NSG 280 Unit 3 Prioritization Project. Latest 2020/21.Step 1:
You are the nurse manager on a new unit that will open today.This unit has 18 rooms, 10 are
... [Show More] private rooms and 8 are double rooms.Two of the single rooms have negative pressure (601 & 602).The list below tells you what patients are being transferred to your unit.You need to assign patients to their new rooms.
In your assigned work group, complete the room assignments for these patients noting rationale for why you assign each patient to a specific room.Submit to your faculty by due date.
Diagnosis AdditionalConsiderations SEX
AGE
Mr. L Right lobectomy – yesterday Has 2 chest tubes with minimal bubbling in the water seal bottle. Orders to ambulate to door and back again today.IVLR at 125ml/hour
126/86P 84R 16T 99.2 M
49
Ms. D Post-operative dehiscence Wound infection for MRSA.Wet to dry dressing twice daily.Self-care with assistance
130/72P 88R 20T 99.9 F
55
Mr.LD Legionnaire’s
Disease Reports productive cough, shortness of breath. chest pain, nausea& vomiting
IV of D5W @125 ml/hour
B/P 128/84, T 101.4, P 100, R 24.
Zithromax 500 mg as a single dose on Day 1, followed by 250 mg once daily on Days 2 through 5 M
23
Ms.S CHF Shingles – left sided abdominal rash with open lesions.Reports pain at rash site
B/P 131/94, T 99.4, P 118, R 32
Pulse oximetry86%
Crackles in both bases of lung, SOB F
73
Ms. PT Cirrhosis Pulmonary tuberculosis
138/88P 92R 22T 100.7 F
54
Ms. H DM
UTI
CHF Being admitted.BS 640mg/dl
IVNormal Saline 0.9% @100ml/hr
Change to D5W when glucose level is down to 250-300 mg/dl.
Blood sugar every 2 hours
102/72P108R 24T 98.9 F
72
Ms. T Thyroidectomythis am To come to floor from PACU96/72P 76R 18T 97.8 F
24
Mr. A Acute renal failure continuous cycler-assisted peritoneal dialysis (CCPD) started yesterday
flank pain, N&V
112/80P88R 20T 98.4 M
69
Ms. M Left Mastectomy Hemovacin place
to be discharge in the am
122/78P 92r 16t 97.8
F
55
Ms. NM Neisseria meningitis IV cipro400 mg I.V. q 12 h
B/P 118/94, T 101.4, P 118, R 32
O2 via nasal cannula @ 2L/m
Seizure precautions F
22
Mr. D Dehydration
stool positive for Clostridium difficile
IV LR 125 ml/hour
92/64P 116R 28T 100.1 M
79
Mr. H Hepatitis A Incontinent of stool & urine
Nausea & vomiting & fatigue
B/P 128/94, T 99.4, P 118, R 32 M
89
Ms. G Guillain-Barre’ B/P 122/68, T 99.6, P 92, R 18
Bilateral leg weakness. No respiratory compromised at this time F
22
Ms. MI MI Coming from CCU
Experiencingintermittent PVC
108/72P 76 irregR 16T 98 F
61
Mr. B Laminectomy L3 & L4 One day post-op.Orders to ambulate today
134/88P 92R 20T 100 M
52
Mr.C Colectomywith a colostomy One day post-op. NG tube
128/72P98R 20T 97.9axillary M
45
Ms. C Cervical cancer Radium implant.Foley catheter
114/72P 76R 18T 98.8 F
55
Ms. Fx Fractured left femur External fixator applied two days ago
Fat emboli. Oxygen via Venturi mask
132/92P100 R 20T 99.0 F
39
Mr. T TURP One day post-op
Continual Bladderirrigation
OOB today. IV to be d/c
128/88P 92R 16T 99 M
71
Ms. R Rheumatoid Arthritis Noted to be in severe pain with the joints of both hands swollen, reddened and stiff.Unable to use upper extremities for self-help activities.130/90P 82R 24T 98.9 F
37
Mr. I I & D of infected left arm Has a history of drug use 3 years ago is still smoking.Is very demanding about his care; up and about on the unit.Watches the clock to see that his medications and every shift dressing changes are on time.150/98P 76R 18P 97 M
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