The nursing management plans presented in the literature

Mrs. Jane Smith is an 80-year-old woman who was admitted to ED in 1730 with a history of unwitnessed falls. She was found on the floor by her son. She was unable to stand up.

In ED she was found to be in excruciating pain. Her right leg appeared to be shortened and internally rotated. It was noted she had multiple bruising over her right arm and face and a 4 cm laceration to her right lower arm.

She was administered intranasal Fentanyl 100 Mcg by the Ambulance crew.

Her Vital Signs: Bp – 157/77 mmHg, HR – 122/min – Irregular, RR – 28/min, SpO2 – 99% RA, temp – 37.2C

GCS – E3V4M6 = 13/15.

Mrs. Jane Smith had blood taken. She had also done chest x-rays, which were NAD, and Right hip X-ray which revealed # neck of femur.

A CT scan of her head has been ordered, which is yet to be done.

A – Allergies – Penicillin

M – as mentioned above

P – Hypothyroidism, HTN, AF, IHD multiple falls

L – Last ate around noon

E – Events – Does not remember events leading to the fall

The critical discussion paper should address the following issues:

1. What data deviate from normal findings, suggesting the need for further investigation?
2. What additional information should the nurse ask for?
3. Describe the patient’s presenting problem focusing on the pathophysiological issues.
4. Identify 2 nursing diagnosis that needs immediate interventions and discuss the nursing management appropriate for the patient and evaluation of the nursing management plans presented in the literature.
6. Explain the pharmacokinetics of the prescribed medications in ED and their indications.
7. Discuss nursing management of the prescribed medication in ED, the adverse effects of the medications, contraindication, and side effects, with the age of the patient in mind, using ev