QuestionAnswered step-by-stepHello ,Please answer as per questions ,thank you Client is an 86-year-old female who is being admitted to our Transitional Care Unit following 4 days of care for aspiration pneumonia. Background Information:Ms. Ruiz was admitted to Utopia General Hospital through the ER with complaints of a sudden cough with frothy sputum and respiratory distress. She was diagnosed with aspiration pneumonia and was treated with IV antibiotics and oxygen. Ms. Ruiz has a history of IDDM, primary hypertension, atrial fibrillation, macular degeneration, and hearing loss. Ms. Ruiz is very anxious and concerned about managing her care when she returns home where she lives alone. Allergies NKDAFamily Information WidowedAdult son – Lives in Portland, ORAdult daughter – Lives in Santa Fe, NM Medical History Aspiration pneumoniaIDDMPrimary HTNAtrial fibrillationMacular degenerationHearing lossHome Medications NPH Insulin 30 units SQ daily AMRegular Insulin sliding scale SQ 2 hr PP and HSLisinopril 20 mg PO dailyWarfarin 2.5 mg PO daily Diagnosis – Aspiration Pneumonia Complete the following table to understand the pathophysiology and expected management Definition/ Pathophysiology Cause(s) Signs & Symptoms Diagnostics & Lab Tests Treatment plan Medications & FluidsComplete the following table to understand the following medications, safe dose ranges and associated nursing care if administering these medications. WarfarinCommon Brand Name(s) Drug Class/ Reason for Use Nursing Assessments & Evaluation Common Side Effects Administration Considerations Is this medication appropriate for this patient? Safe Dose Range per formulary AcetaminophenCommon Brand Name(s) Drug Class/ Reason for Use Nursing Assessments & Evaluation Common Side Effects Administration Considerations Is this medication appropriate for this patient? Safe Dose Range per formulary Regular InsulinCommon Brand Name(s) Drug Class/ Reason for Use Nursing Assessments & Evaluation Common Side Effects Administration Considerations Is this medication appropriate for this patient? Safe Dose Range per formulary Critical Thinking Questions: After receiving report on your patient, how will you prioritize your nursing actions?What safety precautions should be considered with this patient and why?How will you use the health care team/family to appropriately carry out the plan of care?What questions would you ask of patient and/or family about life at home?What considerations should be included when discharge planning for this patient? Plan of CareUsing the information above, identify anticipated priority nursing diagnoses (one physiological and one psychosocial) Problems Expected Outcomes Interventions and Rationales EvaluationProblems should include signs/ symptoms and your assessment data as evidence to support Expected outcomes should be client-specific, measurable, realistic and time-limited Interventions should be specific, relevant to nursing diagnosis, and include frequency of implementation Evaluation should describe reassessments that will determine effectiveness of interventions Health ScienceScienceNursingNRSE 2030Share Question
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