Get Answer: Situation Dolores Wellbeing Question Guide

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Original Question

Situation: Dolores Wellbeing, a 35 yr old sales lady, reports weakness, and flu-like symptoms for 3-4 days. Although thirsty, she is unable to tolerate fluids because of nausea and vomiting, and she has liquid stools 2-4 times per day. Physical Examination Ht: 5’3 Wt: 166lbs Temp: 38.6 PR: 86BPM RR: 24CPM BP: 130/90 Diagnostic Data Urine specific gravity: 1.0357 Serum Sodium: 155meq/ L CXR: negative Formulate a Nursing Care Plan based on this situation. Give rationale to every intervention. You can use NANDA as your guide in formulating. USE THE SAMPLE FORMAT BELOW NURSING CARE PLAN SAMPLE MR. BOWICK HAS HAD A SUCCESSFUL REPAIR OF A FRACTURED HIP AND IS RECOVERING, WITH A PROBLEM OF ACUTE PAIN. HE IS WAITING FOR DISCHARGE AND NEEDS CLIENT EDUCATION IN THIS REGARD. MR. BOWICK WILL NEED DIRECTION AS TO WHETHER HE IS ABLE TO GO HOME WITH HOME HEALTH NURSING SUPERVISION AND ASSISTANCE OR IF HE WILL NEED TO BE ADMITTED TO A CONVALESCENT SETTING. ASSESSMENT NURSING DIAGNOSIS EXPECTED OUTCOME PLANNING/INTERVENTION RATIONALE SUBJECTIVE SYMPTOM ACUTE PAIN ACUTE PAIN RELATED TO RECENT REPAIR OF THE FRACTURED LEFT HIP NOC (NURSING OUTCOME CLASSIFICATION): PAIN LEVEL, PAIN CONTROL, COMFORT LEVEL, PAIN; DISRUPTIVE EFFECT NIC (NURSING INTERVENTION CLASSIFICATION) PAIN MANAGEMENT, ANALGESIS ADMINISTRATION, PATIENT – CONTROLLED ANALGESIA THE CLIENT WILL: STATE HE HAS DECREASED LEVEL OF PAIN (SCALE OF 1-10) WITHIN 48 HOURS VERBALIZE SUCCESSFUL MEASURES THAT IMPROVE HIS COMFORT LEVEL BEFORE DISCHARGE COLLABORATE WITH CLIENT IN DETERMINING WHAT METHODS CAN BE USED TO REDUCE THE PAIN LEVEL PREDICATE THE CLIENT 30 -60 MINUTES PRIOR TO AMBULATING INCREASES THE SELF-EFFICACY OF THE CLIENT IN PAIN RELIEF METHODS. PREVENT PAIN LEVELS FROM INCREASING BEYOND THE PAIN THRESHOLD. INEFFECTIVE HEALTH MAINTENANCE FROM RECENT SURGERY, ASA RELATED TO IMPENDING DISCHARGE. NOC; HEALTH BELIEFS, PERCEIVED RESOURCES; HEALTH-PROMOTING BEHAVIOR, HEALTH SEEKING BEHAVIOR NIC; HEALTH SYSTEM GUIDANCE, SUPPORT SYSTEM ENHANCEMENT, HEALTH EDUCATION THE CLIENT WILL: IDENTIFY THE BARRIERS IN HEALTH MAINTENANCE IN WHICHEVER ENVIRONMENT HE IS DISCHARGED TO WITHIN 3 DAYS OF RELOCATING ENGAGE IN HEALTH MAINTENANCE BEHAVIORS, SUCH AS PERSONAL HYGIENE, WITHIN 3 DAYS OR RELOCATING THE CLIENT WILL ASSESS BARRIERS TO HEALTH MAINTENANCE ASSIST THE CLIENT IN IDENTIFYING HEALTH BEHAVIORS THAT ARE COMPATIBLE WITH HIS LIFESTYLE AFTER THE SURGICAL REPAIR OF THE LEFT HIP ENCOURAGE PATIENT TO DISCOVER METHODS OF IMPROVING HIS STATE OF HEALTH ALLOWS REALISTIC PLAN FOR THE CLIENT TO ADAPT TO HIS LIMITATIONS CREATED FROM THE RECENT SURGERY

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