Identify subjective and objective data

Assignment Help Biology
Reference no: EM133250260

Question: Mr.John Wright is a 78 year old male, married, presents with chief complaints of right knee pain to right knee, radiating to right leg rating pain level 10/10" on the numeric scale 0 - 10. report right knee and feet feel " very heavy and numb, drowsy with frequent wave of nausea" . client reports a job that requires long periods of standing. Client is currently admitted with a medical diagnosis of right Total Knee Arthropl;asty. On this admission, client reports medical h/o HTN, CAD, Obesity, DM,

chronic osteoarthritis, Hyperlipidemia (HLD), client denies elicit drugs, alcohol, and tobacco used Client Denies Claudication and paresthesia symptoms at the affected site.

Pre OP Medication: Regional anesthesia, and and Epideral

Current medications: Atenolol 25 mg 1 tab oral two time (BID)

Heparin injectable 5,000 unit subcutaneous every 12 hours (q12 hours)

Metformin 500 mg 1 Tab oral twice a day (BID)

Pantoprazole 40 milligrams 1 tablet oral every day (OD)

Simvastatin 10 my 1 tab oral daily at bedtime (OD at HS)

Gabapentin 300 mg 1 Tab oral two times a day (BID)

Cyclobenzaprine 10 mg 1 tab Two times a day (BID)

Meds PRN

Acetaminophen 325 mg 2 tabs oral every 6 hours as PRN (needed )(1 - 3)

Morphine injectable 1 mg IVP every 6 hours PRN (as needed) (7 - 10)

Oxycodone 5mg 1 tab oral every 4 hours PRN (as needed) 4 - 6.

Physical assessment findings: Mr. JW appears anxious,

CP: Denies any SOB

C/o Nausea, vomiting, and headache, muscle weakness

Color WNL for ethnicity

Vital signs (V/S) B/P 130/80, HR. 90, R. 22. oxygen oxymetry: 96%

ABG: PC02 40, PAO2 96%, PH 7.38

Weight: 168 Lbs, height: 5.4

Labs: On admission Peak Flow Rate (PFR) 80% which indicates WNL. Lungs clear on auscultation

Right Knee

CBC: Hemoglobin 14 and Hematocrit 45 (H/H) 16/49, WBC: 6,000.

Review of system information (ROS):

Neurological: Alert and oriented to time, place, and person. Good historian

Respiratory: No adventious sounds

Breath sounds: inspiratoty = expiratory, and on auscultation

Adventitious sounds: None findings bilaterally

Cardiovascular: Heart rate 90 strong and regular

Jugular venous distention: Negative on assessment

Peripheral edema 2 +

Elimination Pattern

Gastro intestinal (GI): Abdominal soft. Mildly distended

Bowel sounds present in all four quadrants

Bowel habits: Consistent. Last BM: 9/22/2022: Stools characteristics: Firm

Genitourinary (GU): 18 French Catheter connected to Foley bag at bedside drining clear amber urine. No clot or sedimentation noted in the foley bag.

Mobility: Mobile with unsteady gait

Integumentary (skin): Dry, warm, and intact

Incision: Right knee incision with surgical aquacel dressing intact

Keep initial DSD in place to change by surgeon

Skin color: WNL for etchnicity

Diet: NPO

IV Fluids Ringer Lactate at 75cc/hour

Assignment requirements

Develop a patient Plan Of Care (POC) on Surgical incision- using Concept Map Tamplate on the case scenario listed above
Identify subjective and objective data
Define three nursing diagnosis/problems
Define one short term and long term goals
Define six nursing interventions, briefly explain your rational for each
intervention

Evaluate the outcomes of your treatment plan
Complete a medication list using medication template include Name, dose, route, frequency, class, indications, side effects, and adverse effects (complications)
How is the medical diagnosis associated with the nursing diagnosis.
What atre the probable causes of Osteoarthritis result findings What factor contribute to the result finding: ? What interventions can you anticipate for patient with osteoarthritis?

Lastly: Complete Cyclobenzaprine medication and Systems Disorder of Active Learning Template to complete assignment on Post Sugical Incision.

Reference no: EM133250260

Questions Cloud

What are some common indicators and symptoms : What are some common indicators and symptoms of dementia that Lara need to be aware of? What signs may alert Sara to the fact that Desmond is experiencing
How can a healthcare organization improve its revenue : Question - Revenue Cycle Management - How can a healthcare organization improve its revenue cycle management
How do anti-cgro monoclonal antibodies : HLSC 708 Old Dominion University How do Anti-CGRO monoclonal Antibodies (I) compare to Botulinum toxin treatments (C), affect (reduce?) frequency, severity,
Examine one of the indicators selected using a pdsa cycle : NURS 704 Maryville University Describe which of the measurement-related concepts (structure, process, outcome; see pp. 458-461 of your textbook) best fits your
Identify subjective and objective data : Develop a patient Plan Of Care (POC) on Surgical incision- using Concept Map Tamplate on the case scenario and Identify subjective and objective data
What cultural dimension tends to increase : What cultural dimension tends to increase when a cultural becomes more economically developed? Which speech pattern is more common among women than men
What is the best way to handle this situation : NURISNG 1460 Rasmussen College, Minneapolis What is the best way to handle this situation? What step by step process would you take to deal with this patient
Discuss a pharmacological treatment would you prescribe : Discuss a pharmacological treatment would you prescribe? Use the clinical guidelines to support the rationale for this treatment
Barriers of entry into the e-commerce market : What are the barriers of Entry into the e-commerce market and does Alibaba have a deep economic moat?

Reviews

Write a Review

Biology Questions & Answers

  Immune response to infectious disease

It is a very curcial concept to understand how the immune response is mounted against viruses, bacteria, protozoans and helminthes. For an effective immune response, both innate and adaptive immunity should work together.

  A review on advanced glycated end products (ages)

This Project report elaborates a critical review of important elements attached to Advanced Glycated End Products (AGEs). It is very crucial to understand the process called Millard reaction.

  Plastic as a soil stabilizer

Soil stabilization is the permanent physical and chemical alteration of soils to enhance their physical properties. Stabilization can increase the shear strength of a soil and control the shrink-swell properties.

  Principles of microbiology

This assignment has three parts which contains questions related to Microbiology. It contains basic principles of microscopy, staining techniques in microbiology and microbial growth in the food industry.

  List the biologic functions

Lipid metabolites are often seen as key elements in cellular signaling. Is this unique? Please provide several examples of the function of lipids as key elements in signal arrays and list the biologic functions these signals affect?

  Biologic function relationships

Please describe how one might search for chemical structure, biologic function relationships, involving small molecular weight lipophylic compounds. Provide one example.

  Case study on patient in the haematology laboratory

Write a case study which detailing a scenario of a patient being investigated in the Haematology laboratory.

  Use of pcr and genetic approaches in biotechnology

The use of PCR and genetic approaches in biotechnology

  Describe the role of this enzyme in honey

Glucose oxidase is an enzyme that can be used for measurements of glucose levels by combining this reaction with an oxygen probe.

  Genetic problems

What phenotypic ratio would you get if you crossed a white mouse and a heterozygous brown mouse?

  Prepare an essay on nosocomial infection

Prepare an essay on nosocomial infection.

  Monitoring and recording the blood pressure

To increase the awareness of monitoring and recording the blood pressure of patients and practice measuring blood pressure in a safe environment.

Free Assignment Quote

Assured A++ Grade

Get guaranteed satisfaction & time on delivery in every assignment order you paid with us! We ensure premium quality solution document along with free turntin report!

All rights reserved! Copyrights ©2019-2020 ExpertsMind IT Educational Pvt Ltd