See attachment
What is the primary problem that brought your patient to this care setting? Briefly summarize pathophysiology of this problem in your OWN WORDS.
What vital signs/nursing assessments/lab-diagnostic test results are RELEVANT and need to be monitored and trended?
Why are they relevant?
What body system(s) needs to be assessed most thoroughly because of the primary problem?
What specific nursing assessments are most important? Why?
What is the current nursing PRIORITY? ‘
What independent nursing interventions (interventions that do not require an order/based on nursing judgment of patient needs) will you initiate based on this priority and what are the desired outcomes?
What is the worst possible/most likely complication(s) to anticipate based on the primary problem?
What will you do to PREVENT this complication from developing?
What nursing assessments will identify this complication EARLY if it develops?
What nursing interventions will you implement if this complication develops?
Explain why the patient is receiving each medication ordered and the nursing considerations for each medication.
Explain each past medical history diagnosis and the medications, assessments, and labs that are used for each.
