Order ID:89JHGSJE83839 | Style:APA/MLA/Harvard/Chicago | Pages:5-10 |
Instructions:
Care plan extra credit bloody sputum
Care plan extra credit
After coughing up bloody sputum one morning, James Mueller, a 68-year-old retired mill worker, sees his physician. A chest x-ray shows a suspicious density in the central portion of his right lung. Mr. Mueller is admitted to the hospital the following Monday for diagnostic tests.
ASSESSMENT
Anita Sarros, RN, admits Mr. Mueller to the oncology unit and ob- tains a nursing history. Mr. Mueller is married and has three grown children. He worked in a local paper mill for 35 years before retiring at age 62. He describes himself as pretty healthy, except for a chronic smokers cough. He started smoking as a young man in the army. He has a 50 pack-year smoking history, having smoked a pack a day for 50 years, since age 18. Mr. Mueller says he briefly quit smoking following a small heart attack 3 years ago, but started again after 4 months. On further questioning, Mr. Mueller says his cough has been productive for the past few months, especially in the morning, and that he is shorter of breath than usual with activity.
Mr. Muellers examination data include BP 162/86, P 78 and regular, R 20, and T 98.4°F (36.9°C). Color good, skin warm and dry. Inspiratory and expiratory wheezes noted in right chest but good breath sounds throughout. No other abnormal findings are noted on examination. The physician orders early morning spu- tum specimens times 3 days for cytologic examination and schedules a CT scan of the chest the morning after admission.
Mr. Muellers CBC shows mild anemia, but remaining routine lab- oratory tests are essentially normal. Sputum cytology is positive for small-cell bronchogenic cancer. The CT scan shows a central mass approximately 4 cm in diameter with involved mediastinal and sub- clavicular lymph nodes. A small mass is also noted on the lumbar spine. After conferring with his physician and an oncologist, Mr. Mueller decides to undergo a trial course of chemotherapy.
1. Establish 3 nursing diagnosis
2 Establish 3 outcomes
3 establish 5 nursing interventions
4 1. The oncologist prescribed a chemotherapy regimen of cy- clophosphamide, doxorubicin, and vincristine. mention a significant side effect for each drug and an intervention for addressing/ preventing this side effect (use chemo man)
RUBRIC |
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Excellent Quality 95-100%
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Introduction
45-41 points The background and significance of the problem and a clear statement of the research purpose is provided. The search history is mentioned. |
Literature Support 91-84 points The background and significance of the problem and a clear statement of the research purpose is provided. The search history is mentioned. |
Methodology 58-53 points Content is well-organized with headings for each slide and bulleted lists to group related material as needed. Use of font, color, graphics, effects, etc. to enhance readability and presentation content is excellent. Length requirements of 10 slides/pages or less is met. |
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Average Score 50-85% |
40-38 points More depth/detail for the background and significance is needed, or the research detail is not clear. No search history information is provided. |
83-76 points Review of relevant theoretical literature is evident, but there is little integration of studies into concepts related to problem. Review is partially focused and organized. Supporting and opposing research are included. Summary of information presented is included. Conclusion may not contain a biblical integration. |
52-49 points Content is somewhat organized, but no structure is apparent. The use of font, color, graphics, effects, etc. is occasionally detracting to the presentation content. Length requirements may not be met. |
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Poor Quality 0-45% |
37-1 points The background and/or significance are missing. No search history information is provided. |
75-1 points Review of relevant theoretical literature is evident, but there is no integration of studies into concepts related to problem. Review is partially focused and organized. Supporting and opposing research are not included in the summary of information presented. Conclusion does not contain a biblical integration. |
48-1 points There is no clear or logical organizational structure. No logical sequence is apparent. The use of font, color, graphics, effects etc. is often detracting to the presentation content. Length requirements may not be met |
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Care Plan Extra Credit Bloody Sputum