Care provider to individuals in different settings, understanding
cultural variations, effective communication based on their learning style.
Coordinator and care manager in situations that require problem solving and uses principles of delegation when warranted.
Practice the profession according to the legal framework of the profession's standards.
Uses the nursing process as a framework to develop, implement and evaluate the care plan for the healthy individual or with a minimum of alterations.
Mrs. Rojas, 30 years old, came to the emergency room with a cold two weeks ago, she presented dyspnea (difficulty breathing). It indicates that you have a fever, headache for several days, chest pain, and you have to sit up to breathe well. Also complains of chills, has decreased fluid intake 2 days ago. On physical examination temp. 39.5C, pulse 92 reg., Strong, Resp. 22 / min. Superficial. B / P 122/80., Dry mouth mucosa, pale, hot skin, reddened cheeks. Decreased vesicular and crackling sounds on inspiration in the right upper and lower lobe. Its thoracic expansion is 3 cm., Scant cough, dense sputum of light pink color. Lethargic, weak and fatigued appearance. The doctor suspects that this may have the diagnosis Influenza A H1N1.
After reading the situation, answer the following questions; (Value 10 points)
1.After reading and analyzing the situation, identify the estimated data and classify them as subjective and objective.
2. Mention the problems that you infer in this situation?
3. According to the NANDA category, which nursing diagnosis applies in this situation. (It must include Problem, etiology and symptoms).
4. Develop the expected result for this Situation
5.Develop nursing interventions such as coordinating and managing
Care of this patient, include the nursing orders and justification for each intervention. (Complete the table).
Nursing orders Justification
6. Mention what legal ethical implications should be considered in this condition.
7. List and define the six nursing steps and define them.
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