Nursing NURSING CARE PLAN

Patient Name: F KDate of Birth: 09/25/1933History/Information:An older widowed female adult was brought into the Emergency Care Center (ECC) after slipping and falling at the grocery store. She underwent a total right hip replacement two days ago. The client lives alone in a two-story house with her dog, Renny, which she adores. Her medical history includes: Congestive Heart Failure (CHF) and Hypertension (HTN). Three months ago she was diagnosed with Atrial Fibrillation and began Warfarin (Coumadin). Her INR is checked every 2 weeks. She has Cataracts and is Hard of Hearing (HOH) but unable to purchase any hearing devices due to the cost. Ms. Knight is on her second post-operative day.Healthcare Provider’s Orders:Low Sodium Diet as toleratedIV D5 0.45% Sodium Chloride with 20 meq Potassium Chloride (KCL) at 75 ml/hourUp with assistPhysical therapy for hip rehabilitationAbduction pillowSequential Compression Device (SCD)Change surgical dressing once a dayFoley catheter to continuous drainage. Discontinue Foley catheter on second post-operative dayVital Signs and O2 Saturation every 4 hoursIntake and Output every shiftIncentive Spirometer x 10 every 1 hour while awakeINR/PT daily and call healthcare provider with resultsDigoxin (Lanoxin) 0.125 mg po once a day at 1400Metoprolol Tartrate (Toprol) 12.5 mg PO twice a dayEnoxaparin (Lovenox) 40 mg SQ every 12 hoursWarfarin (Coumadin) 2 mg PO once a day at 1800Hydrocodone 5 mg/Acetaminophen 500 mg 1 tab PO every 6 hours prn pain for a pain level less than 6Hydromorphone Hydrochloride (Dilaudid) 0.5 mg PO every 6 hours prn pain for a pain level greater than 6Laboratory TestsLaboratory ResultsNormal Value RangeWhite Blood Cell (WBC)7,500 /mm3Hemoglobin (Hgb)9 gm/dlHematocrit (Hct)32%Platelet Count198,000/cu mmInternational Normalized Ratio (INR)2.9Prothrombin (PT)17 secondsSodium (Na+)140 mEq/LPotassium (K+)4.0 mEq/LCreatinine (Cr)1.1 mg/dLBlood Urea Nitrogen (BUN)21 mg/100 mlGlucose118 mg/dLPerforms a basic physical assessment of the client (APPLICATION).Do Nursing Care Plan