How to Answer This Patient Hospice Questions (Complete Guide)
This type of question evaluates analytical and critical thinking skills.
What This Question Is About
This question relates to this patient hospice and requires a structured academic response.
How to Approach This Question
Use appropriate theories and support your answer with clear reasoning.
Key Explanation
This topic involves this patient hospice. A strong answer should include explanation, application, and examples.
Original Question
This patient is in the hospice for multiple health complications Client Outcomes: Demonstrate adequate cardiac output as evidenced by blood pressure, pulse rate, and rhythm within normal parameters for clients Strong peripheral pulses Maintained level of mentation Lack of chest discomfort or dyspnea Adequate urinary output An ability to tolerate activity without symptoms of dyspnea, syncope, or chest pain Remain free of side effects from the medications used to achieve adequate cardiac output Explain actions and precautions to prevent primary or secondary cardiac disease. Suggested NOC Outcomes Cardiac Pump Effectiveness Circulation status Tissue perfusion Abdominal orans Peripheral Vital Signs Medical Diagnosis: Decreased cardiac output related to impaired contractility. Clostridium difficile infection Type 2 diabetes mulitas without complication Nursing Diagnosis: Anxiety Restlessness Adventitious breath sounds Clammy skin Decrease in peripheral pulses Oliguria Prolonged capillary refill Decrease in gross motor skills Alteration in gait Postural instability Spastic movement Vital Signs: Diet: NPO BP: 124/74 Pulse: 86 Resp: 22 02 set: 95 Temp: 98.1 Lab: Albumin: 3.4. Alk Phosphatase: 46 BUN: 7 Calcium: 8.5 Chloride: 98 C02: 21.0 Patient Medication: Sodium Chloride 5ml Flush Lorazepam (ATIVAN) 2mg/ml Inj. Morphine Sulfate INJ 10mg/1ml Cefazolin (ANCEF) 1gm vial 2 gm Lactated Ringers 1000ml (938) 100ml/hr. Normal Saline 0.9% 100ml (943) Nausea/Emesis Patient is resting in bed with her TV on, she is requesting to watch a movie. Denies any pain currently. Tuesday, the patient respirations are even and unlabored. Will continue to monitor. Assessment Data (Include at least three-five subjective and/or objective pieces of data that lead to the nursing diagnosis) Goals & Outcome (Two statements are required for each nursing diagnosis. Must be Patient and/or family focused; measurable; time-specific; and reasonable.) Nursing Interventions (List at least three nursing or collaborative interventions with rationale for each goal & outcome.) Rationale (Provide reason why intervention is indicated/therapeutic; provide references.) Outcome Evaluation & Replanning (Was goal met? How would you revise the plan of care according the patient’s response to current plan ?) 1. 2. 3. Statement #1 Statement #2 1. 2. 3. 1. 2. 3. 1. 2. 3. 1. 2. 3. Outcome #1 Outcome #2 Nursing Care Plan Form Patient Medical Diagnosis: Nursing Diagnosis: Assessment Data (Include at least three-five subjective and/or objective pieces of data that lead to the nursing diagnosis) Goals & Outcome (Two statements are required for each nursing diagnosis. Must be Patient and/or family focused; measurable; time-specific; and reasonable.) Nursing Interventions (List at least three nursing or collaborative interventions with rationale for each goal & outcome.) Rationale (Provide reason why intervention is indicated/therapeutic; provide references.) Outcome Evaluation & Replanning (Was goal met? How would you revise the plan of care according the patient’s response to current plan ?) 1. 2. 3. Statement #1 Statement #2 1. 2. 3. 1. 2. 3. 1. 2. 3. 1. 2. 3. Outcome #1 Outcome #2 List patient mediations, indications, and nursing considerations for this patient Medication, Dose, Route Indications for Medication Nursing Consideration for Patient/ Side Effects List Patient abnormal lab values, normal ranges, and why they are altered. Abnormal Lab Value Normal Range Cause of Abnormal Lab Value List all Patients Nursing Diagnosis in priority Order and explain why. Nursing Diagnosis Explanation
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