What are 5 Nursing diagnosis in priority order with explanations and 3 interventions each for the following case study?

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answerhappygod
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What are 5 Nursing diagnosis in priority order with explanations and 3 interventions each for the following case study?

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What are 5 Nursing diagnosis in priority order with explanations
and 3 interventions each for the following case study?
Albert Harrison is a 68 year old man who developed a harsh,
productive cough four days prior to being seen by a physician. The
sputum is thick and yellow with streaks of blood. He developed a
fever, shaking, chills and malaise along with the cough. One day
ago he developed pain in his right chest that intensifies with
inspiration. He lost 15 lbs. over the past few months but claims he
did not lose his appetite. "I just thought I had the flu." Past
history reveals that he had a chronic smoker's cough for "10 or 15
years" which he describes as being mild, non-productive and
occurring most often in the early morning. He smoked 2 packs of
cigarettes per day for the past 50 years. The patient has been
treated for mild hypertension, chronic bronchitis, appendicitis (as
young adult), hemorrhoids, fractured femur and splenic injury
(motorcycle accident).
PHYSICAL EXAMINATION: The patient is an elderly man who appears
tired haggard and underweight. He is anxious and verbalized that he
needs to get back to his trucking job. Alert and oriented x3.
Bilateral lower extremities without swelling. Skin dry, flaky, and
poor skin turgor. He coughs continuously with thick
yellow/bloody sputum. Sitting in a chair, he leans to his
right side, holding his right chest with his left arm. Vital signs
are as follows: blood pressure 90/48, heart rate 112/minute and
regular, respiratory rate 24/minute and somewhat labored,
temperature 102.6F. Pain 6/10. Both lungs are resonant by
percussion with one exception : the right mid anterior and right
mid lateral lung fields are dull. Auscultation reveals bilateral
diminished vesicular breath sounds. Rhonchi and late inspiratory
crackles are heard in the area of the right mid-anterior and right
mid-lateral lung fields. The remainder of the lung fields are
clear. Examination of the heart reveals no significant abnormality.
Hypoactive bowl sounds in all four quadrants soft non tender
throughout. Dash diet. Examination of the fingers show clubbing
with 3 sec capillary refill. Oxygen saturation is 88% room air and
96% on oxygen 2L nasal cannula. Urinated 300 ml of amber color
urine in the last 4 hours. Able to walk to the bathroom with
portable oxygen 2LNC and dyspnea on exertion.
lab. CBC normal except for the WBC 17000/mm3. Stputum culture is
gram positive streptococcus bacteria.
Chest xray PA and lateral revealed an acute pneumonia in the
right middle lobe, the patient will be treated with
antibiotics.g
Medication:
Azithromycin 500 mg IV daily. IV to the right hand with DSW @ 50
ml/hr
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