: Case study The nurse is caring for a 52-year-old client who has experienced a complex lower leg fracture that needed surgical repair and is now immobilized. The client is approximately 24 hr postoperative and describes the pain as “severe”. The client has a history of anxiety, depression, high blood pressure, and exercise-induced asthma. The client’s current home medications include an antianxiety medication, antidepressant, and antihypertensive. The provider has not prescribed these medications in the hospital. The nurse enters the client’s room to administer opioid pain medication and notes the client is breathing rapidly, hyperventilating, reports feeling lightheaded, and has numbness of their hands and feet. The client struggles to state, “My chest hurts.” The nurse further assesses the client and talks with the family present. The family states that they think the client is having an anxiety attack because this is similar to how the client has responded previously during anxiety attacks. The client’s vital signs are temperature 99.2°F, HR 114, RR 38, and BP 160/90.
Concept Map Admitting Diagnosis Client Problem 1: Assessment information Assessment Information Intervention Client Problem 2: Assessment information Intervention Client Problem 3: Assessment information Intervention PAGE 2 www.atitesting.com 02021