Mrs. Hughes, a 92-year-old female patient, is admitted to your unit with a of pneumonia. She has a poor cough effort and is having difficulty raising sputum. She has crackles bilaterally and occasionally rhonchi on auscultation and her oxygen saturation is ranging from 89-93%. She has a respiratory rate of 22 and slightly labored, temp 100.4 F and her color is pal. She states she feels weak. Her past social and medical history indicates that she lives with her daughter who works full-time during the day. Mrs. Hughes rarely leaves the house. She has a history of arthritis which causes her pain and affects her ability to move and ambulate with ease. She is lonely and rarely has an appetite.
a. Identify 2 factors that have put Mrs. Hughes at risk for the development of a respiratory illness such as pneumonia.
b. You enter the room to meet Mrs. Hughes and do a preliminary respiratory . State 3 priority assessments you would perform and explain the rationale for each.
c. Using the NANDA-I label, identify 2 actual nursing diagnoses that are appropriate for Mrs. Hughes. For each diagnosis, list the ” related to ” factors, and defining .