40. A client who has a history of chronic obstructive pulmon…
40. A client who has a history of chronic obstructive pulmonary disease (COPD) was admitted to the hospital 2 days ago with shortness of breath and hypoxia. Auscultation of lungs were clear and diminished. Vital signs: 97.8 – 88 – 26 – 156/90 – 88% RA The client presents this morning with dyspnea at rest, heaviness in his chest, and 1+ dependent pitting edema in the lower extremities. The nurse implements the following orders received from the primary health care provider: Oxygen at 3L/min; titrate to maintain oxygen saturation at 90% – 92% High calorie, high-protein supplements with each meal Daily weights Fluticasone propionate 88mcg oral inhalation twice daily 12 hours apart The nurse evaluates the client afterward. For each assessment finding, indicate if the client’s condition has improved, has no change, or has declined.
Read DetailsYou arrive on shift and the nurse that is supposed to give y…
You arrive on shift and the nurse that is supposed to give you report is caught in a room helping with a code. You hear someone calling from the room closest to the nurses station. “Help! Help! NURSE!” You enter the room, perform hand hygiene, and find the patient in the bathroom on the toilet. After introducing yourself and assisting the patient back to their bed safely, you find the following assessment findings: He complains of painful urination, and tells you, “I have been having to go to the bathroom over and over again since I woke up this morning.” He was recently admitted following a fall and head injury, but is on day 2 of observation and feels ready to go home soon. He asks “Can I please go home soon? I just want to get home.” You gave AM medications: Zofran 4 mg PO, and Morphin 2 mg PO The provider is unable to come to morning rounds, and is requesting that you input your nursing note so she can determine any further plans of care necessary. Please complete a nursing note as outlined in the guidelines above!
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