The handoff shift report includes: Mrs. T, 56 years old, was admitted around midnight from the ER after experiencing some chest pain. She has coronary artery disease and smokes one puck of cigarettes a day. Her father died of heart disease and she has a brother with hypertension. Her vs are T 98 degree F, P 90, R 26, BP 164/100, pair level 0, pulse ox 97%, Mrs. T has been taking and stenolol. Mrs. T will continue with her usual cardiac and blood pressure medications and is also started on aspirin 81 mg, docsate sodium, and lovastatin. Nitroglycerin tablets 0.4 mg SL are ordered prn chest pain and has Mylanta 30 mL q2h pm. She has bathroom privileges with assistance, a saline lock, and oxygen at 3 L/min/nasal cannula to keep the oxygen saturation greater than 96%. Mrs. T is upset about not being able to get up and smoke. Mrs. T is requesting to use the commode as you start your shirt. Prioritize the five nursing interventions as you would do them to initially take care of Mrs. T. Write a number in the box to identify the order of your interventions (#1 = first intervention, #2 = second intervention, etc.) and state a rationale for each intervention,
Breakfast Mrs T continues to be upset. She states that she is constipated and above all want to snack. She’s getting increasingly upset. You observe the following
abdomen around, bowel sounds present in all four quadrants
breakfast intake 30%
bowel movement two days ago
shortness of breath oxygen saturation 93%
what is the nursing diagnosis that is a priority at this time, provide a rationale for your selection, list the nursing intervention for the Sims to meet the needs for your patience
The post Mrs. T, 56 years old, was admitted around midnight from the ER after experiencing some chest pain. She has coronary artery disease and smokes one puck of cigarettes a day. Her father died of heart disease and she has a brother with hypertension. Her vs are T 98 degree F, P 90, R 26, BP 164/100, pair level 0, pulse ox 97%, Mrs. T has been taking and stenolol. Mrs. T will continue with her usual cardiac and blood pressure medications and is also started on aspirin 81 mg, docsate sodium, and lovastatin appeared first on commompapers.org.
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