Answer the following questions. Given scenario: ASSESSING WOMAN…
Answer the following questions. Given scenario: ASSESSING WOMAN… Answer the following questions. Given scenario: ASSESSING WOMAN WITH RENAL AND URINARY DISORDERSA 27-year-old G2 P1 woman who is in her 6th month of gestation suddenly develops an obvious fever and shaking chills, along with nausea and vomiting. She also has some dysuria with urgency and frequency, but she did not notice any urinary symptoms prior to the onset of fever and chills. Shortly after the fever and chills appear, she develops excruciating flank pain, becomes concerned, and comes to see you for advice. Her vital signs are: T = 39.5ºC, P =115, R = 18, and BP = 110/70 mm Hg. Physical examination reveals marked tenderness on deep pressure in both costovertebral angles, but there are no other remarkable findings. The fetal heart tones are present at a rate of 130 to 140/minute. Microscopic examination of the urine sample reveals the presence of Gram-negativerod-shaped bacterial cells, leukocytes, and leukocyte casts. The urine culture detects 106bacterial cells/mL and grows a Gram-negative, fermentative rod that is oxidase negative and has red colonies on MacConkey agar. It is indole positive. The blood culture is negative. A CBC shows Hgb 12.8 g/dL, Hct 38.5%, MCV 75 fL, WBC count 13,880/µL, and differential count 75 segs, 7 bands, 13 lymphs, 4 monos, and 1 eosinophil. Medical Management: Cephalexin (Keflex) 250mg two or four times daily for 7 days as prescribed by the doctor. 1. Make a Nursing Care Plan2. Based on the case scenario, what are the nursing responsibilities in drug study? NURSING CARE PLAN FORMATASSESMENTNURSING DIAGNOSISPLANNINGINTERVENTIONRATIONALEEVALUATIONSubjective: Problem, Etiology, Signs (P.E.S) formatShort Term Goal: S.M.A.R.T + EvidenceIndependent:- Assessment- Therapeutic- Educative Dependent: – Assessment- Therapeutic- Educative Interdependent/Collaborative:- Assessment- Therapeutic- Educative Short Term Goal:Objective: INFERENCE Scientific Explanation Long Term Goal: S.M.A.R.T + EvidenceLong Term Goal: Health Science Science Nursing NURSING 101 Share QuestionEmailCopy linkComments (0)
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