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Summary Oral and Parenteral Medication AdministrationSkills & Reasoning $10.49   Add to cart

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Summary Oral and Parenteral Medication AdministrationSkills & Reasoning

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Primary Concept Perfusion Interrelated Concepts (In order of emphasis) • Gas Exchange • Clinical Judgment • Patient Education NCLEX Client Need Categories Percentage of Items from Each Category/Subcategory Covered in Case Study Safe and Effective Care Environment  Manage...

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  • October 6, 2021
  • 16
  • 2021/2022
  • Summary
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Oral and Parenteral Medication AdministrationSkills & Reasoning




Jerry Williams, 62 years old



Primary Concept

Perfusion

Interrelated Concepts (In order of emphasis)

 Gas Exchange

 Clinical Judgment

 Patient Education

NCLEX Client Need Categories Percentage of Items from Each Covered in

Category/Subcategory Case Study

Safe and Effective Care Environment

 Management of Care 17-23% 

, Oral and Parenteral Medication AdministrationSkills & Reasoning

 Safety and Infection Control 9-15%

Health Promotion and Maintenance 6-12%

Psychosocial Integrity 6-12%

Physiological Integrity

 Basic Care and Comfort 6-12%

 Pharmacological and Parenteral Therapies 12-18%

 Reduction of Risk Potential 9-15%

 Physiological Adaptation 11-17%

, Oral and Parenteral Medication AdministrationSkills & Reasoning

History of Present Problem:

Jerry Williams is a 62-year old obese (BMI 35.2) Caucasian male with a history of diastolic heart failure and

type II diabetes. Last evening, he began having difficulty breathing with activity. He thought he might be

getting a cold becausehe had a runny nose. He reports more swelling in his lower legs the past couple days. He

woke up this morning with increased difficulty breathing when he woke up and his wife called 911.

Paramedics report that his initial VS: HR:92 RR: 28 BP: 172/88 O2 sat: 80% on room air with scattered

expiratory wheezing bilat. He was placed on oxygen by facemask and albuterol nebulizer administered with

some improvement in his breathing. His RR is now 24 upon arrival to the emergency department ED). His

initial labs have resulted; creatinine of 2.5 (last adm. 1.8), K+ 3.5 (last adm. 3.7) and BNP 944 (last adm. 322).

Jerry is given furosemide 40 mg IV in the ED and had 800 mL urine output in the last hour. He is admitted to

cardiac telemetry, and you are the nurse responsible for hiscare.



What data from the present problem do you NOTICE as RELEVANT and why is it clinically significant?

(Reduction of Risk Potential/Health Promotion and Maintenance)

RELEVANT Data: Clinical Significance:

1. obese, type II diabetes, 1. shows that patient was not in the best health

Diastolic heart failure before these problems began

2. shortness of breath with 2. shows that there is something going on

activity/ increased difficulty with his gas exchange

breathing when he woke up 3. could be a problem with purfusion, possible DVT

3. more swelling in his lower 4. proves that hes is having difficulty breathing and
legs
his heart is trying to pick up the slack
4. High RR and BP and low O2 sat
5. increase risk for kidney and heart failure
5. high creatine and BNP labs


What is the RELATIONSHIP of his past medical history and current medications? Why is your patient

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