Alex Smith is a 62-year-old woman who underwent a double mastectomyand breast reconstruction for breast cancer. During the surgery, several malignant lymph nodes were removed. Diagnostic studies indicate that Mrs. Smith has no other metastases at this time. She has been transferred for recovery to the medical-surgical unit, where she is resting comfortably.You are the nursing student assigned to Mrs. Smith. You perform an admission history and notes Mrs. Smith’s history of type 2 diabetes and asthma. You take Mrs. Smith’s vital signs: temperature, 37.1°C; blood pressure, 152/74 mm Hg; pulse, 68 beats/minute and regular; and respirations, 18 breaths/minute on room air. Mrs. Smith rates her pain as 3 out of 10 on a scale of 0 to 10. Work through the nursing process to come up with a nursing care plan for Alex. Develop a Concept care map of your work and begin a clinically focused collegial discussion with the questions as a guide for your discovery and learning. Concept Care map considerations:1. Use the nursing process to understand this surgical case scenario.2. What will be your screening assessments- data collection, how will you analyze the data, how will you cluster or put the information together in a concept map?3. Consider the information and what matches with what nursing diagnoses?4. Determine your nursing priorities for this client.5. What will you need to plan for this client?6. What are your nursing interventions? Why?7. Who else on the health care team may need to consult with you and the client? Discuss how you will evaluate your interventions. Health Science Science NursingNURSING 4Q03
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