Question

NR226 Nursing Process Practice Patient admitted with localized infection d/t spider bite 78 y/o M tts coiff, DM, falls, left hip fx lanuary 2017 w/ORİF, Stage li pressure ulcer on cocon pneumonia, UT Assessment: A&OXS, PERLA, crackles BLL, diminished BUL, cough produces thick yellow sputum at times. Bowel sounds hypoactive x4, S1 S2 present without murmurs, HR Regular, no edema, pulses +3 bilateral radial and pedal. Stage II wound measures 3x2cm with small amount of purulent drainage. BP136/78, HR 91, RR 20, Temp 39.0. Pt states that he has an ill wife at home and none of his children live around the area. Pt verbalizes feeling lonely and does not want to eat much d/t SOB and feeling depressed. Pt constantly uses call light. Pt has persistent cough, frequent SOB at rest Orders: 02 e 2L NC, CBC, CMP, ABGs q24 hrs, med nebs PRN, 1800 ADA diet, send culture of coccyx wound, wet-to-dry dressing change on coccyx bid & PRN drainage Underline SUBJECTIVE DATA in blue ink. Underline OBJECTIVE DATA in red ink Be ready to create a plan of care for Dobby using the nursing process. We will be drawing a concept map on the board together during the next lecture!
Can someone just help me with the nursing diagnosis and prioritize part

Answer 1

Nursing diagnosis

Prioritize