Clinical Worksheet Plan of Care Concept Map Pharm4Fun Worksheet 1 per medication ISBAR Worksheet
Kenneth Bronson is a 27-year-old male who was just admitted to the Medical Unit from the Emergency Department. He presented to the Emergency Department two hours ago with chest tightness, difficulty breathing, a productive cough for a week, and fever. Chest x-ray revealed right lower lobe pneumonia. IV was started of normal saline at 75 mL per hour. He is receiving oxygen at 2 L/min per nasal cannula. SpO2 on room air was 90%, which increased to 95% with supplemental oxygen. He had a temp of 102.6°F and was given acetaminophen 1,000 mg in the Emergency Department. Pharmacy just delivered the antibiotics to be given.17/05/202020nursing
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Introduction:
In this scenario, we are presented with a 27-year-old male, Kenneth Bronson, who has been admitted to the Medical Unit from the Emergency Department with symptoms of chest tightness, difficulty breathing, productive cough, and fever. The chest X-ray revealed right lower lobe pneumonia. His treatment plan includes IV normal saline at 75 mL per hour, oxygen at 2 L/min per nasal cannula, acetaminophen 1,000 mg, and antibiotics.
Question: Which nursing interventions would be appropriate for Kenneth Bronson’s care?
Answer:
1. Monitor Vital Signs – As Kenneth has a fever and has had difficulty breathing, it is important to monitor his vital signs regularly, including temperature, pulse, respiratory rate, and blood pressure.
2. Administer Medications – As per the doctor’s orders, acetaminophen and antibiotics will need to be administered. The nurse will need to ensure that the correct medication is given at the appropriate time and dosage.
3. Provide Oxygen Therapy – Kenneth requires oxygen therapy at 2 L/min per nasal cannula. The nurse should ensure that the oxygen saturation levels are monitored and that the nasal cannula is secured properly.
4. Implement Isolation Precautions – As Kenneth has pneumonia, it is important to implement isolation precautions to prevent the spread of infection to other patients and staff. This includes wearing personal protective equipment and following proper hand hygiene practices.
5. Assess Respiratory Status – As Kenneth is experiencing chest tightness and difficulty breathing, the nurse will need to assess his respiratory status regularly, including auscultating lung sounds, monitoring oxygen saturation levels, and checking for signs of respiratory distress.
6. Encourage Fluid Intake – As Kenneth has been started on IV normal saline, it is important to encourage him to continue to drink fluids to prevent dehydration.
7. Educate Patient – The nurse should educate Kenneth on the importance of completing his antibiotic course, monitoring his symptoms, and when to follow up with his healthcare provider. Additionally, he should be taught proper hand hygiene practices and the importance of covering his mouth and nose when coughing or sneezing to prevent the spread of infection.