Question

Scenario:

30 year old African American male goes into the ED with signs and symptoms:

Weight loss of 20 in 2 months

Polyuria

Extreme hunger

Nausea/Vomiting

Extreme thirst

Complete:

Full head to toe assessment in narrative form

Write subjective assessments

Write objective assessments

Write Nursing Documentation

Write Nursing Goals

Write Implementations

Write Evaluations

Explain to the patient about the lab tests he will be having and why he is having these specific tests.

What questions are you going to ask the patient and how are you going to ask?

How are you going to explain how to manage Diabetes?

Which Diabetes does he have symptoms of?

Answer 1

Ans: subjective data- the patient states that "i have weight loss of 20 in 2months, polyuria, nausia, vomiting"

Objective data- the patient looks dehydrated, general weakness, extreme thirst.

Nursing documentation- the patient name xyz(here we should mention patient name) came to ED with symtoms of nausia, vomiting, polyuria, weight loss and vital checked and recorded and shows that bp low90/60(example) and skin are dehydrated and needs for fluid replacement. And for furthur evaluation we need to do laboratory test as advised by doctor.

Nursing goals- replacement of fluid volume is needed in this condition

-monitor vitals frequently

- to improve fluid volume and

-provided psychological support

Implementation- given large volume of fluids in order to improve fluid volume and prevent severe dehydration

-administered ondansterol inj. (example) to prevent nausia vomiting

-Given Education the patient about condition and given psychological support.

-evaluation-the patients looks good and patient himself verbalised that he is feeling good