Missed Clinical Day Assignment 2022 Please can I get help with the following assignment below on the

Question
Answered step-by-step
Asked by kachinnah01

Missed Clinical Day Assignment 2022

Please can I get help with the following assignment below on the scenario and Nursing Progress Note

 and I would need help to Compete the Research listed 

Scenario

January 27, 2022, 0930 hours! You have just received a new admission and been given the following report. The client is a 76 year old female who has been transferred from emergency with a dx of Pneumonia; she is a client of Dr. Happy. Allergic to Penicillin and Morphine. History of renal failure (is on peritoneal dialysis), COPD, CHF and Osteoarthritis. She is awake although a bit drowsy; VS and SPO2 are all within normal limits T 36.8, HR 78 RR 18 BP 128/88, SPO2 91% on 2 L NP, chest auscultation reveals a fair A/E to upper lobes bil with a decrease to the lower lobes bil, mod-harsh crackles n the RLL on inspiration along with a “wet” congested cough (staff state client has been expectorating a mod amt of beige phlegm). Abdomen is soft (potty) with adequate bowel sounds heard in all four quadrants. Foley cath insitu, draining minimal amounts of dark amber coloured urine. Pedal pulses present; CMS is adequate although +1 edema has been noted in ankles to mid-thigh bil. Due to a recent fall at home the client has a wound on her R hip which has a small mepore drsg, a small amount of bright red ooze is noted; PIV of D5W/0.45 is patent and infusing @ 50 ml/hr into her L forearm. The client states her pain is “5 due to my arthritis.” Client walked from stretcher to bed, you note her husband has a worried look on his face and asks the client if she is “ok”.

Medications – Salbutamol, Flovent, Prednisone, Tylenol, Metoprolol, Furosemide, Docusate Sodium, Heparin

Nursing Progress Note

Client received per stretcher from emerg, report received from L. Sunshie PN. Client assisted to bed, placed in a semi fowler’s position, facial grimacing noted upon movement. Skin warm, pale and dry. VAS “7, states it’s my arthritis it’s an achy pain.” VS T 37.8, HR 88 RR 22 BP 136/88, SPO2 88% on 2L NP, client encouraged to purse lip breathe. Chest auscultation reveals fair A/E to upper lobes with a slight decrease bilaterally, inspiratory crackles noted to the R lower lobe, clears slightly with a cough. SOBOE with an occasional wet cough noted, client expectorating mod amt of green/beige phlegm. Abdomen is soft, BSP x 4 quad. Foley catheter insitu and draining dark amber urine. PD is noted in mid-abd, drsg D&I with zero signs of infection. L-PIV infusing D5w/0.45 as per physicians orders. Drsg to outer R hip is intact with fresh sang ooze noted on outer aspect, PPP, +1 edema noted in ankle-mid-thigh bil, CMS (Circulation, Motion, Sensation) adequate. Client orientated to room, call bell present, four side rails up as client requested, family present and acknowledged. Continue to monitor status with special attention to respiratory status, follow Drs orders and report any changes or concerns to co-assigned nurse. Keep client and family informed of client’s progress. Client teaching regarding ambulation and pain control…………………………………………………………………………………………………….. H. Gilmor, PN

Research

Research the client’s primary dx – the reason for admission
Diagnosis 
Signs and Symptoms
Treatments
Nursing Care
Define all secondary dx – listed with client hx
Write out in full all abbreviations
Define all unfamiliar medical terms
List the changes that have happened in the client from the initial report and the assessment done to complete the progress note. 
Put them in order of priority
The medications client is on
Identify the classification of every medication
Identify any allergies the client has
Note if the client is receiving any anti-diabetic agents, narcotics, anticoagulants or inhalation
SCIENCE
HEALTH SCIENCE
NURSING
NURS 3517

******CLICK ORDER NOW BELOW AND OUR WRITERS WILL WRITE AN ANSWER TO THIS ASSIGNMENT OR ANY OTHER ASSIGNMENT, DISCUSSION, ESSAY, HOMEWORK OR QUESTION YOU MAY HAVE. OUR PAPERS ARE PLAGIARISM FREE*******."