2. You are assigned to care for David Ramsey, a 22-year-old male patient who sustained a...

2. You are assigned to care for David Ramsey, a 22-year-old male patient who sustained a back injury secondary to being thrown from a motorcycle. He did not damage the spinal cord, but the computed tomography revealed a compression fracture at L-2 (lumbar area). David complains of severe lower back pain with numbness and tingling in the lower extremities. You identify the following nursing diagnosis: Impaired Physical Mobility.

(Learning Objective 4)

What assessments are indicated based on this nursing diagnosis?

List other major nursing diagnoses based on David’s clinical presentation.

Expert Solution

What assessments are indicated based on this nursing diagnosis?

The patient may be one of the accompanying level of physical idleness:

Level 1: Walk, general pace, on level uncertainly; one flight or more however more shy of breath than typically
Level 2: Walk one city square or 500 ft on level; climb one flight gradually without halting
Level 3: Walk close to 50 ft on level without halting; unfit to climb one trip of stairs without ceasing
Level 4: Dyspnea and weakness very still

Likewise, the patient appraisal demonstrated the accompanying criteria:

Difficult ROM
Difficulty in admission of legitimate nourishment
The understanding had assistive gadgets
The quiet had individuals to aid engine work
The patient may had advancing thrombophlebitis(e.g., calf torment, Homan's sign, redness, confined swelling, an ascent in temperature).
Problems in disposal
And the challenges in skin trustworthiness for indications of redness and tissue ischemia (particularly finished ears, shoulders, elbows, sacrum, hips, foot sole areas, lower legs, and toes).

List other major nursing diagnoses based on David’s clinical presentation.

The possible nursing diagnoses based on patient’s presentation are:

Risk for Trauma: Falls
Acute Pain related to fracture pain
Risk for Peripheral Neurovascular Dysfunction
Risk for Impaired Gas Exchange related to the body position
Impaired Physical Mobility related to the fracture
Impaired Skin Integrity related to lack of physical movement
Risk for Infection related to prolonged hospital stay
Deficient Knowledge related to treatment

Nightingale answered 2 years ago

You are assigned to care for David Ramsey, a 22-year old male patient with back injury...

You are assigned to care for David Ramsey, a 22-year old male patient with back injury secondary to being thrown from a motorcycle. Did nt damage the spinal, but the computed tomography revealed a compression fracture at L-2. David complains of severe back pain with numbness and tingling in the lower extremities. Qn. What assessments are indicated based on this nursing diagnosis? Qn.2. List other major nursing diagnoses based on David’s clinical presentation?

You have been assigned to care for Jack, a 15-year-old patient who sustained multiple fractures of...

You have been assigned to care for Jack, a 15-year-old patient who sustained multiple fractures of the lower extremities in a skiing accident. Morphine sulfate is one of the drugs used in his care. Jack’s parents are aware of the need for various treatments, including the use of morphine sulfate to treat his pain, but they worry he may become addicted to the medication. Question 1; How would you proceed in addressing their concerns of addiction and opioids? question 2:...

you are the home care nurse assigned to visit an 85 years old male patient who...

you are the home care nurse assigned to visit an 85 years old male patient who was discharged from the with new-onset left-sided heart failure.You arrive at Mr.Smith's house to find that he is having difficulty breathing and appears anxious.You quickly assess Mr.Smith's lungs and find that he has bilateral rhonchi in the upper lobes. Mr.Smith shares that he has not taken his medications this morning. You ask to see the discharge instructions and note that Mr.Smith has seen several...

You are a female student nurse assigned to care for Mr. Habib, a male patient who...

You are a female student nurse assigned to care for Mr. Habib, a male patient who is Muslim. He is recovering from surgery for prostate cancer and has a suprapubic incision. He is from Iran and has some difficulty speaking English. You know very little about the Muslim faith. You have been told that his wife is always at the bedside, and she seems very nice. One nurse tells you that she cared for the patient yesterday and that he...

M.K. is a 22-year-old male who comes to the health care provider for complaints of frequent...

M.K. is a 22-year-old male who comes to the health care provider for complaints of frequent diarrhea and abdominal pain. He had appendicitis with appendectomy at age 9. He currently takes no medications. Subjective Data Frequently has abdominal pain and diarrhea Objective Data Physical Examination Temperature 99.9° F, pulse 78, respirations 16, blood pressure 114/62 Height 5’3”, weight 100 lb, BMI 17.7 kg/m2 Diagnostic Studies Lab values WBC 11,600/µL RBC 3.4 million/µL Hematocrit 33% Hemoglobin 10 g/dL Platelets ...

You are a student nurse assigned to a 57 year old male patient has come to...

You are a student nurse assigned to a 57 year old male patient has come to medical ward to have treatment due to mild to severe cramping in his abdomen and bloody stool. Your initial findings include a mildly obese man who demonstrate guarding of his abdomen especially the left lower quadrant. His vital signs are 168/98, 119,24, 38 degree Celsius and is slightly diaphoretic. He reported periodic constipation. He has had previous episodes of abdominal cramping, but this time...

Patient A is a 57-year-old male who presents to the primary care provider's office today with...

Patient A is a 57-year-old male who presents to the primary care provider's office today with complaints of an exacerbation of his COPD. Past medical history includes hypertension, Type 2 diabetes. Even at rest, he appears he is unable to catch his breath and seems irritable and anxious. He complains of sleeping poorly and states that lately he feels tired most of the time. He reports a productive cough of thick yellow-green sputum. You auscultate decreased breath sounds, expiratory wheezes,...

Patient A is a 57-year-old male who presents to the primary care provider's office today with...

Patient A is a 57-year-old male who presents to the primary care provider's office today with complaints of an exacerbation of his COPD. Past medical history includes hypertension, Type 2 diabetes. Even at rest, he appears he is unable to catch his breath and seems irritable and anxious. He complains of sleeping poorly and states that lately he feels tired most of the time. He reports a productive cough of thick yellow-green sputum. You auscultate decreased breath sounds, expiratory wheezes,...

3. Activity: Develop a plan of care for a 55 year old male patient who has...

3. Activity: Develop a plan of care for a 55 year old male patient who has prostate cancer. a. Assessment, (1) Nursing diagnosis, Plan (2 short term and 2 long term goals), Implementation, Evaluation. b. Create a list of dietary recommendations (4) for men that could possibly decrease their risk for development of prostate cancer. c. You are the nurse caring for a 34-year old male who has just been diagnosed with testicular cancer. Your patient has been married for...

3. Activity: Develop a plan of care for a 55 year old male patient who has...

3. Activity: Develop a plan of care for a 55 year old male patient who has prostate cancer. a. Assessment, (1) Nursing diagnosis, Plan (2 short term and 2 long term goals), Implementation, Evaluation. b. Create a list of dietary recommendations (4) for men that could possibly decrease their risk for development of prostate cancer. c. You are the nurse caring for a 34-year old male who has just been diagnosed with testicular cancer. Your patient has been married for...

Question

2. You are assigned to care for David Ramsey, a 22-year-old male patient who sustained a...

Solutions

Expert Solution

Related Solutions

You are assigned to care for David Ramsey, a 22-year old male patient with back injury...

You have been assigned to care for Jack, a 15-year-old patient who sustained multiple fractures of...

you are the home care nurse assigned to visit an 85 years old male patient who...

You are a female student nurse assigned to care for Mr. Habib, a male patient who...

M.K. is a 22-year-old male who comes to the health care provider for complaints of frequent...

You are a student nurse assigned to a 57 year old male patient has come to...

Patient A is a 57-year-old male who presents to the primary care provider's office today with...

Patient A is a 57-year-old male who presents to the primary care provider's office today with...

3. Activity: Develop a plan of care for a 55 year old male patient who has...

3. Activity: Develop a plan of care for a 55 year old male patient who has...