Reference no: EM133846526
Questions
1. What are the three Nursing Diagnosis in order of priority based on Mrs Hernndez' s case
2. What are three smart outcomes of each nursing diagnosis with rationale and APA in-text citation
3. What are three independent nursing interventions with rationale and APA in text citation base on the nursing diagnosis.
4. What are three Discharge Planning/ Patient teaching with rationale and APA in-text citation base on the nursing diagnosis.
5. What are two collaborative team with rationale and APA in text citation base on the nursing diagnosis
6. Give two medication management with rationale and APA in text citation base on the nursing diagnosis.
7. Was the smart out met or not and reasons for answer
Mrs. Hernandez is a 72-year-old Hispanic female who was admitted to the medical unit yesterday afternoon with a diagnosis of pneumonia in her right lobe. Chest X-ray shows infiltrates in right lower lobe, indicative of pneumonia. She was started on antibiotics after a sputum specimen for Gram stain culture was obtained. We are monitoring her respiratory status closely. Mrs. Hernandez was experiencing symptoms of dry cough, fever, and malaise, and was diagnosed with influenza 10 days prior to admission. Her symptoms got progressively worse, and yesterday she had a temperature of 38.4 °C (101.2 °F), shaking, chills, and a productive cough of rust-colored sputum. Her primary care provider saw her yesterday and decided to admit her for treatment of pneumonia. Mrs. Hernandez is alert and oriented ×3, but appears tired. She reports sharp chest pain with coughing and shortness of breath with activity. She rated the pain as a 6 on a scale of 0-10 and was given acetaminophen 650 mg at 1400. Vitals signs were taken at 1200. Her temperature has been elevated since this morning and was 38.1 °C (100.6 °F). Pulse is 104/min, respirations 24/min, and blood pressure 112/72 mm Hg. Her saturation was 95% on nasal cannula with oxygen at 3 L/min. Her respirations were labored when she came back from the bathroom, but improved when she settled back in bed.