Nursing Paper Case Study

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Data Assessment

Most of the information given in this scenario would be considered pertinent information. First, the patient complains of fatigue, loss of appetite, and pain of unknown origin under his ribcage. The patient’s complain of abdominal pain is especially important because this is why the patient is admitted to the emergency department. Secondly, the physician has ordered several tests. The nurse should know why the tests are ordered for the patient. This information is important because the nurse needs to explain the procedure to the patient and prepare the patient for the test. Thirdly, the patient’s age of 59 is pertinent information. This basic information is necessary to identify and select age appropriate nursing interventions. Next, the patient’s history of asthma helps nurses to plan nursing interventions. For example, some drugs such as non-steroidal anti-inflammatory drugs (NSAIDSs) may cause severe exacerbation of rapid onset. Therefore, NSAIDs should be avoided by asthmatic patients (CKS Clinical Knowledge Summaries, 2008). Lastly, the patient’s information about his occupation and family are important. This patient works as a chef at a local restaurant. He has a history of asthma and inhaling cooking fumes at work may be worsening his condition. The patient has a wife and four teenage children who live at home. Since the patient temporarily cannot work, the family may face financial problems. All of these data are key pieces of the puzzle. These data allow nurses to prioritize problems, plan a nursing diagnosis, create goals, and perform determined interventions (Taylor, Lillis, LeMone, & Lynn, 2011, p.193).

Actual and Potential Problems

The patient has several actual problems, and the nurse can develop s...

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...rs for Disease Control and Prevention. (2009). Hepatitis B information for the public. Retrieved from http://www.cdc.gov/hepatitis/b/bFAQ.htm

Centers for Disease Control and Prevention. (2010). Sexually transmitted diseases treatment guidelines, 2010. Retrieved from http://www.cdc.gov/std/treatment/2010/vaccine.htm#a2

CKS Clinical Knowledge Summaries. (2008). When should I avoid using NSAIDS?

Retrieved from http://www.cks.nhs.uk/nsaids_prescribing_issues/management/

detailed_answers/contraidications_adverse_effects_monitoring/contraindications

Everyday pain relief: Asthma. (May, 2005). In MedicineNet.com. Retrieved from http://www.medicinenet.com/script/main/art.asp?articlekey=50548&page=3

Taylor, C., Lillis, C., LeMone, P., & Lynn, P. (2011). Fundamentals of nursing: The art and science of nursing care (7th ed.). Philadelphia: Lippincott Williams & Wilkins.

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