Question

After reviewing the EHR for Ms. Allen write a complete nursing diagnosis (______ r/t ______ aeb______)...

After reviewing the EHR for Ms. Allen write a complete nursing diagnosis (______ r/t ______ aeb______) for each example -

  • Ms. Allen verbalizes that she is anxious for her upcoming surgery.
  • Ms. Allen is unable to sleep the night before surgery despite having a sleeping pill.
  • Ms. Allen has an IV site that is reddened and tender to touch. She's running a low grade fever.
  • Ms. Allen has no one to care for her or help change her dressings after she leaves the hospital.
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Answer #1

NURSING DIAGNOSIS

1. NURSING DIAGNOSIS

ANXIETY RELATED TO UPCOMING SURGERY AS EVIDENCED BY PATIENT'S VERBAL REPORT.

2. NURSING DIAGNOSIS

DISTURBED SLEEP PATTERN RELATED TO UPCOMING SURGERY AS EVIDENCED BY REPORTS OF DIFFICULTY IN FALLING SLEEP IN SPITE OF TAKING SLEEPING PILLS.

3. NURSING DIAGNOSIS

A)

INEFFECTIVE TISSUE PERFUSION RELATED TO VENOUS STASIS ( COMPLETE OR PARTIAL) AS EVIDENCED BY REDNESS, STIFFNESS AT IV SITE AND LOW-GRADE FEVER.

B)

RISK FOR INFECTION RELATED TO VENOUS STASIS AS EVIDENCED BY LOW - GRADE FEVER.

4. NURSING DIAGNOSIS

SELF CARE DEFICIT RELATED TO IMPAIRED MOBILITY FOLLOWED BY SURGERY AS EVIDENCED BY PATIENT'S VERBAL REPORT THAT NO ONE IS AVAILABLE AT HOME TO CHANGE HER DRESSING.

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