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Hello ,Please answer as per questions ,thank you Client is an 86-year-old female who is being admitted to our Transitional Care Unit following 4 days of care for aspiration pneumonia. Background Information: Ms. Ruiz was admitted to Utopia General Hospital through the ER with complaints of a sudden cough with frothy sputum and respiratory distress. She was diagnosed with aspiration pneumonia and was treated with IV antibiotics and oxygen. Ms. Ruiz has a history of IDDM, primary hypertension, atrial fibrillation, macular degeneration, and hearing loss. Ms. Ruiz is very anxious and concerned about managing her care when she returns home where she lives alone. Allergies NKDA Family Information Widowed Adult son – Lives in Portland, OR Adult daughter – Lives in Santa Fe, NM Medical History Aspiration pneumonia IDDM Primary HTN Atrial fibrillation Macular degeneration Hearing loss Home Medications NPH Insulin 30 units SQ daily AM Regular Insulin sliding scale SQ 2 hr PP and HS Lisinopril 20 mg PO daily Warfarin 2.5 mg PO daily Diagnosis – Aspiration Pneumonia Complete the following table to understand the pathophysiology and expected management Definition/ Pathophysiology Cause(s) Signs & Symptoms Diagnostics & Lab Tests Treatment plan Medications & Fluids Complete the following table to understand the following medications, safe dose ranges and associated nursing care if administering these medications. Warfarin Common Brand Name(s) Drug Class/ Reason for Use Nursing Assessments & Evaluation Common Side Effects Administration Considerations Is this medication appropriate for this patient? Safe Dose Range per formulary Acetaminophen Common Brand Name(s) Drug Class/ Reason for Use Nursing Assessments & Evaluation Common Side Effects Administration Considerations Is this medication appropriate for this patient? Safe Dose Range per formulary Regular Insulin Common Brand Name(s) Drug Class/ Reason for Use Nursing Assessments & Evaluation Common Side Effects Administration Considerations Is this medication appropriate for this patient? Safe Dose Range per formulary Critical Thinking Questions: After receiving report on your patient, how will you prioritize your nursing actions? What safety precautions should be considered with this patient and why? How will you use the health care team/family to appropriately carry out the plan of care? What questions would you ask of patient and/or family about life at home? What considerations should be included when discharge planning for this patient? Plan of Care Using the information above, identify anticipated priority nursing diagnoses (one physiological and one psychosocial) Problems Expected Outcomes Interventions and Rationales Evaluation Problems should include signs/ symptoms and your assessment data as evidence to support Expected outcomes should be client-specific, measurable, realistic and time-limited Interventions should be specific, relevant to nursing diagnosis, and include frequency of implementation Evaluation should describe reassessments that will determine effectiveness of interventions

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