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 1 year ago

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

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