Shirley Smith Age: 52 Race: Caucasian Gender: Female Height: 68…

Shirley Smith Age: 52 Race: Caucasian Gender: Female Height: 68… Shirley SmithAge: 52Race: CaucasianGender: FemaleHeight: 68 inchesWeight: 153 lb. (69.4 kg)Occupation: RetiredMarital Status: WidowedReligion: AgnosticAllergies: None knownAddress: Assisted Living facilityImmunizations: Up to date HistoryShirley’s husband died unexpectedly 2 months ago, which is the time she enteredan assisted living facility. Shirley states she has become depressed from the lossof her husband and the inability to physically do activities she desires due to theCOPD.Shirley presents to the ER with difficulty breathing and shortness of breath atrest, and increased fatigue. The patient is currently on 2 Liters of oxygen nasalcanula at all times. Shirley smoked cigarettes for 32 years and just recently quit 2months ago when she was put on full-time oxygen.Past medical history: hysterectomy at the age of 48, Gastroesophageal refluxdisease (GERD), and Atrial Fibrillation. MedicationsPrednisone (HOLD) 20 mg oral DailyPantoprazole 40 mg oral DailyWarfarin 5 mg oral DailyMethylprednisolone 125 mg   IVP Every 6 hours OrdersMaintain 2 liters of oxygen via nasal canula at all times to keepsaturation =>92%• Hold prednisone• Methylprednisolone 125 mg IVP every 6 hours• Continue home medications:• Pantoprazole 40 mg oral daily• Warfarin 5 mg oral daily• Continuous pulse oximetry NotesOnce admitted to the Med/Surg floor, Vital signs are obtained by the nursingassistant.• Temperature of 99.9 F• Pulse 102• Respirations 32• B/P 165/87• Oxygen saturation 84% on 2 liters of oxygen via nasal canulaThe patient states she is short of breath, especially with activity. The alarm on thecontinuous pulse oximetry went off and created a loud pulsing chirp. Use the electronic health record information and the unfolding virtual clinical scenario to determine the priority patient for your nursing care. Create a plan of care for the priority patient you selected, using the Plan of Care Template linked below. Include the rationales for your priority patient selection, assessments, the nursing diagnosis, related factor, outcome, and nursing interventions.Image transcription textPlan of Care Template Assessment NANDA Nursing Related Factor Expected Patient Nursing InterventionsDiagnosis Outcome Assessment #1: Must be measurable with a Nursing Intervention #1: timeframe. Rationalefor this Rationale for this intervention: assessment: Rationale for the Rationale for the selected Ra… Show more… Show more  Health Science Science Nursing NUR 275 Share QuestionEmailCopy linkComments (0)

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