PHARM 101 Shadow Health Edward Carater Care Plan University of Wisconsin, Madison

PHARM 101 Shadow Health Edward Carater Care Plan University of Wisconsin, Madison Care Plan : 5 of 9.5 (52.6%) Nursing Diagnoses: Definitions & Classifications © NANDA-International, 2017 used by arrangement with Thieme Medical Publishers, Inc., a division of the Thieme Group. All rights reserved. Authorized translation from the English language edition published by Thieme Medican Publishers Inc. No part of this material may be reproduced in any form without the written permission of the agent of the copyright holder, NANDA-International. Direct inquires to . Link for more information: Status Student Response Model Answer Explanation Points Earned exhibits exhibits Edward's problem is occurring presently, not hypothetically, so the correct answer is "exhibits". 0.5 out of 0.5 Diagnosis Student Response Model Answer Explanation Points Earned impaired urinary elimination impaired urinary elimination While Edward has been experiencing acute pain, he states that the hydromorphone has brought his pain level down to a 2/10, which is acceptable to him. Now is an appropriate time to address Edward's non-pain symptom, his impaired urinary elimination. 0.5 out of 0.5 Etiologies Student Response Model Answer Explanation Points Earned kidney stones kidney stones Kidney stones can irritate the bladder, impact urinary habits, and produce blood that is visible in the urine. The other conditions would not impact urinary elimination in Edward's case. 0.5 out of 0.5 Signs & Symptoms Student Response Model Answer Explanation Points Earned blood in urine blood in urine Edward's urinary habits are impacted via the increase to his urinary frequency and the blood in his urine. 0.5 out of 0.5 pain in lower left side of back frequent urination Edward's urinary habits are impacted via the increase to his urinary frequency and the blood in his urine. 0 out of 0.5 Your answer is not automatically evaluated by the simulation, but may be reviewed by your instructor. Prompt Student Response Model Answer Explanation Why would Edward has no Edward's pain is currently The diagnosis that's Acute Pain be a history of mitigated by most appropriate at a less urgent kidney stones hydromorphone; he reports given time can change diagnosis for and has chronic his pain is at a 2 out of 10, in tandem with the Edward compared to Impaired Urinary Elimination given his treatment thus far? kidney disease. It will be important to maintain the health of his kidneys so not to damange them any further. and that this level does not bother him. Because the patient is satisfied with his current pain level, it is appropriate to move onto his as of yet unaddressed symptoms: increased urinary frequency and blood in his urine. circumstances of the case. Checking in with your patient about their experience of current symptoms can clue you into what needs addressing most urgently. Short-Term Goal Student Response Model Answer Explanation Points Earned To have the patient, within 12-24 hours, report that urine is no longer pink, and that his urinary frequency has been reduced to once per hour. To have the patient, within 24-48 hours, report that urine is no longer pink, and that his urinary frequency has been reduced to once per two hours. Though these goals are similar, the correct answer is defined by an appropriate 24-48 hour time frame to allow for medication to take effect, as well as including both urinary symptoms so you can assess the complete picture. 0 out of 0.5 Interventions Student Response Model Answer Explanation Points Earned Administer ordered dose of tamsulosin at 11 AM of each Administer ordered dose of tamsulosin at 11 AM of each While administering an appropriate medication for Edward's symptoms is the crux of these interventions, it 0.5 out of 0.5