Title: Assignment 3 - posted and due date given
Course: NUR 1008C Transition to Prof Nursing > Section: Module 3

Assignment: Case Study

A 45 -year old obese woman is recovering from abdominal surgery that was performed yesterday. Her care plan includes orders for incentive spirometer and regular turning, coughing, and deep breathing. When you prepare to help her with these activities, she says, “You can help me turn, but I’m not using that breathing thing. It hurts when I use it and plus I’m tired and I don’t have time for that! I need the rest more than I need to do anything else.” When you assist her in turning you observe she is short of breath.

Discussion Assignment Questions
1. What do you need to know before you can decide what to do first? How will you get that information?
2. What will you do to respond to the clients concerns about pain, rest, and the breathing exercises.
3. What will you say and do to get her to comply with the treatment plan? Why do you think that will help? How will you know if the plan is successful? What specific assessments must you make?
4. What nursing diagnosis could be formulated based on the assessment data and what two outcome goals for the nursing diagnosis listed above could be written.
5. Describe five nursing interventions to assist the client in achieving the outcome goal. What criteria would be used to evaluate the effectiveness of the nursing interventions?