  • Click “CREATE ACCOUNT & SIGN IN” to enter your registration details and get an account with us for record-keeping and then, click on “PROCEED TO CHECKOUT” at the bottom of the page.
  • From there, the payment sections will show, follow the guided payment process and your order will be available for our writing team to work on it.