Reference no: EM133648254
Case Study
A 63-year-old white woman presents after admission to the general medical/surgical hospital ER with a primary complaint of shortness of breath on exertion. She reports that she was seen for similar symptoms at her primary care physician's office three months ago. During that visit, she was diagnosed with acute bronchitis and treated with bronchodilators, antibiotics, and a short course of prednisone. This care management did not improve her symptoms, and she has progressively worsened over the past three months. She denies contacts with any person with infections. A review of systems reveals that the client is afebrile, denies night sweats, insomnia, sleep apnea, constipation, diarrhea, abdominal tenderness, CMS changes, muscular skeletal changes. Client admits cough, shortness of breath, and shortness of breath on exertion.
Social History: Smokes two packs of cigarettes per day for 30 years. Quit smoking three months ago after current symptoms presented three months ago. She denies alcohol and illegal drug use. She is married in a monogamous relationship with 5 children. She works as a CNA in a LTC facility. She vacationed in Brazil in 2019.
Allergies: No known allergies
Past Medical History: Hypertension, Type 2 Diabetes
Past Surgical History: Appendectomy
Medications: Carvedilol 25 mg by mouth twice daily, Metformin 500 mg by mouth twice daily
Answer the following questions for this client:
- What are the priority nursing cares for this client?
- What additional nursing care would you perform during an eight-hour shift?