You are the nurse caring for a 30-year-old female client in a mental health facility with a history of histrionic personality disorder, anxiety, insomnia, and depressive disorder. The client is regularly feeding with thin liquids. The client has a history of smoking and no other health problems. Vital signs:
Temperature: 99.2° F
Heart rate: 91 beats/min
Respirations: 18 breaths/minute
O2 saturation: 93%
Blood pressure: 110/68 mm Hg
Pain: “0/10”
Focused assessment findings:
Alert and oriented to person, place and time
she moves all four extremities, ambulates s
The apical pulse is regular at 91 beats/minute
Lungs clear to auscultation, diminished bilaterally
Bowel sounds hypoactive, abdomen soft, tender in all four quadrants
medications
lithium carbonate 300mg Q12hrs
risperidone 2mg once a day
trazodone 100mg-once a day at bedtime
benztropine 1mg-once a day at bedtime
austedo 6mg-twice a . y Using the information from the scenario, create a care plan using the attached template
NUR2349 Professional Nursing I
Module 05 Written Assignment – Care Plan
Student Name: __________________________
Date: ______________________
Client Gender: ____________ Client Age: ________
Client Diagnosis: __________________________________________________________________________________________________
Assessment data for Nursing Diagnosis
Nursing Diagnosis (3)
Expected Outcomes with Indicators
(1 per Nursing Diagnosis)
Nursing Interventions
(2 per Expected Outcome)
Evidence-based Rationale for each Nursing Intervention (Cited/referenced)
Evaluation
(How do you know it worked?)
Respond to this critical thinking question:
Describe evidence-based precautions to prevent this client from obtaining a nosocomial infection. Provide supporting rationales.
Support your response with evidence from credible sources.