Nancy Gilbert Year Question & Answer Guide (With Explanation)
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What This Question Is About
This question relates to nancy gilbert year and requires a structured academic response.
How to Approach This Question
Break the problem into smaller parts and analyze each logically.
Key Explanation
This topic involves nancy gilbert year. A strong answer should include explanation, application, and examples.
Original Question
Ms. Nancy Gilbert is a 65-year-old female with a permanent tracheostomy resulting from laryngeal cancer 5 years ago that was admitted for community-acquired methicillin-resistant Staphylococcus aureus (MRSA) pneumonia. Upon initial assessment, she is alert and oriented to person, place, time, and situation. She states that she has had symptoms for the past week including a productive cough, fever, “aching” pain in her lungs, and throat pain related to clearing sputum. She rates her current pain level at 3 out of 10. She states that she quit smoking when she was diagnosed with cancer but is exposed to secondhand smoke at home. She does not drink alcohol or use illicit drugs. Home Medications: • Calcium carbonate 500 mg PO twice daily • Multivitamin 1 tablet PO daily • Famotidine 40 mg PO daily at bedtime Allergies: NKDA Past Medical History (PMH): Stage IV laryngeal cancer Upon initial assessment, Ms. Gilbert is in no acute distress. She has copious, green-tinged secretions coming from her tracheostomy tube that require frequent suctioning. She has adventitious lungs sounds including rhonchi and bibasilar crackles. She is receiving humidified oxygen at 6 LPM via trach collar. She has an audible S1 and S2. She denies chest pain or palpitations but endorses aching pain in her lungs. She denies nausea or vomiting but has a decreased appetite. Her skin is intact, warm, smooth, and without tenting. Her capillary refill is less than 3 seconds. Her tracheostomy tube is in place
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