Develop TWO comprehensive nursing care plans for the case scenario…
Question Develop TWO comprehensive nursing care plans for the case scenario… Develop TWO comprehensive nursing care plans for the case scenario presented.Guidelines:1. Use a NANDA book as a reference in formulating a nursing diagnosis.2. Copy and paste from internet sources are not allowed.3. Use the NCP format discussed during the synchronous discussion.4. Grading will be based on the lecture (please refer to the pdf copy posted for your reference)5. This is an individual activity. SCENARIO:This is a case of a 39y/o G3P1 pregnant patient who was admitted with a chief complaint of headache and dizziness. The client weighs 73 kg and has a height of 148cm.The patient claims to have complete childhood immunization. The patient has no known history of HPN, Asthma, DM, PTB, Thyroid Disease, and malignancy. No known allergy to food and medications. No history of blood transfusions and previous surgeries.Past Medical History: (-)HPN, (-)Asthma, (-)DM, (-)PTB, (-)Thyroid Disease, and (-)malignancy Allergies: No known allergy to food; No known allergy to medicationsThe patient had her menarche at 13 years old occurring at a regular interval, lasting for 3-5 days, consuming 2-3 pads per day, moderately soaked with occasional dysmenorrhea. Subsequent menses came in regularly with the same amount, flow, and duration.The patient had her first child in 2010 and delivered full-term via normal spontaneous delivery. Her second pregnancy was a missed miscarriage at 12 weeks AOG in 2012. Dilation and curettage were done in a provincial hospital. Her current pregnancy is on her 28 weeks gestation. She had been on antibiotics (prescribed) a month ago due to a urinary tract infection.The patient has 2 siblings and she is the eldest. She is a high school graduate, unemployed, single, and currently living with her partner who works as a construction worker. The patient is a non-smoker, occasional alcohol beverage drinker.ASSESSMENT:Vital signs: T: 37.3C, PR: 120bpm, RR:23cpm, BP 150/100mmHgCardiovascular: (-) orthopnea, (+) fatigability, (-) Palpitations, (-) Chest painRespiratory: (-) cough, (-) shortness of breathingGI: (-) nausea and vomiting (-) Diarrhea, (-) constipation, (-) melenaGU: (-) UTI, no dischargesExtremities: (+) pedal non pitting edema, (+) edema on upper extremities (Grade 1)Skin: fair complexion, good skin turgor, warm to touch, (+) abdominal striae gravidarum,(-) skin lesionsNeurological: (-) tingling sensations, (-) tremors, (-) numbnessIVF: D5Lr 1 liter x 8 hoursMeds: Hydralazine 5mg, Methyldopa 250mg, Spironolactone 50mg, Furosemide 40mgLabs: CBC with BT, Urinalysis (with proteinuria), HbSAG, HVDRL, CTGRadiology: BPS, UTZ Health Science Science Nursing Share QuestionEmailCopy link Comments (0)
