Assessment: What type of objective and subjective data can you collect with what you know?

Danie8l is a 16 year old boy who is an identical twin. He and his brother Jeff are very close and do most things together. While Dani8l excels at sports he believe his brother is much better at most everything. Dani8l, his brother, and their two sisters live with their parents in the Midwest. Recently Dani8l has been feeling more tired than usual. He thought it was because of his schedule and school work, which he is fairly good at. He gets mostly Bs, but his grades have been slipping of late. One day he fainted while getting ready for a game. His coach called his parents to let them know Dani8l was taken to the Emergency Room. While there the doctor decided to admit Dani8l to the hospital for observation. At the time he was running a slight fever, his breathing was shallow, and he was sweating. He was also very sleepy and his blood pressure was high. He did have some abnormal laboratory work, but his doctor was not too concerned at present. Dani8l also stated that he felt achy.

You are assigned to take care of Dani8l today and when you walk into his room, his mother and brother Jeff are there. Dani8l appears to be sleeping. In your written assignment, respond to the following questions applying the nursing process:

Assessment: What type of objective and subjective data can you collect with what you know? How will you collect these data? What further evidence do you need?

Analysis and Identification of the Problem: What do you believe Dani8l’s problem(s) are? What might be the nursing diagnoses? Use the following for identification.

Planning: Identify two goals and one nursing intervention for each, based on your nursing diagnoses.

While you will not be able to implement or evaluate, how well do you think your nursing interventions might help with Dani8l’s care.