History: Patient has a history of Insomnia, nausea, non-Hodgkin’s lymphomaNursi

History: Patient has a history of Insomnia, nausea, non-Hodgkin’s lymphomaNursing diagnosis:Anxiety-related to a perceived threat to health  Vital Signs:BP: 148/86Creatinine 0.56Temp: 97Bun 13LabMelatonin 3 mgAntihistamines 50 mg before going to bedXanax 0.25-0.5 taken 3x a day (indication) generalized anxiety disorder and panic disorderAtivan 8 mg for a day (24 hrs.)Apixaban (Eliquis) 2.5 mg oral every 2 hoursAcetaminophen 650 mg every 4 hoursSubjective Data:Persistent FatigueShortness of breathCoughItchingNight sweatsLack of appetiteObjective Data:Swollen, painless lymph glands / nodesFever, without infectionWeight lossDesired OutcomeMaintain adequate ventilation, prevent infection, manage pain and symptoms of side effects related to treatments  Nursing Care Plan FormPatient Medical Diagnosis:  Nursing Diagnosis:Assessment Data (Include  at least three-five subjective and/or objective pieces of data that lead to the nursing diagnosis)Goals & Outcome (Two statements are required for each nursing diagnosis.   Must be Patient and/or family focused; measurable; time-specific; and reasonable.) Nursing Interventions (List at least three nursing or collaborative interventions with rationale for each goal & outcome.)Rationale (Provide reason why intervention is indicated/therapeutic; provide references.)Outcome Evaluation & Replanning(Was goal met?  How would you revise the plan of care according the patient’s response to current plan ?)1.    2.    3. Statement #1            Statement #2 1.   2.   3.    1.   2.   3.  1.   2.   3.    1.   2.   3.  Outcome #1            Outcome #2          List patient mediations, indications, and nursing considerations for this patientMedication, Dose, RouteIndications for MedicationNursing Consideration for Patient/ Side Effects                             List Patient abnormal lab values, normal ranges, and why they are altered.Abnormal Lab ValueNormal RangeCause of Abnormal Lab Value                      List all Patients Nursing Diagnosis in priority Order and explain why.Nursing DiagnosisExplanation                Health Science Science Nursing NURSING 115 Share EmailCopy link Comments (0)

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