Question

A. Plan a nursing care plan to promote PERFUSION and prevent complications such as CLOTTING or altered IMMUNITY; Plan should have PROBLEM, DIAGNOSIS, PLAN, INTERVENTION AND EVALUATION OF PLAN.

B.How can nurse's use clinical judgment to assess laboratory data and signs and symptoms to prioritize care for patients with vascular problems?

C- Show three ways nurses can Implement nursing interventions to decrease the psychosocial impact of living with chronic vascular disease.

Answer 1

A) PROBLEM

Subjective data

Patient is complaining regarging warmth in the legs.

Objective data

By doing physical examination i came to know client having warmth in the leg and less pulsation.

DIAGNOSIS  

Ineffective tissue perfusion related to increased coagulability of blood as evidenced by increased leg warmth and tendeeness.

PLANNING

Client will maintain optimal periferal tissue perfusion as evidenced by reduction in tenderness and warmth.

INTERVENTION

# Assess the general condition of the client like history or varicosities, immobility and smoking.

# Assess signs and symptoms for deep vein thrombosis.

# Monitor the results of diagnostic tests include duplex ultrasound, D- dimer assay, coagulation profile.

# Maintain adequate hydration and elevate the affected area.

#Provide below knee stockings as prescribed.

# Administer analgesics and antibiotics as prescribed.

#Administer anticoagulants as prescribed.

EVALUATION  

Client can maintain optimal tissue perfusion with out clotting or altered immunity.

C) # Provide health education to the client who is having chronic vascular diseases

# Engage them with different kinds of activities.

# Provide self motivation and emotional support to the client.