Mancoww

Hi, Thank you, it all makes sense now. I've chosen impaired gas exchange and pain as my priority nursing diagnoses. Thanks everyone for the help!

hi, Can i say 'impaired gas exchange related to impaired diffusion of gases associated with accumulation of mucus AEB report of dizziness and SOB'? So her 'chest pain related to muscle strain from exessive coughing AEB report of sore chest from coughing' is considered a priority? and the ineffective airqay clearance is not a priority?? sorry i'm a bit confused..

I think "ineffective airway clearance related to the accumulation of mucus as evidenced by excessive coughing" is better.

Hi, I'm from NZ and yes, I am aware of NANDA. We have been informed that Ms. J has pneumonia and our lecturers have only discussed posterior chest assessment. I will include a falls risk assessment as part of her comprehensive assessment-thank you for this. Anyway, here are the 2 priority nursing diagnoses I have come up: 1. Impaired gas exchange related to altered oxygen supply as evidenced by Ms. J reporting that she feels dizzy and short of breath. Rationale: Dizziness indicate hypoxemia, putting Ms. J at risk of respiratory failure. Interventions: semi-Fowler's position and encourage the use of pursed-lip breathing to facilitate oxygen diffusion and optimal lung expansion. Encourage Ms. J to rest and avoid over exertion to reduce oxygen demands. Administer oxygen as prescribed. How do I evaluate the interventions? Is it just like: Ms. J reports an improvement on her dizziness, improved vital signs? 2. Ineffective airway clearance related to the accumulation of sputum as evidenced by inability to cough up phlegm due to pain upon coughing Rationale: Retained secretions can obstruct airways, leading to an impaired gas exchange. For the interventions of ineffective airway clearance, can i include "discourage smoking to prevent an increase in mucus production and improve ciliary function" although smoking is not mentioned in the diagnosis? I've discussed smoking as a contributing factor in my essay. Thank you.

I'm in the medical-surgical semester. Here's the whole scenario: You're an RN working in a general medical ward and have been asked to accept a patient from a GP with a provisional diagnosis of pneumonia. Ms J, a 52 year old librarian, states she "feels dizzy... hard to get my breath and my chest is sore from coughing". On inquiring further you learn that Ms J had a cold last week and generally smokes 1/2-1 packet of cigarettes a day. She had a previous episode of bronchitis 6 months ago. Consider the nurse's role in relation to Ms Saxon's on-going assessment, management and discharge considerations. Here's the assessment data: - appropriate nursing diagnoses identified to provide holistic care - appropriate selection of 2 priority nursing diagnoses, with specific interventions -clear rationale for the priority nursing diagnoses and interventions - comprehensive discussion on the evaluation of the interventions. The Nursing Assessments that I have mentioned in the essay are: -Rapid Assessment - Monitor Vital Signs- -COLDPSA pain assessment for her sore chest - Posterior Chest Examination - Psychosocial Assessment - Nutritional Assessment thanks.

"Ms. J, a 52 year old librarian, states she "feels dizzy... hard to get my breath and my chest is sore from coughing". --- I am also having trouble as to why "chest is sore from coughing" would be considered as a red flag for pneumonia. Here are the priority nursing diagnoses I've come up: Impaired gas exchange r/t excessive mucus as evidenced by report of dizziness and difficulty breathing Rationale: dizziness and difficulty breathing indicate hypoxemia 2. Acute pain related to muscle strain from excessive coughing as evidenced by report of sore chest from coughing Rationale: I can't seem to figure out the right rationale for this. I'm thinking of maybe due to sore chest, Ms. J might not be able to effectively cough?? I thought of including potential for ineffective airway clearance related to excess mucus as evidenced by sore chest from coughing?? I'm not quite sure if this makes any sense. Thank you very much for your help.

Hi, I am making an academic essay but I am having trouble trying to sort out the priority nursing diagnoses for my case study and their rationale. Here is the scenario (pneumonia): "Ms. J, a 52 year old librarian, states she "feels dizzy... hard to get my breath and my chest is sore from coughing". --- I am also having trouble as to why "chest is sore from coughing" would be considered as a red flag for pneumonia. Thank you very much for your help.