Scenario #1 You are a nurse admitting a patient to the hospital…

Question Scenario #1 You are a nurse admitting a patient to the hospital… Scenario #1You are a nurse admitting a patient to the hospital from the emergency department (ED) with shortness of breath, weakness, and recent weight loss. The patient has a history of COPD and lung cancer. The patient has not been eating well, and has lost 20 lbs in the past 4 months. The patient’s mobility has been affected not only by her weakness, but also by her worsening shortness of breath. Because of this, the patient has been bed bound for the past few weeks. She also developed a stage 2 pressure ulcer on her coccyx.  The patient is on 2L of O2 per nasal cannula and is only sating at 86% SpO2. Her respiratory rate is 24. The patient has been receiving chemotherapy for the past month for her lung cancer, however she hates how nauseous and weak it makes her feel, so she has decided to stop treatment. The patient also has chronic back pain, and her home pain regimen is proving to no longer be effective at managing her pain. The patient is also very anxious and is intermittently tearful upon assessment.Write out the patient’s objective & subjective findings that are provided from the case study. Subjective:  Objective:  2.  Come up with 2 nursing diagnoses for this patient – write out “r/t” and “AEB” statements for each, the best you can.                B. Determine which nursing diagnosis is your top priority for this patient.  3. For your top rated nursing diagnosis, come up with 1 patient outcome. Make sure this is written utilizing the SMART acronym.  4. For your identified patient outcome, write out 3 nursing interventions that you would implement to help the patient achieve their goal.  Scenario #2You are a nurse preparing to receive a new patient, fresh from surgery, to your unit. The patient is a 71-year-old man who underwent a surgical repair of a right sided fractured femur. As you receive report from the postanesthesia recovery unit, you learn that his medical history includes hypertension, 40 year history of smoking (1 pack per day), and COPD. His surgical repair was successful but complicated by excessive bleeding, and he is receiving IV fluids to compensate. His current VS include: BP 92/55, HR 117, RR 20, temperature 100.7 degrees F, SpO2 sat 99% on 2L O2 per nasal cannula. The patient rates his right leg pain at an 8/10 on the pain rating scale. The patient does have morphine and Norco ordered prn for pain. He is widowed, and his three children are scattered throughout the United States. He lives alone, receives Meals on Wheels, and pays a cleaning service to keep his home clean. The patient was told that he would need to go to acute rehab for about 1-2 weeks following surgery, and the patient is refusing to go. Write out the patient’s objective & subjective findings that are provided from the case study. Subjective:  Objective: 2.  . Come up with 2 nursing diagnoses for this patient – write out “r/t” and “AEB” statements for each, the best you can.  B.  Determine which nursing diagnosis is your top priority for this patient.  3. For your top rated nursing diagnosis, come up with 1 patient outcome. Make sure this is written utilizing the SMART acronym. 4. For your identified patient outcome, write out 3 nursing interventions that you would implement to help the patient achieve their goal.  Health Science Science Nursing Share QuestionEmailCopy link Comments (0)