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Mr Ahmad is a 65-year-old male who was admitted to the medical ward as a suspected case of Tuberculosis (TB). He reports feeling tired, and weak, and having a persistent cough with mucus production for the past several weeks.He also reports having a significant amount of weight loss and a low-grade fever. Mr Ahmad is a known case of COPD, and he has been keeping the head of the bed elevated for most of the day and night to facilitate his breathing which has resulted in lower back pain. Mr. Ahmad is on 2 litres of oxygen by nasal cannula. He receives respiratory treatments of albuterol (AccuNeb, Proventil, Ventolin) every six hours as needed. The medical team also started Mr. Ahmad on Multiple antibiotics includes isoniazid, rifampin, pyrazinamide, ethambutol hydrochloride, and Streptomycin. Mr. Ahmad needs someone to walk beside him when he ambulates because he has an unsteady gait and often needs to stop to catch his breath.

1. List five immediate nursing assessments that the nurse would have conducted on Mr Ahmad upon his arrival to the medical ward.

2. What are the nursing considerations that should be taken to address safety concerns for Mr. Ahmad upon his admission to medical wards? List at least five considerations

3. Mr. Ahmad will be returning home. List at least five safety considerations the nurse should include in discharge teaching regarding his T.B. Nursing Assessments For Respiratory Essay Paper

Upon Mr. Ahmad's arrival to the medical ward, the nurse would likely conduct the following immediate nursing assessments,

Respiratory assessment
Assessment of cough and sputum production
Assessment of vital signs
Pain assessment
Assessment of mobility and gait

Explanation for step 1

Respiratory assessment:

The nurse would assess patient's respiratory status including his respiratory rate, oxygen saturation levels and the presence of any respiratory distress.

Assessment of cough and sputum production:

The nurse would assess the characteristics of patient's cough including whether it is productive or non productive and amount and color of any sputum he is producing.

Assessment of vital signs:

The nurse would assess vital signs including blood pressure, heart rate, respiratory rate , temperature, oxygen saturation levels.

Pain assessment:

Assess the patient's level of pain including lower back pain and effectiveness of any pain management interventions that have been initiated.

Assessment of mobility and gait:

The nurse would assess the patient's mobility and gait including his ability to ambulate safely and the need for assistance or ambulation aids. The nurse would also assess the risk for falls and take appropriate measures to prevent falls.

There are several nursing considerations that should be taken to address safety concerns for patient upon his admission to the medical ward. It includes,

Fall prevention
Oxygen safety
Infection control
Medication safety
Pain management:

Explanation for step 2

Fall prevention:

Given that patient has unsteady gait and need for assistance with ambulation, fall prevention measures should be implemented, including
1. bed rails
2. Non slip socks.
Ensure that the call bell is within his reach. Nursing Assessments For Respiratory Essay Paper

Oxygen safety:

Patient is receiving oxygen therapy and safety considerations need to be taken into account. The nurse should also ensure that oxygen is flowing at the prescribed rate and there are no sources of ignition nearby such as,
1. open flames.
2. smoking materials.

Infection control:

Patient is being treated for suspected tuberculosis which is highly contagious. So implement appropriate infection control measures including the use of personal protective equipment such as,
1. Gloves
2. Gowns
3. Masks
ORDER A PLAGIARISM-FREE PAPER HERE

Medication safety:

The patient is receiving multiple antibiotics and it is essential to ensure that he is receiving correct dose at right time. Also monitor for any adverse drug reactions or interactions.

Pain management:

The patient is experiencing lower back pain which may affect his mobility and increase the risk of falls. The nurse should ensure that appropriate pain management measures are in place including,
1. Administering medications
2. Position him comfortably
3. Non pharmacological pain methods like heat or cold therapy.

When discharging the nurse should provide comprehensive education to patient and his family to ensure his safety at home. It includes,

Adherence to medication.
Infection control
Avoidance of exposure
Follow up appointments
Environmental safety

Explanation for step 3

Adherence to medication:

It is essential that he takes them as prescribed even if he starts to feel better. The nurse should emphasize the importance of adhering to treatment regimen.

Infection control:

It is important to teach patient and family about infection control measures including cough etiquette and hand hygiene. Instruct to cover nose and mouth while sneezing or coughing
Wash hands frequently with soap and water or alcohol based sanitizer.

Avoidance of exposure:

Instruct to Avoid exposure to others who have active TB and should avoid visiting crowded or poorly ventilated places. Avoid close contact with infants, children, pregnant women, and immuno compromised people.

Follow up appointments:

Follow up appointments with health care provider to monitor his progress and adjust his treatment if necessary. Also educate him on the signs and symptoms of tuberculosis and encourage to seek medical attention if they occur.

Environmental safety:

Ensure adequate ventilation, avoiding use of open fires or smoking inside house and minimizing exposure to dust, fumes or other environmental irritants that may exacerbate his respiratory symptoms.

The nurse would likely conduct the following immediate nursing assessments,

Respiratory assessment
Assessment of cough and sputum production
Assessment of vital signs
Pain assessment
Assessment of mobility and gait.

The nursing considerations include,

Fall prevention
Oxygen safety
Infection control
Medication safety
Pain management:

The discharge teachings include,

Adherence to medication.
Infection control
Avoidance of exposure
Follow up appointments
Environmental safety Nursing Assessments For Respiratory Essay Paper

Expert Answer

Mr Ahmad is a 65-year-old male who was admitted to the medical ward as a suspected case of Tuberculosis (TB). He reports feeling tired, and weak, and having a persistent cough with mucus production for the past several weeks.He also reports having a significant amount of weight loss and a low-grade fever. Mr Ahmad is a known case of COPD, and he has been keeping the head of the bed elevated for most of the day and night to facilitate his breathing which has resulted in lower back pain. Mr. Ahmad is on 2 litres of oxygen by nasal cannula. He receives respiratory treatments of albuterol (AccuNeb, Proventil, Ventolin) every six hours as needed. The medical team also started Mr. Ahmad on Multiple antibiotics includes isoniazid, rifampin, pyrazinamide, ethambutol hydrochloride, and Streptomycin. Mr. Ahmad needs someone to walk beside him when he ambulates because he has an unsteady gait and often needs to stop to catch his breath. 1. List five immediate nursing assessments that the nurse would have conducted on Mr Ahmad upon his arrival to the medical ward. 2. What are the nursing considerations that should be taken to address safety concerns for Mr. Ahmad upon his admission to medical wards? List at least five considerations 3. Mr. Ahmad will be returning home. List at least five safety considerations the nurse should include in discharge teaching regarding his T.B. Nursing Assessments For Respiratory Essay Paper

Upon Mr. Ahmad's arrival to the medical ward, the nurse would likely conduct the following immediate nursing assessments,

Respiratory assessment
Assessment of cough and sputum production
Assessment of vital signs
Pain assessment
Assessment of mobility and gait

Explanation for step 1

Respiratory assessment:

The nurse would assess patient's respiratory status including his respiratory rate, oxygen saturation levels and the presence of any respiratory distress.

Assessment of cough and sputum production:

The nurse would assess the characteristics of patient's cough including whether it is productive or non productive and amount and color of any sputum he is producing.

Assessment of vital signs:

The nurse would assess vital signs including blood pressure, heart rate, respiratory rate , temperature, oxygen saturation levels.

Pain assessment:

Assess the patient's level of pain including lower back pain and effectiveness of any pain management interventions that have been initiated.

Assessment of mobility and gait:

The nurse would assess the patient's mobility and gait including his ability to ambulate safely and the need for assistance or ambulation aids. The nurse would also assess the risk for falls and take appropriate measures to prevent falls.

There are several nursing considerations that should be taken to address safety concerns for patient upon his admission to the medical ward. It includes,

Fall prevention
Oxygen safety
Infection control
Medication safety
Pain management:

Explanation for step 2

Fall prevention:

Given that patient has unsteady gait and need for assistance with ambulation, fall prevention measures should be implemented, including

1. bed rails

2. Non slip socks.

Ensure that the call bell is within his reach. Nursing Assessments For Respiratory Essay Paper

Oxygen safety:

Patient is receiving oxygen therapy and safety considerations need to be taken into account. The nurse should also ensure that oxygen is flowing at the prescribed rate and there are no sources of ignition nearby such as,

1. open flames.

2. smoking materials.

Infection control:

Patient is being treated for suspected tuberculosis which is highly contagious. So implement appropriate infection control measures including the use of personal protective equipment such as,

1. Gloves

2. Gowns

3. Masks

ORDER A PLAGIARISM-FREE PAPER HERE

Medication safety:

The patient is receiving multiple antibiotics and it is essential to ensure that he is receiving correct dose at right time. Also monitor for any adverse drug reactions or interactions.

Pain management:

The patient is experiencing lower back pain which may affect his mobility and increase the risk of falls. The nurse should ensure that appropriate pain management measures are in place including,

1. Administering medications

2. Position him comfortably

3. Non pharmacological pain methods like heat or cold therapy.

When discharging the nurse should provide comprehensive education to patient and his family to ensure his safety at home. It includes,

Adherence to medication.
Infection control
Avoidance of exposure
Follow up appointments
Environmental safety

Explanation for step 3

Adherence to medication:

It is essential that he takes them as prescribed even if he starts to feel better. The nurse should emphasize the importance of adhering to treatment regimen.

Infection control:

It is important to teach patient and family about infection control measures including cough etiquette and hand hygiene. Instruct to cover nose and mouth while sneezing or coughing

Wash hands frequently with soap and water or alcohol based sanitizer.

Avoidance of exposure:

Instruct to Avoid exposure to others who have active TB and should avoid visiting crowded or poorly ventilated places. Avoid close contact with infants, children, pregnant women, and immuno compromised people.

Follow up appointments:

Follow up appointments with health care provider to monitor his progress and adjust his treatment if necessary. Also educate him on the signs and symptoms of tuberculosis and encourage to seek medical attention if they occur.

Environmental safety:

Ensure adequate ventilation, avoiding use of open fires or smoking inside house and minimizing exposure to dust, fumes or other environmental irritants that may exacerbate his respiratory symptoms.

The nurse would likely conduct the following immediate nursing assessments,

Respiratory assessment
Assessment of cough and sputum production
Assessment of vital signs
Pain assessment
Assessment of mobility and gait.

The nursing considerations include,

Fall prevention
Oxygen safety
Infection control
Medication safety
Pain management:

The discharge teachings include,

Adherence to medication.
Infection control
Avoidance of exposure
Follow up appointments
Environmental safety Nursing Assessments For Respiratory Essay Paper

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