Exam (elaborations) NUR 3330 Charlie Raymond Room 302 Med-Surg (ALL EVALUATIONS)

Charlie Raymond, 65-year-old male who was admitted to a negative pressure room on Med-Surg for COVID precautions.. He has a history of COPD, hypertension, diabetes type II, and a recent myocardial infarction. He is a retired postal worker who lives at home with his wife. He is on Claforan (cefotaxime) 2 g IV q4hr and sliding scale insulin. Initially this cardiologist was concerned about congestive heart failure and Mr. Raymond is receiving Furosemide (Lasix) 20 mg IV twice a day for pulmonary edema. Vital Signs: BP is 145/78, Pulse 89 Respirations 24 and slightly labored, Temperature 100.2 SaO2 94% on 2L nasal cannula. The patient/family is fearing the worst due to COVID-19 Pandemic. You responded correctly to 5 out of 6 evaluations: Category Your response Explanation Educational Needs Increased acuity Due to COVID-19. Fall Risk Increased acuity He has an IV and has O2 on. Health change Increased acuity Significant change in pulmonary status. Neurological Normal acuity Patient is AAO x4. Pain level Normal acuity Normal, rationale: Patient states the pain has subsided