Nursing Assignment | Nursing Assignment Help

Each situation must include a care plan, 3 nursing diagnosis, include a med card with 3 additional potential meds for the situation, a nurse note for each situation and SBAR note .
Situation: The nurse is completing a patient history during an admission. The patient’s wife reports that when she and her husband go for their daily walks, he can only go two blocks and then must sit down because of pain in the calves of his legs. They rest a while and walk another two blocks, but then the pain is back.
1. What additional history and physical assessments are indicated?
Two days later, the patient is assigned to you for nursing care. His primary nursing diagnosis is ineffective tissue perfusion related to insufficient oxygenation of the lower limbs manifested by pain on walking two blocks and diminished popliteal pulses, bilaterally.
2. What nursing interventions are indicated during the patient’s hospitalization?
3. His health care provider prescribes cilostazol (Pletal), 100 mg bid. Review the drug monograph and discuss the drug’s action and adverse effects.
4. What health teaching would be needed in relation to his prescribed drug therapy?
Situation: A 76-year-old patient has been experiencing arteriosclerosis obliterans with intermittent claudication. He refuses to give up smoking. At his last office visit, he was given a prescription for pentoxifylline (Trental), 400 mg PO tid with meals. After leaving the examination room, he tells you (the office nurse) that the health care provider did not explain how this would work to improve his “leg pain.”
5. Explain in lay terms to the patient what is thought to be the mechanism of action of pentoxifylline and draw a diagram that depicts erythrocyte flexibility. Use the visual aid to help him understand how the drug could improve his leg pain.
6. One week later, the patient calls the office and says, “That new medication you gave me for my leg pain isn’t working.” How should you respond?Get Nursing Help Today
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