Acute respiratory failure with hypoxia (HCC) History of Pre

Acute respiratory failure with hypoxia (HCC) History of Present… Acute respiratory failure with hypoxia (HCC)History of Present Illness (HPI)PATIENT BROUGHT IN BY MOTHER. THE MOTHER REPORTED PATIENT HAS BEEN HAVING TROUBLE BREATHING, FEVER, AND CONGESTION SINCE THIS MORNING. PATIENT O2 SATURATION 77% IN ROOM AIR, GOOD WAVEFORM, DIFFERENT SITES TESTED. PLACED PATIENT IN OXYGEN 4L, O2 INCREASED TO 86 %PRESENTED WITH THE PATIENT. RT CALLED FOR TREATMENT THE PATIENT RESPONDS TO PAINFUL STIMULATION. THE PATIENT WAS PLACED IN ED BED 32 FOR RT TREATMENT.Pathophysiology of admitting diagnosis (must include reference):Correlation of admitting diagnosis to social history, comorbidities, or past surgical history (must include reference):Protime INR: 13.2 H, INR: 1.2 H Parainfluenza Virus 3 (RUH) Detected (The rationale for ABNORMAL Results SPECIFIC to Your Patient’s Diagnoses, Comorbidities, or Complications: must include reference)Know and anticipate the complication(s) a specific patient is at risk for,Know the signs and symptoms of the complication(s) so that the development of the complication(s) can be identified early, andKnow what interventions should be initiated if a complication develops. List the potential complications of your patient’s medical diagnosis according to the literature (citation required): What nursing assessments will identify this complication(s) EARLY if it develops? What nursing interventions will you initiate if this complication(s) develops?What are some ways that you, as the nurse, could enhance communication with this child according to their developmental level? What kinds of activities could you encourage for this child during their hospitalization? Please include references. Discuss this child’s current stage of moral and spiritual development (include reference).What can I do to engage myself with this child/family’s experience and show that he/she/they matter(s) to me as a person? list a minimum of 5 actual and potential problems.  This may or may not be a NANDA nursing diagnostic statement. For example, in an infant with severe dehydration, NANDA statements of “deficient fluid volume” and “poor skin turgor” will be relevant. But if the status of this patient changes and is now having severe irritability, a NANDA statement is not readily identifiable. Therefore, simply state the obvious (Altered mental status as evidenced by severe irritability and restlessness).Prioritize the top 5 diagnoses:  The nurse must set priorities when there is more than one diagnosis. First-level priority problems are those that are emergent, life threatening, and immediate, such as establishing an airway or supporting breathing.  Second-level priority problems are those that are next in urgency—those requiring your prompt intervention to prevent further deterioration, for example, mental status change, acute pain, acute urinary elimination problems, untreated medical problems, abnormal laboratory values, risks of infection, or risk to safety or security. Third level problems are health problems that do not fit into the above categories (e.g., problems with lack of knowledge, activity, rest, family coping). Using this framework for decision making about priority setting please list in order your top five nursing diagnosis and explain why you choose these particular diagnoses and prioritized them as you did.Take 2 nursing diagnoses (one actual, one risk of and/or one knowledge deficit) and process them each with the following criteria: state the problem, short and long-term goals, and interventions. Remember include your related to and as evidenced by in your problem statement. Each problem must have at least one short-term goal, one long-term goal and 3 interventions (with scientific rationale included for each intervention) and evaluation.  Goals must be SMART (specific, measurable, attainable, realistic and timed).Nursing Diagnosis #1: Long-term goal (>12 hours but prior to discharge):       Intervention #1Rationale Evaluation/Expected outcome:      Intervention #2Rationale Evaluation/Expected outcome:Short-term goal (within 12 hours):       Intervention #1RationaleEvaluation/Expected outcome:      Intervention #2RationaleEvaluation/Expected outcome: Nursing Diagnosis #2: Long-term goal (>12 hours but prior to discharge):       Intervention #1Rationale Evaluation/Expected outcome      Intervention #2Rationale Evaluation/Expected outcome: Short-term goal (within 12 hours):       Intervention #1RationaleEvaluation/Expected outcomeIntervention #2RationaleEvaluation/Expected outcome: Include list of prioritized teaching/learning needs.  Identify potential barriers to your teaching.What anticipatory guidance would you provide to the parents/family about the child’s developmental stage and how might this influence your discharge teaching? Must use at least 4 references.  Include a copy of any journal articles used in this paper to obtain credit. Health Science Science Nursing UNRS 404

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