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Patient one: The Patient is 28 years

Patient one: The Patient is 28 years old; he was diagnosed with BPD Manic episodes related to the patient not taking medication (patient denies using lithium x6 days) and sleeping 2 hr./night. The patient has a history of 5 years of bipolar disorder controlled with medication. The Patient lives with her boyfriend. The Patient has experienced excessive talking, hyperactivity, distracted, and rapid pacing. As well as patient current lithium level is 0.3 MEq/L. The therapeutic lithium level should be 0.8-1.2 MEq/L. The Patient is on a high acuity because she is unstable, the patient is not following commands, and has rapid pacing, and distractibility, patient has abnormal electrolytes, Na 130 low, CL 95 low, Mg 1.6 low, K 3.2 low, Cr 0.6 low, Ca 8.2 low, P 2.4 low and ALP 47 units/l. the patient requires continuous monitoring of electrolytes and lithium level, and cardiac. Questions what three part priority nursing diagnosis and management of care is Nursing Diagnosis: ineffective impulse control related to decreased lithium level (0.3MEq/l) secondary to? ??as evidenced by?? Management of care? Patient 2 . DX: Lt hip fracture The Patient is 74 years old, admitted 12hrs. post-op rt hip arthroplasty 6hrs. the patient has a history of cataract surgery and hypertension. I rated this Patient as the medium his pain was not well controlled. The patient reported pain of 8 on a scale of 0/10. The patient reported n/v Patient is receiving morphine medication and IV fluids 0.9% NS 100ml/hr. Oxygen therapy o2 1l/min via nasal cannula and the patient has a foley catheter. The patient requires PT. The patient’s incision dressing is clean, dry, and intact What is the three-part priority nursing diagnosis and management of care? Nursing diagnosis: Impaired bed mobility related post-operative hip replacement as evidenced by ???? Management of care? Patient 3 The Patient is 42 years old with a diagnosis of angina and has a history of cholecystectomy and Type 2 diabetes mellitus, the Patient is A&O X3, the patient has stable vitals and electrolytes WNL patient is on a cardiac/diabetic diet. I rated this Patient low acuity because the Patient has stable vitals, The patient is not on IV fluid or medication. Patient previously reported 5 episodes of chest pain 7/10 radiating to lt arm during exercise and stops with rest and lasting 5 to 10 min. But the patient’s condition has improved the patient rating of the pain of 0/10 on a scale of 0 to 10. The patient is currently pain-free and patient ECG WNL. The Patient is scheduled for discharge today. The patient is on metformin and nitroglycerin What is a three-part priority nursing diagnosis? And management of care Priority Nursing diagnosis: Knowledge deficit related to signs and symptoms of stable angina as evidenced by Management of care? SCIENCE HEALTH SCIENCE NURSING NUR 440

 
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