Mrs. hughes, a 92-year-old female patient, is admitted to your unit with a diagnosis of pneumonia. she is having difficulty raising sputum, has crackles bilaterally and occasionally rhonchi on auscultation, has a poor cough effort, oxygen saturation ranging from 89-93%, respiratory rate of 22 slightly labored, temp 100.4 f, her color is pale, and she states she feels weak. her past social and medical history indicates that she lives with her daughter who works full-time during the day. mrs. hughes rarely leaves the house. she has a history of arthritis which causes her pain and affects her ability to move and ambulate with ease. she is lonely and rarely has an appetite.
you enter the room to meet mrs. hughes and do a preliminary respiratory assessment. state 4 priority assessments you would perform and explain the rationale for each.
write 2 actual nursing diagnoses that are appropriate for mrs. hughes. include the nanda label, related to factors, and manifestations.
prioritize the diagnoses and explain your rationale for the prioritization
Answers: 3
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Mr. smith, a 57-year-old patient, presents at a health fair asking questions about the age-appropriate health maintenance and promotion considerations he should be concerned about. he stated that he only goes to his physician when he is sick and the last time he saw his physician was 2 years ago when he had a sinus infection. a. what further assessment does the nurse need to make before designing a teaching plan? b. what topics does the nurse need to include for mr. smith based on current medical recommendations? c. design a teaching plan that covers the topics.
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Mrs. hughes, a 92-year-old female patient, is admitted to your unit with a diagnosis of pneumonia. s...
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