Patient has CAD, Acute respiratory failure, stroke, and altered mental status...weakness in RUE and unable to RASS (Las; : 0-Alert and Calm respond to questions. Upon presentation CAM Score(Last) : to the ED the patient was found to have V-tach, CBGs >1000 and was intubated Vital Sign for airway protection, admitted for AHRF PLEASE HELP WITH CARE PLAN

Phlebotomy Essentials
6th Edition
ISBN:9781451194524
Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Chapter1: Phlebotomy: Past And Present And The Healthcare Setting
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Patient has CAD, Acute respiratory failure, stroke, and altered mental status...weakness in RUE and unable to RASS (Las; : 0-Alert and Calm respond to questions. Upon presentation CAM Score(Last) : to the ED the patient was found to have V-tach, CBGs >1000 and was intubated Vital Sign for airway protection, admitted for AHRF PLEASE HELP WITH CARE PLAN
***Clinical Reasoning *** Client Expected Outcomes Nursing Interventions
Rationale
Evaluation of
Nursing Diagnosis
Actual- 3 parts; Risk For - Explain your rationale for choosing
2 parts: Readiness for-2
parts; include secondary to the parts of the n de. EX: how the
as appropriate.)
(short & long term)
With Expected Outcome (Be clear: What When or
Criteria
Expected Outcomes
(include date time)
(with
ihis mursing diagnosis. Include
connectionsrelationships between
sources)
How often/start with
RT cased the problem.
Start with "Patient will"
"Nursing will")
Short Term:
Long Term:
Transcribed Image Text:***Clinical Reasoning *** Client Expected Outcomes Nursing Interventions Rationale Evaluation of Nursing Diagnosis Actual- 3 parts; Risk For - Explain your rationale for choosing 2 parts: Readiness for-2 parts; include secondary to the parts of the n de. EX: how the as appropriate.) (short & long term) With Expected Outcome (Be clear: What When or Criteria Expected Outcomes (include date time) (with ihis mursing diagnosis. Include connectionsrelationships between sources) How often/start with RT cased the problem. Start with "Patient will" "Nursing will") Short Term: Long Term:
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