Can someone help me to answer this

Can someone help me to answer this Case study? Thank you! CASE STUDY INSTRUCTIONS List the abnormal lab values List 3 priority assessments, nursing interventions and rationale Answer the critical thinking questions. Provide references Critical thinking: List the changes that have happened to your patient from the initial report and your assessment. Would you reposition the patient? If yes, why? If no, why? What position? What meds would you give and why? Would you hold any meds and why? Does the patient need O2? If yes, how many litres would you start with? What device would you use? Ex. Nasal prongs, oxymask Would you contact the MRP? If yes, why? If no, why? What is your nursing diagnosis? What is your nursing plan for treatments? What are the barriers of discharge? What services are available for the patient upon discharge? CASE STUDY Reason for admission: Mr. Smith, 73 yr. old male presented in the ED with, “feeling unwell and achy all over”. It is noted that the patient is pale and diaphoretic VS T: 37.9. P: 136. R: 22. BP: 94/60. SPO2: 93% RA It is 0700hrs, you just received report from the night shift nurse. Report Received: Pt sent from ED. Mr. Smith was admitted with Abd pain NYD. NKDA, Pt is from home and lives alone. Hx. CHF, COPD, NIDDM, HTN, Enlarged Prostate, A-Fib. Pt states, “I take all my meds every day” T: 37.9 P: 128 R: 22 BP: 100/60 O2 sat: 94% RA, A&Ox3, no specific complaints of pain, NPO, AAT, Ringers 125ml/hr,18g IV in LT AC, TBA 200ml. Tylenol 500mg PO given @ 0300. Airway is patent and clear, Air entry is decreased bilaterally, Circulation normal, cap refill less than 2 seconds. PPP, BS x4, skin warm, diaphoretic at times. No wounds or dressings noted. Pt denies any UTI symptoms, and bloodwork reflects elevated WBC 19.0. Urine sample was obtained and sent along with urine and blood cultures. Results are pending. Your assessment: 0730hr- you note that Mr. Smith is sitting in high fowlers position and appears uncomfortable, he is drowsy++ and not orientated to place and time. Pupils are equal and react to light and accommodate. Breath sounds are clear bilaterally at the apex with bilateral wheezing t/o, pt. is tachypneic, Pt states feeling SOB, pulses are bounding and irregular. Bowel sounds are present in all 4 quadrants, Abd is soft but tender upon palpation in RLQ and LLQ, pain radiates to back. Skin is cool and pale. You note that Mr. Smith is diaphoretic and mucus membranes are dry. He has a 18g IV SL in his left AC, and states he is experiencing 8/10 pain. VS: T: 40.0. P: 143. R: 24. BP: 82/60. SPO2: 88% RA Drs orders Chest Xray – req sent, tba RL 1L Bolus than 125cc/hr Q4h vitals NPO AAT GMR daily Hypoglycemic protocol MEDS: Salbutamol 2 puffs inh BID Prednisone 5mg PO BID Flovent 2 puffs inh BID Furosemide 20mg PO OD Metoprolol 25mg PO OD Amlodipine 5mg PO BID Tamsulosin 0.4mg PO OD Piperacillin/Tazobactam 3.375g IV q6h Metformin 500mg PO q12h Dalteparin 5000u SQ qhs Morphine 2mg – 5mg IV q4h prn Tylenol 1g PO q4h prn for temp greater than 39 Dimenhydrinate PO/IV 25mg – 50 mg q6h prn

******CLICK ORDER NOW BELOW AND OUR WRITERS WILL WRITE AN ANSWER TO THIS ASSIGNMENT OR ANY OTHER ASSIGNMENT, DISCUSSION, ESSAY, HOMEWORK OR QUESTION YOU MAY HAVE. OUR PAPERS ARE PLAGIARISM FREE*******."