Implementing Nursing Care
Thankoon is a nursing student who is assigned to Ms. Trembly. Ms. Trembly is a 72-year-old Caucasian female who is admitted to the medical-surgical unit for management of hypotension secondary to heart disease.
Ms. Trembly’s blood pressure on admission is 82/54 mm Hg; but several hours later her blood pressure has dropped to 76/50 mm Hg. She complains of nausea, fatigue, and blurred vision.
Thankoon revises the plan of care for Ms. Trembly based on her decrease in blood pressure and complaint of nausea, fatigue, and blurred vision. Revising Ms. Trembly’s care plan involves four steps. Rank in order the following steps.
Choose the method of evaluation for determining achievement of Ms. Trembly’s outcomes.
Revise the specific interventions that correspond to Ms. Trembly’s new nursing diagnoses and goals.
Revise data in the assessment column to reflect Ms. Trembly’s current status.
Revise Ms. Trembly’s nursing diagnoses.
Thankoon prepares to carry out the health care provider’s order of ambulating Ms. Trembly, but because of her hypotension, she is a fall risk. Thankoon seeks out the certified nursing assistant to help him ambulate Ms. Trembly. Thankoon’s actions exhibit identifying areas of assistance.
Thankoon organizes the resources required to manage Ms. Trembly’s hypotension. Which resources should he take into consideration? (Select all that apply.)