Question

A man has found a woman who has been impaled in the chest with a piece of fence. He brings her to you to care for her. What would two NANDA approved nursing diagnoses be for this patient? You must include at least 2 interventions and your rationale behind these interventions. Be creative and expand on the scenario to be able to ensure everyone can come up with different nursing diagnoses. Everyone MUST have different diagnoses', interventions, etc. Please respond to the question and comment/respond to at least two other students' posts by adding one other intervention to their care plan. and the rationale behind it.  

Answer 1

A man has found a woman who has been impaled in the chest with a piece of fence.

Nursing care plan 1

Nursing Diagnosis	Intervention	rationale
Ineffective breathing pattern related to injury in the chest as evidence by shortness of breath and cyanosis of body	1. provide ventilator support for effective breathing and gaseous exchange 2. Maintain airway patency by suctioning it in frequent interval	1. To maintain a breathing pattern and gaseous exchange. 2. To clear any blockage and maintain smooth airflow

Nursing care plan 2

Nursing Diagnosis	Intervention	rationale
Acute pain related to chest trauma as evidence by irritability, restlessness and patient verbalization	1. Provide rest to the patient, promote sleep by relaxation techniques 2. Provided analgesic for pain management	1. It is a diversional therapy to reduce pain 2. To reduce pain