2-20 THE PATIENT WITH NEUTROPENIA 0700 Handoff Reporti S M K. 6 years old, was admitted 2 days ago with neutropenia. She

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2 20 The Patient With Neutropenia 0700 Handoff Reporti S M K 6 Years Old Was Admitted 2 Days Ago With Neutropenia She 1 (50.87 KiB) Viewed 180 times

2 20 The Patient With Neutropenia 0700 Handoff Reporti S M K 6 Years Old Was Admitted 2 Days Ago With Neutropenia She 2 (54.05 KiB) Viewed 180 times

2-20 THE PATIENT WITH NEUTROPENIA 0700 Handoff Reporti S M K. 6 years old, was admitted 2 days ago with neutropenia. She had outpatient chemotherapy treatment? days ago. Her absolute neutrophil count (ANC) is 500 cellum Her 0600 VS are T 98.805, P 90, R 22, BP 122/72, pulse ox 98%.pain level O. The following patient care plan information is available BE VS every 4 hours 1&OW Protective Isolation precautions CBC with diff-today Chest x-ray done Diet protein, calorie 1 1 (no raw vegetables/fresh fruit IV: DSW @ 125 ml/h IV site: RFA Ginserted 2 days ago) PO prn for temp greater than 1004°F Gode status Full Routine medication: Docusate sodium 100 mg PO daily 0900 PRN medication: Acetaminophen 325 two tabs every 4 hours Prioritize the following five recommended nursing interventions as you would do them take care of Mrs. K. Write a number in the box to identify the order of your interventions (#1 - first intervention, #2 - second intervention, etc.), and state a rationale for cach intervention INTERVENTIONS PRIORITY # RATIONALE Wash hands • Assess the IV site • Provide fresh water at bedside • Assess oral mucosa • Take the vital signs, assess pain level. pulse ox KEY POINTS TO CONSIDER
m 174 SECTION TWO. Sering A with acu leukemia. Your follow up soment includes 1. Heb hem crit 297 2. w Wood cell me 900/mm' with an absolute neutrophil count (ANO 6 cellit Monitoring temperature, oral mucos Marele con.000/mm' 9 Collaborative Learning Activity with a partner, do the following (1) select the new diagnosis that is a priority at this time. (2) provide a rationale for your section, and (3) list the interventions that you to meet the needs of the patient. All of the following nursing diagnoses may apply to Mo, K. Rask for infection. Fatigue. Imbalanced nutrition less than body requirements, Deficient knowledge skin integrity Social isolation, Fear, Hopelessness. Impaired physical mobility Anxiety Rask for injury. Impaired oral mucous membrane. Decreased activity tolerance, Risk for land NURSING INTERVENTIONS RATIONALE NURSING DIAGNOSIS The following day. Mrs. K's assessment findings are significant for: Platelet count 30,000/mm", bleeding time prolonged, oral petechiae, hemoptysis, tachypnea, dyspnca, and a current nosebleed. On the basis of the most current assessment, identify and write the priority problem in the box below. Then starting with the small box labeled #1, prioritize the nursing interventions for this situation and identify you follow-up action plan for Mrs. K. DECISION-MAKING DIAGRAM NURSING INTERVENTIONS A. Take the vital signs New Action Plan 23 #4 #5 #6 B. Assess for signs and symptoms of bleeding C. Assess neurologic status D. Place in high Fowler's position #1 E Pinch nostrils shur; have patient mouth breathe NOTES E Inform physician Priority Problem Copyright © 2022 by Elsevier, Inc. All rights are