Case 1: Miriam is an 83-year-old former smoker with a history of emphysema.

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Question Case 1: Miriam is an 83-year-old former smoker with a history of emphysema.She has been admitted to your unit with a diagnosis of “Exacerbation of COPD.” Her vital signs are stable; however, she becomes acutely dypsneic with any sort of exertion and you note purse- lipped breathing. Her Nurse Practitioner has ordered arterial blood gasses. Case Study 1. Each answer should be no less then 250 words. please answer. answer 2 question separately. please provide minimum 2 references with attached website. 1) Includes introduction and conclusion.2) Analyzes the results with this diagnosis. Health Science Science Nursing NURSING 156 Share QuestionEmailCopy link Comments (0)

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Question What is the Best Nursing Diagnosis, Goals and Intervention for this case?Mr. J is a 21 years old student, who had an accident while on holidays with his friends when his head hit a sandbank as he dived into the waves. His friends were experienced first aiders and were first responders to the accident. Mr.J  hit his head and was floating on the water for approximately 30 seconds, his friends initially thought he was joking around but one friend realised that Mr. J was having trouble and went to check on him. He called to his other friends to assist with turning Mr. J and to call for an ambulance. John was turned face up in the water. He was awake and had a weak cough, he had swallowed some water but was breathing. Mr. J was taken out of the water by six individuals, including two lifeguards who arrived on the scene who supported his neck throughout. He was positioned lying on his back, supported at the neck and covered with a blanket to try to maintain his body temperature as they waited for assistance to arrive.Paramedics arrived at the scene within 15 mins. Mr. J was lying in the supine position, he reported severe pain in his neck and was unable to move his arms and legs. He was drowsy but, oriented to his current location, and some details of the accident. He complained that he could not feel his arms and legs. His pupils were equal and reactive to light. He showed no other signs of injury but paramedics were concerned as Mr. J may have inhaled some water during the accident. His vital signs revealed a blood pressure of 100 / 72, heart rate of 82 beats per minute, respirations of 22 per minute. The paramedics applied a cervical collar, placed him on Ferno Scoop Stretcher, immobilized his head, provided 100% Oxygen and transported him to the trauma center by helicopter. He arrived at the hospital and underwent an initial assessment within 120 mins of the accident.The doctor ordered an MRI, CT Scan and X-ray. Health Science Science Nursing Share QuestionEmailCopy link Comments (0)
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