In: Nursing
what are the prioity nursing diagnosis.
Patient Profile
J.K. is a 57-yr-old white woman who was is referred to the neurosurgery service for management of her temporal-parietal glioblastoma (see Assessment Case Study in Chapter 55 (Links to an external site.) on pp. 1302, 1304, and 1307 (Links to an external site.)). She was diagnosed after presenting with persistent headaches, a seizure in her HCP's office, and left side upper visual field loss and neglect. Her MRI/MRA demonstrated a temporal-parietal glioblastoma that extends into the occipital lobes. She is scheduled for surgery to debulk the tumor. J.K. lives alone and holds a management position. She is concerned about her ability to return to work after her surgery.
J.K. returns from surgery to the neurosurgery unit drowsy but following commands. During the night J.K. is noted to have a pronator drift of the left arm, her pupils are equal and respond to light, but she has also developed left-sided weakness of both arm and leg and difficulty with answering questions.
Medications: dexamethasone 4 mg q6hr, famotidine, metoclopramide, ondansetron (Zofran), codeine, and levetiracetam (Keppra) since her admitting seizure.
Subjective Data
Objective Data
2. Based on the assessment data provided, what are the priority nursing diagnoses?
Ms J.k is suffering with post surgery complications , her prior problems are, weekness, difficulty in speaking, follow commands,left sided weekness, homonymous hemianopsia(Is condition which a person sees only one side right/left side ), decreased sensation,...
So based the these conditions we can frame the nursing diagnosis
Nursing Diagnosis
These are the priority nursing diagnosis you can applicable for Ms JK