Question

Please help. I'm doing a care plan and I'm having trouble coming up with nursing diagnoses for the following:

General: Patient lying in bed in obvious discomfort but NAD (no apparent distress), thin appearance.

Constitutional: Intermittent chills with decreased appetite, no fever, night sweats or weight loss.

Eyes: PEERL, EOMI, significant scleral icterus

Answer 1

Nursing Diagnosis:

• Altered metabolic activity related to hypothermia as evidenced by chills.
• Activity intolerance related to hyperbilirubinemia as evidenced by discomfort, distress.
• Imbalanced nutrition related to loss of appetite as evidenced by poor intake.
• Impaired skin integrity related to limited movement as evidenced by poor skin turgor, dry skin.
• Knowledge deficit related to the disease process as evidenced by inadequate resources, poor communication.