Situation: The patient is Kenneth Bronson, a

Situation: The patient is Kenneth Bronson, a 27-year-old male who just arrived at the Medical Unit from the Emergency Department with the diagnosis of right lower lobe pneumonia confirmed by chest x-ray. Background: He presented to the Emergency Department 2 hours ago with chest tightness and difficulty breathing in addition to the productive cough, fever, and fatigue he’s had for about a week. He has a history of smoking for 10 years. Assessment: He was given acetaminophen 650 mg orally in the Emergency Department for a temperature of 102.6 °F (39.2 °C). Heart rate has been in the 80s, respiratory rate is 24, and blood pressure is 132/80 at the right arm. SpO2 on room air was 90%, which increased to 93% with supplemental oxygen 2 L per nasal cannula. He has a 20-gauge IV in the left hand with normal saline infusing at 75 mL/hr. Recommendation: Provider’s orders and lab results are available in the chart for you to view. Pharmacy just delivered the IV antibiotic that needs to be given and will bring the oral antibiotic within the next hour.Identify a nursing diagnosis appropriate for Kenneth Bronson. DO NOT use a “risk for” nursing diagnosis. Does the rationale for the NANDA-I explain why this problem needs to be resolved for this patient? Think about what may happen to the patient if the problem continues. The related to factor can be a medical diagnosis, but never a surgical procedure or treatment. Does the assessments support the chosen NANDA-I ? The expected outcome needs to be patient specific, time-specific, and measurable Interventions- need to be actions that help move the patient to the identified expected outcome. Collaboration/delegation- Also needs to be realistic- ask yourself if the team member would typically perform that intervention in your institution. The delegated task also needs to move the patient to the expected outcome.Evaluation/Summary – Do the assessments and interventions move the patient towards the identified expected outcome and support the chosen nursing diagnosis?

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