EbonyLaShonda

Thank you all for your suggestions!!!! I am building on my critical thinking skills, but I thought that a little feedback would be able to help me process the case study and point me in a decent direction.

Hello Everyone, I have to do a case study & concept map based on the scenario below: Mr. Baldwin is a 45-year-old White male who complains of chronic cough, intermittent fever and night sweats. He's a long haul truck driver and travels quite frequently to Mexico. He has a 40-pack year history of cigarette smoking. He is complaining of cough for 3 weeks, which produces hemoptysis and is also dyspnic. He has lost 8 pounds in the last 3 months, has had a fever and is experiencing night sweats. Upon exam he has a fever of 100.2, HR of 94, labored respirations of 24/minute and lung sounds with fine crackling rales in both lung fields. He has mild enlargement of neck and groin lymph nodes. Labs: WBC 15,200, HGB 8.5, HCT 26.3. CXR-haziness and bilateral infiltrates both lungs. Sputum and blood cultures are pending. He states he has been taking Robitussin 2 tsp every 4-6 hours and Advil 800 mg for body aches. He has not seen a doctor for many years. He is here in the ED and is going to be admitted for further treatment and work-up. He tells you he is worried because he does not live in this area and was just driving through when he became SOB and had to come to the ED. He has no family or friends close by. He is married but he and his wife are in the process of getting a divorce so he is also afraid he is going to lose his health insurance. I have to come up with 8 NDX and a primary (priority) NDX- any suggestions??? So far I came up with Ineffective airway clearance r/t copious secretions as one of the possibilities. Any suggestions would greatly be appreciated!!