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Posted: April 27th, 2023

Mr. Rivera is a 72-year-old patient with end stage COPD

Mr. Rivera is a 72-year-old patient with end stage COPD who is in the care of Hospice. He has a history of smoking, hypertension, obesity, and type 2 Diabetes. He is on Oxygen 2L per nasal cannula around the clock. His wife and 2 adult children help with his care. Develop a concept map for Mr. Rivera. Consider the patients Ethnic background (he and his family are from Mexico) and family dynamics. Please use the concept map form provided. NUR2790_Module 02_Concept Map_v2.docx

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Grading Criterion: The student must list at least 3 risk factors related to the medical diagnoses The student must list at least 5 possible/anticipated medications that the client may be on The student is to describe a subjective statement that they client may say related to the medical diagnosis The student is to list at least 3 objective assessments that would be expected with a client who has the medical diagnosis The student is to list at least 5 specific sources of diagnostic data that would relate or be expected to be ordered for the client who has the medical diagnosis. Identify at least two possible nursing diagnosis written in a 3-part format based on your subjective and objective criterion you established (3-part = Nursing diagnosis .... related to (R/t) symptoms.... as evidenced by (AEB) your subjective and objective criterion Identify at least 3 nursing interventions that you would do for your client (NO MEDICATIONS) Identify at least 3 medical interventions such as medications or treatments List at least 3 major teaching points such as teaching about medications, risk factors, medical procedures or anticipated diagnostic procedures. A picture containing text Description automatically generated Student’s Name Rasmussen NPR Concept Plan Date Diagnostic Data

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Patient Education Nursing Interventions Possible Nursing Diagnosis Clinical Manifestations

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Subjective: Objective: Medical Diagnosis Patient Data/Risk Factors Possible Medications

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Pathophysiology Medical Interventions +++++ Patient Data/Risk Factors: End stage COPD History of smoking Hypertension Obesity Type 2 Diabetes Mexican ethnicity Family dynamics Possible Medications:

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Albuterol Ipratropium Prednisone Furosemide Metformin Subjective Statement: "I can't catch my breath." Objective Assessments: Decreased oxygen saturation Increased respiratory rate Use of accessory muscles for breathing Sources of Diagnostic Data: Pulmonary function tests Chest X-ray Arterial blood gas analysis Electrocardiogram Complete blood count Possible Nursing Diagnoses: Ineffective airway clearance related to increased sputum production and thickening as evidenced by decreased oxygen saturation and increased respiratory rate Impaired gas exchange related to reduced lung function as evidenced by decreased oxygen saturation and increased respiratory rate Activity intolerance related to shortness of breath as evidenced by decreased activity level and increased respiratory rate Nursing Interventions:

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Assist with positioning for optimal breathing Encourage deep breathing and coughing exercises Monitor oxygen saturation and adjust oxygen delivery as needed Medical Interventions: Oxygen therapy Bronchodilators Diuretics Patient Education: Importance of smoking cessation Medication regimen and side effects Use of oxygen therapy and proper oxygen safety precautions

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