Scenario Ms. Boxel is a 90-year-old female

Scenario Ms. Boxel is a 90-year-old female with history of osteoporosis and hypertension. She presents to the ER department with moderate respiratory distress, productive cough, and a fever. Her chest x-ray is suggestive of pneumonia. She has been admitted to the medical unit for IV antibiotic therapy and further testing. Vital signs are: BP 148/82, P 106, RR 28, O2 Sat 88-90% on 2L, T 38.4 (101.2°F). Her daughter shared she is normally alert and oriented at home, but now she is confused. Lungs are coarse crackles bilaterally; abdomen is soft with bowel sounds present. Voids clear urine. Voided 200mLs over the last 8 hours. Using the above scenario write a Nursing Care plan with the assessment data, nursing diagnosis using PES format, desired outcome, independent, dependent and collaborative nursing interventions with rationales and evaluation

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