Janny Rumkins is a 69 yo female with hx of DM-type 2, HTN, and CHF.
glyburide 2.5 mg daily with meals
captopril 6.25 mg one pill TID
metoprolol 100 mg BID
furosemide 40mg daily
ASA 81 mg
Prandin 2mg with each meal
Respond to the below questions using Headers in bold, and responses should be in bullet points and sub-bullet points as indicated.
1) What 5 assessment questions would you ask the patient, and why?
2) What focused physical assessments would you implement, and why?
3) What would you educate the patient, and why?
4) What labs would you anticipate checking, if applicable, and why?
5) List 5 NANDA nursing diagnoses with 3 interventions for each NANDA diagnosis
6) Write Medication, correct indication (cross-reference with the dx), side effects, nursing actions
1) Assessment Questions:
Diet and Nutrition:
Fluid Retention and Edema:
2) Focused Physical Assessments:
Blood Glucose Monitoring:
3) Patient Education:
Signs of Exacerbation:
4) Anticipated Labs:
5) NANDA Nursing Diagnoses and Interventions:
Ineffective Health Management related to lack of understanding of the disease process:
Risk for Medication Noncompliance related to complexity of the medication regimen:
Imbalanced Nutrition: More than Body Requirements related to overconsumption of carbohydrates:
Impaired Physical Mobility related to fatigue and weakness:
Risk for Fluid Volume Excess related to CHF and diuretic therapy:
6) Medication Information:
Glyburide (Indication: Diabetes):
Captopril (Indication: Hypertension, CHF):
Metoprolol (Indication: Hypertension, CHF):
Furosemide (Indication: CHF):
ASA (Indication: Cardiovascular protection):
Prandin (Indication: Diabetes):
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