Gelay J. 35 y.o. was admitted to Benguet General Hospital for shortness of breath, weakness, productive...

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Gelay J. 35 y.o. was admitted to Benguet General Hospital for shortness of breath, weakness, productive cough, chest pains and epigastric discomfort. Vital signs upon admission were: T- 38.2 ° C, P- 95 Beats/min irregular and weak, R- 30 bpm, BP-100/60 mmHg. She had been experiencing discomfort for 3 days prior to admission. She was given orders for bed rest and a low salt, low fat diet. Upon assessment the nurse found out significant findings such as pale nail beds, conjunctiva, rales on both lower lung fields, and reduced lung excursion and increased fremitus. Skin was flushed and warm with dryness; no lesions noted. Gelay reported poor appetite for 1 month now and vomiting episode every now and then following abdominal pains 2-3 hours after meals and at night. She drinks 1 glass of water every meal time to avoid going to the bathroom frequently. Her stools appear soft and dark brown in color;No pain upon defecation noted. She lacks sleep and appears haggard owing to her discomfort and cough. She is still able to do ADLs but reports fatigue and weakness often in the day. When asked about her health history and practices, she reported having frequent sore throat which she thinks comes from excessive intake of salty and hot food. She has heredo-familial diseases such as hypertension and CAD. When she feels sick, she manages her discomforts with herbal supplements sold to her by officemates in the auditing office. Her present hospitalization is affecting her role as breadwinner for her family. She verbalizes "What is going to happen to us now that I am in the hospital? I feel so bad about not being healthy but I know God has a purpose for everything." Her husband often visits her in the hospital after attending to their two kids in elementary school. Laboratory exams for Gelay J. revealed the following: CASE NUMBER 2 (RLE for Care of patients with alterations in Oxygenation) Gelay J. 35 y.o. was admitted to Benguet General Hospital for shortness of breath, weakness, productive cough, chest pains and epigastric discomfort. Vital signs upon admission were: T- 38.2 ° C, P- 95 Beats/min irregular and weak, R- 30 bpm, BP-100/60 mmHg. She had been experiencing discomfort for 3 days prior to admission. She was given orders for bed rest and a low salt, low fat diet. Upon assessment the nurse found out significant findings such as pale nail beds, conjunctiva, rales on both lower lung fields, and reduced lung excursion and increased fremitus. Skin was flushed and warm with dryness; no lesions noted. Gelay reported poor appetite for 1 month now and vomiting episode every now and then following abdominal pains 2-3 hours after meals and at night. She drinks 1 glass of water every meal time to avoid going to the bathroom frequently. Her stools appear soft and dark brown in color;No pain upon defecation noted. She lacks sleep and appears haggard owing to her discomfort and cough. She is still able to do ADLs but reports fatigue and weakness often in the day. When asked about her health history and practices, she reported having frequent sore throat which she thinks comes from excessive intake of salty and hot food. She has heredo-familial diseases such as hypertension and CAD. When she feels sick, she manages her discomforts with herbal supplements sold to her by officemates in the auditing office. Her present hospitalization is affecting her role as breadwinner for her family. She verbalizes "What is going to happen to us now that I am in the hospital? I feel so bad about not being healthy but I know God has a purpose for everything." Her husband often visits her in the hospital after attending to their two kids in elementary school. Laboratory exams for Gelay J. revealed the following: Chest X-Ray Lung consolidation, bilateral WBC lung fields. RBC Hgb Het WBC Differential Heart appears normal EGD and Colonoscopy PlateletCount Bleeding ulcer noted below pyloric junction measuring 3x4 cm. superficial gastric irritations on mucosa noted. CBC Neutrophils 52% Lymphocytes 42%* Monocytes 2%* Eosinophils 2% Basophils 1% 18,000/mm³ 3 x 10%/U1* Appearance Color Odor pH Protein Sp. Gravity Glucose Casts WBC RBC Iron supplement 8.5 g/dl* 40 %* 200,000/mm³ Urinalysis 5.0 negative 1.005 negative none 1-2 0-1 Total Cholesterol 300 mg/dl HDL clear Color dark yellow Consistency aromatic OccultBlood LDL Lipid Panel Triglycerides Pus 40 mg/dl Ova and Parasites none seen 250 mg/dl Fecalysis 180 mg/dl dark brown soft- formed positive negative Upon reading the patient's chart, the medications ordered for the patient are the following: Paracetamol 500 mg. tab every 6 hours PRN for fever 1 cap. once a day Esomeprazole 40 mg tab once a day Amoxicillin 1 gm two times a day Clarithromycin 500 mg two times a day Irbesartan 300 mg. once a day 4. Formulate a comprehensive nursing care plan for case 4 using the format below. (20 points) Cues/evidences Nursing Diagnosis Objectives Nursing Interventions Rationale 4. Formulate a comprehensive nursing care plan for case 4 using the format below. (20 points) Cues/evidences Nursing Diagnosis Objectives Nursing Interventions Rationale Gelay J. 35 y.o. was admitted to Benguet General Hospital for shortness of breath, weakness, productive cough, chest pains and epigastric discomfort. Vital signs upon admission were: T- 38.2 ° C, P- 95 Beats/min irregular and weak, R- 30 bpm, BP-100/60 mmHg. She had been experiencing discomfort for 3 days prior to admission. She was given orders for bed rest and a low salt, low fat diet. Upon assessment the nurse found out significant findings such as pale nail beds, conjunctiva, rales on both lower lung fields, and reduced lung excursion and increased fremitus. Skin was flushed and warm with dryness; no lesions noted. Gelay reported poor appetite for 1 month now and vomiting episode every now and then following abdominal pains 2-3 hours after meals and at night. She drinks 1 glass of water every meal time to avoid going to the bathroom frequently. Her stools appear soft and dark brown in color;No pain upon defecation noted. She lacks sleep and appears haggard owing to her discomfort and cough. She is still able to do ADLs but reports fatigue and weakness often in the day. When asked about her health history and practices, she reported having frequent sore throat which she thinks comes from excessive intake of salty and hot food. She has heredo-familial diseases such as hypertension and CAD. When she feels sick, she manages her discomforts with herbal supplements sold to her by officemates in the auditing office. Her present hospitalization is affecting her role as breadwinner for her family. She verbalizes "What is going to happen to us now that I am in the hospital? I feel so bad about not being healthy but I know God has a purpose for everything." Her husband often visits her in the hospital after attending to their two kids in elementary school. Laboratory exams for Gelay J. revealed the following: CASE NUMBER 2 (RLE for Care of patients with alterations in Oxygenation) Gelay J. 35 y.o. was admitted to Benguet General Hospital for shortness of breath, weakness, productive cough, chest pains and epigastric discomfort. Vital signs upon admission were: T- 38.2 ° C, P- 95 Beats/min irregular and weak, R- 30 bpm, BP-100/60 mmHg. She had been experiencing discomfort for 3 days prior to admission. She was given orders for bed rest and a low salt, low fat diet. Upon assessment the nurse found out significant findings such as pale nail beds, conjunctiva, rales on both lower lung fields, and reduced lung excursion and increased fremitus. Skin was flushed and warm with dryness; no lesions noted. Gelay reported poor appetite for 1 month now and vomiting episode every now and then following abdominal pains 2-3 hours after meals and at night. She drinks 1 glass of water every meal time to avoid going to the bathroom frequently. Her stools appear soft and dark brown in color;No pain upon defecation noted. She lacks sleep and appears haggard owing to her discomfort and cough. She is still able to do ADLs but reports fatigue and weakness often in the day. When asked about her health history and practices, she reported having frequent sore throat which she thinks comes from excessive intake of salty and hot food. She has heredo-familial diseases such as hypertension and CAD. When she feels sick, she manages her discomforts with herbal supplements sold to her by officemates in the auditing office. Her present hospitalization is affecting her role as breadwinner for her family. She verbalizes "What is going to happen to us now that I am in the hospital? I feel so bad about not being healthy but I know God has a purpose for everything." Her husband often visits her in the hospital after attending to their two kids in elementary school. Laboratory exams for Gelay J. revealed the following: Chest X-Ray Lung consolidation, bilateral WBC lung fields. RBC Hgb Het WBC Differential Heart appears normal EGD and Colonoscopy PlateletCount Bleeding ulcer noted below pyloric junction measuring 3x4 cm. superficial gastric irritations on mucosa noted. CBC Neutrophils 52% Lymphocytes 42%* Monocytes 2%* Eosinophils 2% Basophils 1% 18,000/mm³ 3 x 10%/U1* Appearance Color Odor pH Protein Sp. Gravity Glucose Casts WBC RBC Iron supplement 8.5 g/dl* 40 %* 200,000/mm³ Urinalysis 5.0 negative 1.005 negative none 1-2 0-1 Total Cholesterol 300 mg/dl HDL clear Color dark yellow Consistency aromatic OccultBlood LDL Lipid Panel Triglycerides Pus 40 mg/dl Ova and Parasites none seen 250 mg/dl Fecalysis 180 mg/dl dark brown soft- formed positive negative Upon reading the patient's chart, the medications ordered for the patient are the following: Paracetamol 500 mg. tab every 6 hours PRN for fever 1 cap. once a day Esomeprazole 40 mg tab once a day Amoxicillin 1 gm two times a day Clarithromycin 500 mg two times a day Irbesartan 300 mg. once a day 4. Formulate a comprehensive nursing care plan for case 4 using the format below. (20 points) Cues/evidences Nursing Diagnosis Objectives Nursing Interventions Rationale 4. Formulate a comprehensive nursing care plan for case 4 using the format below. (20 points) Cues/evidences Nursing Diagnosis Objectives Nursing Interventions Rationale

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CuesEvidences 1 Shortness of breath weakness productive cough chest pains and epigastric discomfort 2 Vital signs T382C P95 Beatsmin irregular and weak R30 bpm BP10060 mmHg 3 Pale nail beds and conjun... View the full answer