Student name
Institution
Course name: course number
Name of instructor
Assignment due date
, MRS J CASE STUDY 2
Mrs J case study
Clinical manifestation
Mrs J case provides essential subjective data for clinical manifestation. From the data,
Mrs J weight is 95.5 kg, and her height is 1.75. In calculation, the BMI is above 30, indicating
the obesity of the patient. The patient is anxious and fears dying as she denies any pain. The data
indicate the presence of severe respiratory distress through lack of air and exhaustion. Also,
there is a possibility of fluid accumulation in the lung, which might trigger hypoxia incidence
through her excessive smoking, chronic heart disease and hypertension. Mrs J also has 82%
pulse oximetry, weak PMI and pulmonary fizzles. This data signifies the presence of respiratory
distress. Besides, she gets tired quickly and also weak while eating as she cannot perform ADSL.
Other vital signs include RR 34, T37.6C and BP 90/58.
Nursing interventions
Upon admission, the nurse should assure the patient that her condition is under control to
ease anxiety. Before any intervention, there should be an entire body assessment to guide on
necessary actions. Hence nurse intervention is necessary during Mrs J admission. The
intervention includes supplementing oxygen via a high flow facemask and also administering
appropriate airway. It is due to observed pulse oximetry, including lack of adequate oxygen. Mrs
J should also be fixed with an intravenous (IV) for administering IV fluid. Again, she should
have a urinary catheter to help in monitoring any need for diuretic therapy through her output.
Finally, Mrs J should be administered the right medication while under cardiac monitoring to
help in overall improvement.
Medication rationale
Institution
Course name: course number
Name of instructor
Assignment due date
, MRS J CASE STUDY 2
Mrs J case study
Clinical manifestation
Mrs J case provides essential subjective data for clinical manifestation. From the data,
Mrs J weight is 95.5 kg, and her height is 1.75. In calculation, the BMI is above 30, indicating
the obesity of the patient. The patient is anxious and fears dying as she denies any pain. The data
indicate the presence of severe respiratory distress through lack of air and exhaustion. Also,
there is a possibility of fluid accumulation in the lung, which might trigger hypoxia incidence
through her excessive smoking, chronic heart disease and hypertension. Mrs J also has 82%
pulse oximetry, weak PMI and pulmonary fizzles. This data signifies the presence of respiratory
distress. Besides, she gets tired quickly and also weak while eating as she cannot perform ADSL.
Other vital signs include RR 34, T37.6C and BP 90/58.
Nursing interventions
Upon admission, the nurse should assure the patient that her condition is under control to
ease anxiety. Before any intervention, there should be an entire body assessment to guide on
necessary actions. Hence nurse intervention is necessary during Mrs J admission. The
intervention includes supplementing oxygen via a high flow facemask and also administering
appropriate airway. It is due to observed pulse oximetry, including lack of adequate oxygen. Mrs
J should also be fixed with an intravenous (IV) for administering IV fluid. Again, she should
have a urinary catheter to help in monitoring any need for diuretic therapy through her output.
Finally, Mrs J should be administered the right medication while under cardiac monitoring to
help in overall improvement.
Medication rationale
