Your are working on med surge and your patient is a 67 years old male, he has left toe with infection. He is a diabetic

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Your are working on med surge and your patient is a 67 years old
male, he has left toe with infection. He is a diabetic and
is on insulin lispro, glargine, piperacillin, enoxaparin
and atorvastatin. his blood pressure is 155/77.
What is the primary problem and what is the underlying
cause/pathophysiology of this problem?
What clinical data from the chart is RELEVANT and needs to be
trended because it is clinically significant?
What nursing priority will guide your plan of care?
What nursing interventions will you initiate based on this
priority and what are the desired outcomes?
What body system(s) will you focus on based on your patient’s
primary problem or nursing care priority?
What is the worst possible/most likely complication(s) to
anticipate based on the primary problem? 7. What nursing
assessments will you need to initiate to identify this complication
if it develops?