A 94-year-old patient is receiving gentamicin sulfate (Garam…
A 94-year-old patient is receiving gentamicin sulfate (Garamycin) in a continuous intravenous (IV) infusion. The nurse adds to the nursing care plan the diagnosis “Risk for decreased sensory perception.” What nursing action should be implemented?
Read DetailsA nursing report on a newly admitted patient who is profound…
A nursing report on a newly admitted patient who is profoundly hard of hearing says that the patient is confused and difficult to assess because she does not appropriately respond to questions or sometimes fails to respond at all. What should be the first action of the oncoming nurse?
Read DetailsChief Complaint:The patient reports feeling fatigued and exp…
Chief Complaint:The patient reports feeling fatigued and experiencing frequent headaches for the past week. They also report generalized muscle weakness, which has worsened over the past few days. The patient notes that they have gained approximately 6 pounds (2.72 kg) over the last 5 days and states, “I need to sleep in my recliner at night because lying flat makes it hard to breathe.” Past Medical History: Hypertension Type 2 Diabetes Mellitus CHF Vital Signs at Admission: Blood Pressure: 120/80 Pulse: 104 bpm (apical, regular) Respiratory Rate: 24 breaths/min Temperature: 98 oral O2 Saturation: 95% RA The nurse recognizes the client is most likely experiencing (choose one and write the letter): A. atelectasis B. fluid volume excess C. pneumothorax _______ as evidenced by (choose one and write the letter): A. worsening dyspnea B. muscle weakness C. 2+ radial pulses _______ and A. capillary refill, less than 2 seconds B. moist oral mucous membranes C. weight gain _______
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