please do this assignment for me thanks

please do this assignment for me thanks Using the case study provided, use the Templates to help organize the information before writing the narrative. Students can organize data on the Concept Map and the Care Plan templates to help you plan your nursing care for this client. In a narrative, organize the data by subjective and objective assessment data. Based on the assessment information, determine two problem-focused nursing diagnoses for this client and two risk diagnosis. Use the appropriate R/T or “as evidenced by” when you write your diagnoses. Determine a nursing intervention for each diagnosis. Support your decisions with nursing scholarly literature. Identify three collaborative problems and anticipate what the medical orders will be based on your learning so far in this program. Discuss how the implementation will be done for each intervention and support your discussion with nursing scholarly literature (place citation with the rationale). Include a timeline for the implementation (in the next hour, by end of shift, before discharge) Discuss what is the expected outcome on evaluation of the intervention. Submit the completed case study by the due date to the assignments folder. Use your assigned class readings and a minimum of three additional peer-reviewed nursing articles (published within the last 5 years). The paper must follow APA 7th ed. format: include title page, reference page, use Times New Roman 12 pt. font, and include in-text citations (use citations whenever paraphrasing, using statistics, or paraphrasing from an article). Please refer to your APA 7th ed. resources as a guide for in-text citations and sample reference papers. No direct quotes permitted. Care Plan Case Study L. G. is a 45-year-old male who is a long-term smoker (100 pack years) who has arrived at the hospital with significant shortness of breath. He does not have any insurance so has not seen a health care provider in 25 years. He states he has a productive cough of greenish-yellow sputum for the past week and pain on inspiration. He states, “it just feels like I cannot catch my breath.” He complains of dyspnea at rest and is elevating himself on pillows to be able to lie down. General appearance is an alert, weak-appearing, thin Hispanic male. He works as a house framer for a local construction crew. He states he is divorced and has two children who live with their mother. He states he “likes to have a couple of beers” with his friends on Friday nights when they regularly get together. He has lived in the U.S. for 15 years and normally eats “food that tastes like home” (beans, tortillas, rice, fried foods, high in fat and sodium). He stated that his father and three uncles died of myocardial infarction when they were in their early 60s. Vital signs: BP 165/95, Resp 32 and labored, Pulse 110 and regular, Temperature is 100.4o F (38o C) SpO2 83% on RA (room air). On assessment: ï‚· There are few breath sounds heard on auscultation and he is so short of breath, client is having difficulty climbing onto the stretcher. ï‚· Skin is cold and dry with no cyanosis but poor turgor. He has a cut on his left hand that he stated, “that he missed with a saw and cut his hand two weeks ago.” The wound is erythematous, with localized edema, and purulent drainage crusted around the wound site. The hand had been wrapped with rolled gauze, that had dried serous and purulent drainage all the way through the wrapping. ï‚· HEENT (head, eyes, ears, nose, and throat) assessment: PERRLA, normal conjunctiva, no complaints of eye pain or ear pain, + for pursed lip breathing, yellowed teeth, oral mucosa membranes dry, tongue normal size, no throat pain or difficulty swallowing. ï‚· Neck and lymph nodes: Neck supple but thin, (+) for mild JVD, (+) for mild cervical lymphadenopathy, (-) thyromegaly, masses, carotid bruits. ï‚· Chest and lungs: use of accessory muscles at rest, “barrel chest appearance,” poor diaphragmatic excursion bilaterally, poor breath sounds throughout, prolonged expiration with occasional mild, expiratory wheeze. ï‚· Heart: Tachycardic with normal rhythm. Normal S1 and S2. 3+ seconds for capillary refill. ï‚· Normal abdominal and genitourinary examination. ï‚· Musculoskeletal: cyanotic nail beds, 1+ bilateral ankle edema to mid-calf, 2+ dorsalis pedis and posterior tibial pulses bilaterally. Denies muscle aches, joint pain, and bone pain. ï‚· Neurological: alert and oriented x 3. Cranial nerves intact. Motor and strength 5/5 upper and lower bilaterally. Gait is steady and denies headaches or dizziness. ï‚· Chest X-ray – hyperinflation with flattened diaphragm. Diffuse scarring in lungs. No effusions or infiltrates. Laboratory findings Hgb 14.1 g/dL Hct 42.2% WBC 14,575/mL Neutrophils 69 % Lymphocytes 16 % Monocytes 6% SCIENCE HEALTH SCIENCE NURSING NURSING MS D028

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