solved

Code Status: M 3 Allergies: NKDA

Mrs. Bertha is a 69 y/o resident admitted in the acute care facility due to decreased LOC with GCS score of 7. She has a history of COPD, a-fib, osteoporosis. She was diagnose of Melanoma 2 years ago and started deteriorating for the last 3 months. Mrs. Bertha’s daughter and son are at bedside and assisting with bedside care. You are the practical nursing student assigned to provide care for her.

Orders & Directives:

Comfort care orders
Nurse to pronounce
Discontinue all PO meds, discontinue routine vital signs
Acetaminophen 650mg PR q4h PRN
Artificial Tears 0.5% 1 drop to each eye q2h PRN
O2 at 2L/np PRN
Morphine 2-5mg SC q1h PRN
Hydromorphone 0.5mg – 1mg SC q2-4H PRN
Lorazepam 0.5mg – 1 mg SC q4h PRN
Scopolamine 0.3mg-0.6mg SC q4h PRN
Methotrimeprazine 2.5mg-5mg SC q6h PRN
1. What are the nursing responsibilities?
2. What are the nursing interventions?
3. What are the nursing consideration?
4. What are the nursing assessments?

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