Expert Q A Done Original Answers Only Using The Template Below Write 3 Nanda Iapproved Nursing Diagnoses In A Proper 1 (51.87 KiB) Viewed 28 times
Expert Q A Done Original Answers Only Using The Template Below Write 3 Nanda Iapproved Nursing Diagnoses In A Proper 2 (42.52 KiB) Viewed 28 times
Expert Q&A Done ORIGINAL ANSWERS ONLY!!! Using the template below, write 3 NANDA-Iapproved nursing diagnoses in a proper format based on the client case provided below. Write one SMART client-centered goalfor each nursing diagnosis. Consider the client's medical history and medications. Kacie Benson, a 19-year-old woman, is a client on your unit due to a skiing accident. She is unconscious and may or may not regain consciousness. She is on complete bedrest. She requires frequent repositioning to maintain correct body alignment and attention to her ROM. She responds to painful stimuli with slight non-purposeful withdrawal. No spontaneous movements are noted. The recent lower extremity ultrasound showed no evidence of venous thrombosis, and she continues on low molecular weight heparin injections. Her fluid and electrolyte balance is being maintained by a tube feeding at 60 mL per hour continuously. She is incontinent of stool and has an indwelling Foley catheter. Her heels are reddened, but otherwise, her skin is intact.
1. Risk for infection, related to indwelling foley catheter, tube feeding, IV catheter, & bowel incontinence 2. Risk for impaired skin integrity, related to physical immobilization, moisture, mechanical factors (e.g., friction, shearing forces, pressure), & impaired circulation 3. Impaired physical mobility, related to cognitive impairment, activity intolerance, & prescribed movement restrictions SMART GOAL FOR #1 Specific: The goal is to reduce the risk for infection while in the hospital. Based on the patient's current condition, there are many risks for infection. Infection can lead to sepsis and possible death if not treated Both the patient and boolthoor Hiertoendhin
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