Appropriate nursing interventions.

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Case Study: Appropriate nursing interventions.

D.G. is a 56-year-old Caucasian woman. She has just returned to the medical-surgical floor following abdominal surgery. She has had a total abdominal hysterectomy with removal of both ovaries and fallopian tubes. D.G. has a history of ovarian cancer, chronic nausea, and an appendectomy. Her vital signs are HR 107 BP 145/83 O2Sat 92% RR 33 Temperature 38.1 Celsius. Pain 8/10.

  • Using the Pain Assessment Method (PQRST) as a guideline, how will you assess D.G.’s pain?
  • Using the nursing process, the above information, and the ADPIE guidelines (see below), what plan of care would you develop for D.G.?
  • Is this patient at risk at all for respiratory system compromise? Why or why not?
  • If this patient required respiratory support in the form of oxygen supplements, what would be the best way to provide this to her?
  • What are the priority interventions for this patient at this point? (List 3-4.)

ADPIE Guidelines:

A = Assess: what will you assess? (List four.)

D = Diagnose: choose one priority nursing diagnosis.

P = Plan: plan two goals and four appropriate nursing interventions (two for each goal).

I = Implement: implement two interventions and describe how.

E = Evaluate: how will you determine if the goal was met?