Nursing Interventions Essay Assignment Paper

Question

The client consumed less than 10% of her dinner and drank only 250ml if water with her meal. She explains that it hurts to swallow or put anything in her mouth. She is complaining of more pain (3/10), which has increased in consistency, in her right calf. She is on call for her ultrasound. The client’s husband went home to feed the family dog and call their children to notify them of their mother’s hospitalization. The client’s call light is activated. She is sitting in a chair several feet from her bed when you enter the room. She complains of a sudden onset of severe chest pain and appears diaphoretic and extremely short of breath.

13. Identify a minimum of five nursing interventions that you need to initiate immediately upon entering her room and observing her condition.

14. She is transferred to the medical intensive care unit. Provide a brief explanation of nursing actions you need to take related to her transfer.

Step 1/2

Based on the given scenario , the following nursing interventions should be initiated immediately: 1. Call for emergency assistance: The sudden onset of severe chest pain and shortness of breath requires immediate medical attention. Call for assistance from the healthcare team or the emergency response team to provide appropriate interventions and care. 2. Assess vital signs: Monitor the client’s vital signs, including blood pressure, heart rate, respiratory rate, and oxygen saturation, to determine the severity of the situation and to guide further interventions.

3. Administer oxygen therapy: Provide supplemental oxygen therapy via nasal cannula or mask to improve oxygenation and alleviate the shortness of breath. 4. Initiate cardiac monitoring: Attach the client to a cardiac monitor to assess for any cardiac abnormalities, including arrhythmias, and to guide appropriate interventions. 5. Administer pain medication: Provide pain relief medication as prescribed by the healthcare provider to alleviate the chest pain.

Explanation:

Diaphoretic refers to a medical condition where a person is experiencing profuse sweating, often accompanied by other symptoms such as rapid heart rate, nausea, or shortness of breath. It can be a sign of several medical conditions, including fever, anxiety, hypoglycemia, heart attack, or shock. In the given scenario, the client appears diaphoretic, indicating a potential medical emergency that requires immediate attention.

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Step 2/2

Q.14 .The following nursing actions need to be taken related to her transfer to the medical intensive care unit: 1. Ensure smooth transfer: Collaborate with the healthcare team to ensure a smooth and safe transfer of the client to the medical intensive care unit. 2. Provide thorough report: Provide a thorough report to the medical intensive care unit team, including the client’s medical history, current status, and any ongoing interventions. 3. Monitor closely: Monitor the client closely during the transfer and upon arrival at the medical intensive care unit to identify any changes in her condition and to intervene promptly.

4. Initiate appropriate interventions: Collaborate with the medical intensive care unit team to initiate appropriate interventions, including medication administration, oxygen therapy, and cardiac monitoring, based on the client’s condition. 5. Communicate with the family: Provide regular updates to the client’s family regarding her status and plan of care to ensure they are informed and involved in the care process.

Final answer

13. Nursing interventions that need to be initiated immediately include calling for emergency assistance, assessing vital signs, administering oxygen therapy, initiating cardiac monitoring, and administering pain medication. 14. Nursing actions related to the transfer to the medical intensive care unit include ensuring a smooth transfer, providing a thorough report, monitoring the client closely, initiating appropriate interventions, and communicating with the family. Nursing Interventions Essay Assignment Paper