Subjective Data: H. G. is 76-year-old Caucasian female patient…

Subjective Data: H. G. is 76-year-old Caucasian female patient… Subjective Data: H. G. is 76-year-old Caucasian female patient recently diagnosed with non-small cell lung cancer after an endobronchial lung biopsy. She is scheduled for a left hilar lung mass lung removal in a few weeks. A week ago, she started external beam radiation to shrink the tumor. Her husband brought her to the emergency room because she was confused this morning. He reports she has been nauseated with vomiting over the last 3 days. Past Medical HistoryAdult-onset asthmaCOPD diagnosed 2 years agoHypertension (HTN) diagnosed 6 years ago MedicationsAlbuterol (Proventil) 2 puffs orally four times a day PRN wheezing.Fluticasone/salmeterol (Advair Diskus) 1 inhalation twice a dayHydrochlorothiazide 25 mg oral daily.Multivitamin oral once a day. AllergiesNo known allergies Code status: full code Family HistoryFather – HTN, smoker, died at age 77 due to head and neck cancer.Mother – died at age 56 from breast cancer.Sister – alive; healthyTwo adult daughters – alive; healthy  Social HistoryMarriedRetired administrative assistantSmokes ½ to 1 packs a day for most of adult lifeDrinks alcohol only socially  Review of Systems10 lb. weight loss in last month since diagnosed with cancerHas a chronic cough from smokingDenies pain Reports feeling weak Objective DataHeight: 5′ 5″Weight: 13t0 lbs.Temp: 99 °F (37.2 °C)BP: 100/60 mm Hg HR:112 regularRR: 24 SpO2: 95% on room air Physical AssessmentGeneral/NeurologicalAlertOriented to person but confused about time and placeAble to follow commandsHead & NeckPERRLANo enlarged lymph nodesDry mucous membranesCardiovascularHeart sounds normalRadial pulses weak and thready bilaterallyBilateral dorsalis and posterior tibial pulses normal No edema in lower extremitiesRespiratoryLungs clearNon-productive coughGastrointestinalAbdomen soft and non-tenderHypoactive bowel soundsLast bowel movement 2 days agoGenitourinaryDark yellow urinecontinent  IntegumentaryRedness on chest below the sternumSkin turgor decreasedMusculoskeletalAble to move all extremitiesEqual hand grip strength   Identify five priority nursing interventions for H. G. and provide the rationales. (With references)Click or tap here to enter text.   H. G. is admitted to the inpatient medical unit. Identify anticipated medical orders for H.G. and explain their importance. (With references) Click or tap here to enter text.       You as the nurse are preparing for H. G. to be discharged home. Discuss client education and community resources needed for discharge back home to home.  (With references)  Health Science Science NursingBIO 155Share QuestionEmailCopy link Comments (0)

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