CASE STUDY: Jane Doe, a 30-year-old woman, was admitted to
CASE STUDY: Jane Doe, a 30-year-old woman, was admitted to the… CASE STUDY: Jane Doe, a 30-year-old woman, was admitted to the Antenatal Ward at 12weeks gestation. She complained of nausea and vomiting and had lost 8lbs. She is married and the mother of a 4-year-old daughter. Assessment findings: T-97.6F HR-96bpm BP-109/63mmHg RR-18p/min SaO2-97% on room air Ht-5’6″ Wt-136lbs Urinalysis: Appearance; concentrated (dark amber) mild, non-offensive odor, clear but slightly frothy, blood-neg, Nitrites-neg, Leucocytes-neg, Protein 1+, Ketones-neg, Glucose 1+ mPH-7.8 Specific gravity (SG) 1.025 Biochemical Data: Hemoglobin level at 9.0 grams per deciliter, Sodium-148mmol/L, Potassium3.2mmol/L, Chloride 109 mmol/L, Random glucose-112mg/dl, Ionized Calcium-1.11mmol/L, Magnesium-1.7mg/dl Prepared by: AYL-02/2022 pg. 3 Medical and socioeconomic data Patient complains of nausea and vomiting, which she experiences early in the morning. She states that her appetite is poor and that she is always feeling weak and tired. Her husband has a menial job therefore their budget is limited. She does not work rather stay at home to care take the 4year old. She states that she is extremely upset as there is no one at home to care for the child therefore her husband must stay home but once he does this, he misses work and will not get paid which worries her about their finances. The couple are happy and excited as they wanted a second child. She intends to breastfeed this baby as she didn’t breastfeed their first child but is apprehensive as she is unsure of how to go about it. Dietary Data Patient’s 24-hour dietary recall revealed that she misses breakfast, mostly due to the nausea and vomiting. Lunch is comprised of sandwich with lettuce and tomatoes and a variety of fruits. Dinner, she states is her best meal where she can keep all food down without vomiting and is comprised of meat (Turkey or chicken as patient dislikes ALL red meat) with rice, potatoes or pasta. She doesn’t consume milk but consumes 1-2 glasses of water daily, along with sweet diet sodas which she craves and consumes approximately 4-5 cans per day. Patient does not take her vitamins as prescribed due to the nausea. INSTRUCTIONS: 1. Use the Nursing Care Plan sheet provided, formulate a plan of care for Mrs. Jane Doe by completing two (2) Nursing Care Plans. 2. The first NCP to be written on NCP Page 1 and the second on NCP page 2 as provided. 3. For each Nursing Diagnosis there must be at least five (5) interventions with rationales. Health Science Science Nursing NURSING 403
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