Please I need help with this Case Studies: CASE 1. Darrell J

Please I need help with this Case Studies: CASE 1. Darrell Johnson… Please I need help with this Case Studies: CASE 1. Darrell Johnson is a 62-year-old male who comes to the Emergency Room with a 4-day history of increased sputum production, a change in the character of sputum, increased shortness of breath, and a fever of 101° F. His HR is 56, BP 110/60, RR 24. He has a smoking history and history of asthma and has been hospitalized twice with pneumonia, most recently 2 years ago. He has an ongoing constipation problem that he takes Magnesium Citrate every other day. Initial priority assessment is completed by the nurse and the client is then admitted to a medical unit with pneumonia. The nurse analyzes ABG results and establishes the priority nursing diagnosis of Ineffective Airway Clearance. Medications are prescribed. Nursing actions related to the administration of the prescribed ampicillin and albuterol are identified, and the nurse teaches the client how to use a metered dose inhaler. ABG                                                                      Normal                                                                              Pt ValuepH                                                                                                                                                                      7.33                   PaCo2                                                                                                                                                               46 HCO3                                                                                                                                                                21 O2 Saturation                                                                                                                                                   92%ElectrolytesNa                                                                                                                                                                        136K                                                                                                                                                                           3.7Cl                                                                                                                                                                          99 Total Ca                                                                                                                                                               10 Mg                                                                                                                                                                        2.7 Phos CASE 2. Helen Jackson, a 63-year-old Caucasian female, arrives at the surgery center for her preoperative appointment. She is scheduled to have surgery on her left femur due to bone cancer. During preoperative screening, the nurse recognizes abnormal vital signs (HR 108, RR 24, BP 124/70 and T 98.6) and lab tests, and patient reporting not feeling like eating for a while. Preoperative teaching includes evaluating the client’s deep breathing techniques and responding to the client’s concerns about getting a pressure sore and overdosing on pain medication through a PCA pump. A week later, Ms. Jackson arrives 3 hours before her scheduled surgery. The nurse confirms the client’s NPO status and the markings on the client’s hips and takes action in response to the unsigned surgical consent form. In the Operating Room, the nurse establishes a priority diagnosis and calls a time out. In the immediate postoperative period, the nurse positions the client and documents the appearance of the surgical dressing. When Ms. Jackson is transferred to the surgical unit, the nurse first needs to calculate an IV infusion drop rate, and when an infusion pump becomes available, an IV rate in ml/hour.  ABG                                                                   Normal                                                                                   Pt ValuepH                                                                                                                                                                         7.46PaCo2                                                                                                                                                                   33HCO3                                                                                                                                                                    25O2 Saturation                                                                                                                                                       99% Electrolytes                                                                                                                                                                                              Na                                                                                                                                                                         138                  K                                                                                                                                                                            3.4Cl                                                                                                                                                                            102Total Ca                                                                                                                                                                  12Mg                                                                                                                                                                           2.5Phos                                                                                                                                                                        2.8  What clinical manifestations does the patient have?What would be the priority Nursing Diagnosis (choose one).Interpretation of Electrolyte abnormality (which electrolyte is most concerning)?What symptoms does the patient have specific to the electrolyte abnormality?What treatment would you expect based on the problem?What nursing interventions would you expect?Health Science Science Nursing NSG 252

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