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Asked by snadarajah14
Herbie Saunders, 62 years old
David Mueller, 71 years old
Gladys Parker, 92 years old
CHF Exacerbation
Below-the-Knee Amputation
Weakness and Falls
You have completed your initial assessments for each of your three patients. You noticed that Herbie Saunders was experiencing increased shortness of breath due to fluid overload and you appropriately administered his morning medications without delay.
You sent pages to each of your patients’ providers with order requests and pertinent updates. Before you begin medication passes for David Mueller and Gladys Parker, you see that you have new orders for your patients.
New Primary Care Provider Orders
New Orders
Patient #2: David Mueller
Medications:
PRN
polyethylene glycol, 17g, PO QDAY PRN for constipation docusate/senna 50/8.8 mg PO BID PRN for constipation
bisacodyl 10 mg PR QDAY PRN for constipation
Diagnostics:
CBC, now
Nursing Orders:
Reinforce surgical dressing, call surgeon if wound continues to drain through
Evaluation of Patient Care
Patient #2: David Mueller
Current Assessment:
Mr. Mueller is resting comfortably in bed. You assess the dressing to the right stump and note that is relatively unchanged since your initial assessment.
You ask Mr. Muller to rate his pain and he states it is about 2/10.
You recheck his temperature and it is 99.0F
(oral).
As it has only been about an hour since you administered PRN bowel medications; the patient has not yet had a bowel movement.
HELP WITH BELOW RED HAT QUESTIONS
RED HAT(FFEARS, FEELINGS,INPACT ON OTHERS,INTUITION)
HOW DOES THIS MAKE ME FEEL?
wHAT DO YOU LIKE THIS IDEA OR DISLIKE ABOUT THIS IDEA
New Orders
Patient #3: Gladys Parker
Diagnostics:
Basic metabolic panel + Mg, now
Nursing Orders:
Straight cath once for urine sample collection
Evaluation of Patient Care
Current Assessment: Gladys Parker
Ms. Granger is awake and greets you with a smile. She asks you how much longer she has to be hooked up to “this thing” as she points to the bag of IV fluids.
You estimate that there are approximately 300 mls left in the bag and you tell her that it will be about 3 more hours before the infusion is complete.
She states, “I was hoping it would be done sooner because this thing in my arm is a little uncomfortable.”
Upon closer inspection, you notice that the area immediately surrounding her IV is puffy and cool to the touch.
HELP WITH BELOW RED HAT QUESTIONS
RED HAT(FFEARS, FEELINGS,INPACT ON OTHERS,INTUITION)
HOW DOES THIS MAKE ME FEEL?
wHAT DO YOU LIKE THIS IDEA OR DISLIKE ABOUT THIS IDEA
Evaluation of Patient Care
Patient #1: Herbie Saunders
Current Assessment:
Mr. Saunders is resting comfortably watching TV with the HOB at 30 degrees.
His respiratory rate is 20, telemetry shows his HR is 94 and his O2 sats are 98% on the 2 lpm.
He states that his breathing feels easier and it does not feel as difficult for him to talk.
HELP WITH BELOW RED HAT QUESTIONS
RED HAT(FFEARS, FEELINGS,INPACT ON OTHERS,INTUITION)
HOW DOES THIS MAKE ME FEEL?
wHAT DO YOU LIKE THIS IDEA OR DISLIKE ABOUT THIS IDEA
SCIENCE
HEALTH SCIENCE
NURSING
NURS 401
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