Concept MAP influenza - Develop a nursing plan of care for a client who has an acute episode of GI bleeding PDF

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Summary

Develop a nursing plan of care for a client who has an acute episode of GI bleeding and a
history of Crohn’s disease including one priority nursing problem and three evidence-based
interventions with rationale from the textbook....

Description

RISK FACTORS 1.chronic lung disease 2. heart disease 3. diabetes OBJECTIVE SUBJECTIVE SOB fever Vomiting

MEDICAL DIAGNOSIS and BRIEF PATHOPHYSIOLOGY Influenza is commonly diagnosed based on the patient’s health history, clinical findings, and the knowledge in the community viral cultures has the advantage of identifying which virus and which strains LABS & DIAGNOSTICS of virus are present 1. Throat swab ASSESSMENT DATA DIAGNOSIS (PROBLEM)

NURSING

2. Nasopharyngeal swab

headache fatigue

Positive flu swab Muscle aches Reports coughing

NURSING

Productive cough

Deficient fluid volume related to inadequate fluid intake Acute pain related to inflammatory DESIRED OUTCOME (PLAN) Open airway changes in joints Ineffective thermoregulation related to infectious process

INTERVENTIONS DESIRED EVALUATION 1. Administration of medication

2. Feeding assistance

PATIENT EDUCATION 1. Good hand hygiene

3. Monitoring vital signs

2. Encouraged pt to get the annual Flu vaccine 3.

MEDICATIONS albuterol...