Question

Assessment #5 CB: Mobility Scenario
Purpose	To provide students with the opportunity to assess and implement nursing interventions for a postoperative patient with pain, atelectasis, and impaired physical mobility.
Overview	Boyd Dubois is a 58-year-old Caucasian male admitted Wednesday morning for total right hip arthroplasty. He has a 10-year history of osteoarthritis and increased pain over the past 12 months affecting his ability to walk and overall quality of life. After surgery, he was admitted to the inpatient orthopedic unit. He has an abduction pillow in place, a Jackson-Pratt drain at the surgical site with the original surgical dressing, and IV fluids infusing. The scenario takes place on Thursday morning, his first postoperative day.
Skill Review: Please review the following skills.	Vital Sings Head to toe assessment Pain Assessment Medication Administration (IM and subQ) Jackson Pratt Pouch Management Mobility/Immobility
Pharmacology Review: Please review the following medications.	Enoxaparin Lactated Ringers Acetaminophen Hydrocodone Morphine
Questions 1: What is the importance of adequate pain management in postoperative recovery?
Question 2: Boyd Dubois has an order for incentive spirometry. What is the rationale for this intervention?
Question 3: Boyd Dubois has an order for an anticoagulant (enoxaparin) to be administered subcutaneously. What is the rationale for this medication? What are precautions for administration?

PLEASE I NEED HELP WITH NURSING DIAGNOSIS ON QUESTIONS 1, 2 AND 3. Those questions are related mobility scenario on BOYD DUBOIS. THANKS

Nursing Diagnosis
	For each of the following nursing diagnosis for Mr. Dubois, write a SMART goal.
1. Impaired physical mobility related to surgical procedure in right hip as evidenced by decreased range of motion in right hip
2. Impaired gas exchange related to immobility as evidenced by abnormal lung sounds and increased respiratory rate
3. Acute pain related to hip surgery

Answer 1

Goals for following nursing diagnosis

1. Impaired physical mobility related to surgical procedure in right hip as evidenced by decreased range of motion in right hip

Goal:The client is able to perform physical activities independently or with use of physical aids.

2. Impaired gas exchange related to immobility as evidenced by abnormal lung sounds and increased respiratory rate

Goal:Patient maintains effective gas exchange with normal respiartory rate , lung sounds and blood gas results within normal limits

3. Acute pain related to hip surgery

Goal:Patient verbalises pain relief with pain score less than 3 on a scale 0 t0 10.