In a powerpoint presentation discuss the following case study:
No use of any AI or else will be reported. If using outside sources, cite in APA format. Each slide should have atleast 200 words.
The nurse is caring for Delina Fuentes, a 44-year-old Hispanic woman who
presents to the emergency department with a severe headache. She tells the
nurse that she does not speak much English, so a translator is brought to her
room. In talking to the patient with the translator, Ms. Fuentes reports that she
has had high blood pressure almost her entire life and is taking medication but
has been unable to afford it lately. She lost her health insurance when she was let
go from her job two months ago and says that all her money goes to providing for
her children. Ms. Fuentes tells the nurse that she often doesn’t “have enough
money to put food on the table.” She reports that her husband died right before
they were to immigrate from Mexico to the United States, so she made the
journey alone with her three young children. She explains that she suffers from
severe anxiety about her ability to provide for her children on her own. She has
been trying to learn English but has been having a difficult time and reports
feeling as if she does not belong in the community. Vital signs: BP 205/107, HR
106, 98% oxygen on room air Orders: The provider has ordered PRN labetalol to
maintain a systolic blood pressure between 120-150. UNFOLDING CLINICAL
SCENARIO INFORMATION Three days later, Ms. Fuentes is being discharged from
the hospital. Her blood pressure has been well controlled for over 24 hours and
she has new, more affordable blood pressure medication prescriptions. She
reports being thankful for the staff that cared for her, and she is motivated to
keep her blood pressure controlled and find a good job to care for her family.
Discussion Questions
1. What additional factors should the nurse include in the plan of care for this
client? e.g., age, religion, nursing knowledge, literacy, or
cultural preferences
2. Identify potential client problems.
3. What findings require immediate follow-up?
4. Identify the client’s primary problem. Provide rationale for your decision.
5. What safety considerations should be included when planning care for this
client? ( a. Fall risk (e.g., medication, age, mobility).
6. What education should the nurse provide for this client? a. Self-
care, health promotion, disease management (e.g., medication, diet, activity,
ADLs).
7. How will you determine if expected client outcomes are achieved?
8. Discuss ways to modify or revise the plan of care when client outcomes are not
met.