Name: LL Age: 27 yrs. Sex: Male Reg: 123456 Ward: MS
Medical Diagnosis: Fracture to Rt. Femur Attending Physician: DD
ASSESSMENT | NURSING DIAGNOSIS | GOAL | INTERVENTION | EVALUATION |
Subjective: “Will I be confined to a wheelchair for the rest of my life?”
Objective: NPO for surgery mane. Restless and wringing hands. Worried facial expressions. Mal-aligned Right Lower limb. IVI Lactated Ringer’s 500 ml.
VS: T. 98.0 °F, P. 78 bpm, R. 14 bpm, BP 118/72, SpO2 98% | a)
b) | After 1 hour of nursing and collaborative intervention, the client
After 1 hour of nursing and collaborative intervention, the client | Intervention: Rationale:
Intervention: Rationale:
Intervention: Rationale:
Intervention: Rationale: | Goal met. Client
Goal met. Client |
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