emergency

The change of shift report tells you that Ms. Brenda Paisley, a 35years old homeless woman was admitted with acute asthma and cellulitis of her right foot. She had a very restless night. She is still dyspneic at 28 breaths/min and still demonstrating inspiratory and expiratory wheezes and complains of shortness of breath. She is maintaining an oxygen saturation of 90 to 92 % on oxygen at 2L/min via nasal cannula. On examination, she is restless but oriented to person, place and time. Her skin is cool and moist. She states, I don't feel so good and my foot is really hurting me. I don't feel like much breakfast because of the pain and the difficulty breathing”. She further states, I don't know what is happening to me. I can't make it to the bathroom and so I just wet myself and the bed. I feel so embarrassed”.

V/S BP: 149/88, P:98, R:28, O2 Sat: 90%, T: 99.1

need rationale and assessment

so far my diagnoses are ineffective breathing pattern, tissue perfusion, sleep disturbance, imbalance nutrition and ineffective coping.