Chapter 4, Problem 31R

INSTRUCTION: Formulate a Nursing Care Plan based on the given case scenario. Sally Conner is a 60-year-old who recently suffered a stroke at home. She has been moved into Real Nice Long Term Care facility for recovery. Her vital signs are normal but complains of intermittent mild headaches. She has left sided weakness in her arm and leg, and currently spends most of her time in bed. She suffered from CVA last month which has left her debilitated and dependent with self-care. She has difficulty with swallowing and requires assistance with feeding. You will assist her with brushing her teeth, provide a partial bed bath, help her change her gown, and change her bed while she is in it.

A 69 year old female is seen at her primary provider's office for a follow up. She is currently participating in rehab, status post motor vehicle crash (MVC). As a result of the accident, the patient sustained several fractured ribs, a fractured left clavicle, and fractured left humerus. The client has no previous medical history, takes no medications other than a women's multivitamin, and was very active prior to her accident.  The nurse at the office documents her findings as follows: Pt is AAOx3 Patient reports having "foggy vision" as of late. Noted increase in frequency of headaches as of late. Patient is noted to be restless on exam Chest rise and fall is symmetrical, lung sounds clear to all fields. Abdomen is soft, round, and non-tender.  Noted increase of ROM to shoulder, will continue PT/OT. Vitals: T98.6/P89/R16/BP164/90/SPO296% (on room air) Questions: 1. What signs and symptoms are of concern in this patient's presentation? 2. What could these be telling you is happening…

Topic: COPD Using SBAR format (situation, background, assessment, and recommendations). Answer the following Introduction to the case or situation Background detail Clinical assessment Recommendations Application to future practice

formulate a case study with introduction, case presentation, actions and their results, current care plan and recommendations and conclusions  Case Study: A newly admitted client will be your responsibility as the registered nurse. The client is a 47year-old male of Native American heritage with type 2 diabetes. He states that he has not been taking his medication because it doesn't make him feel better, he also has difficulty remembering to take the medication. The following information pertains to this chient: Fingerstick blood sugar = 213 mg/dL BP 150/90 mmHg, temp 370C (98.6013) oral; respiratíons 24/min; pulse 78 beats/min. " I use the bathroom about eight times per. day Ht6feet 4 inches, weight 284 pounds

Rewrite the following statements using the appropriate language for nursing documentation. Patient complaining about the number of pills prescribed to him by the doctor – the patient is at high risk for medication noncompliance because he does not care about his own well-being.

On family assessment, the patient's family members show: critical, hostile, and over involving behavior towards the patient. The nurse would anticipate that the family is showing which type of attitude? Answer Choices: a. Adequate support system b. Expressed emotions c. Care and concern towards patient d. Judgmental attitude towards patient

SOAPIE CHARTING   PATIENT’S NAME:  SEX:    PROBLEM #1:  Date/Time: 1/10/10, aproximately 3pmSetting: Husband/Father returns home, having enjoyed saturday morning fishing with friends. He walks into the living room and finds his three children.... and chaos #1 Interrupted familty processes related to unexplained chaos as evidenced by crying children, cluttered environment, missing caretaker.   SUBJECTIVE   OBJECTIVE   ASSESSMENT   PLAN   INTERVENTION   EVALUATION