Question

In: Nursing

F.J. is a 70-year-old white woman admitted to the hospital because of a fall at home...

F.J. is a 70-year-old white woman admitted to the hospital because of a fall at home during the night. She is scheduled for an open reduction with internal fixation (ORIF) of the right hip at 8:00 AM this morning. She has a history of type 2 diabetes mellitus that is well managed with metformin (Glucophage) 5 mg twice daily.

Subjective Data

States pain is a level 7 on a scale of 1 to 10
Last dose of metformin was at 6:00 PM the previous evening

Objective Data

Physical Examination

Blood pressure 120/54, pulse 101, temperature 98° F, respirations 20
Alert and oriented to person, place, and time
Lungs clear to auscultation
Heart rate and rhythm regular, no murmurs
Height 5’2”, weight 150 pounds
Bowel sounds active and present in all four quadrants
Circulation and sensation to bilateral lower extremities intact
Strength left lower extremity 5/5, right lower extremities not tested because of pain

Diagnostic Studies

X-Ray reveals a break in the right hip
Morning blood glucose level was 280 mg/dL

Preoperative Orders

NPO after midnight
Type and crossmatch 2 units of packed red blood cells
Start an IV of lactated Ringer's at 75 mL/hr
Place in Buck’s traction
Ensure that surgical consent form is signed and placed in the chart
Administer ceftriaxone sodium (Rocephin) 1 gram IV when called to OR

1.Name 3 nursing diagnosis, 3 interventions for each diagnosis and patient education

Solutions

Expert Solution

• ANSWER•

•Nursing diagnosis,

1• Acute pain related to movement of bone fragment and immobilty device as evidenced by report of pain.

•Nursing Intervention,

1.Assess pain by pain rating scale and record level of the pain .

2•Protect the immobilization of affected part by cast ,splint and traction.

3• Provide the sentimental support to the patient.

4• Educate the patient regarding stress managament technique.

2. Risk for impaired blood sugar related to Diabetes mallitus as evidenced by blood sugar monitoring.

Nursing Intervention;

1.Check the blood sugar level before administration of medicine .

2.Monitor for sign and symptom increased blood sugar like polyurea,polyphagia

3.Educate the patient regarding diabetic diet.

4.Assess the patient for Low blood sugar level

3.Risk for impaired skin integrity related to immobilty as evidenced by immobile patient due to traction.

•Nursing Intervention;

1.Educate the patient regarding the use of emollient cream to decrease dryness of the skin.

2. Educate the patient to take plenty of fluid to rehydrate the body .

3.Provide the nutritional diet to fulfill the nutritional need of body.

4. Change the position of patient frequently if possible

5. Give the back care to the patient to increase the circulation.

Nightingale answered 1 year ago

Next > < Previous

Related Solutions

Elsie Elliason, a 70-year-old woman, was admitted to the emergency department of the hospital with severe...

Elsie Elliason, a 70-year-old woman, was admitted to the emergency department of the hospital with severe vomiting and diarrhea. She has been experiencing these symptoms for the past several days. The physician suspects that she is experiencing hypokalemia. What electrolyte test would the physician order to confirm hypokalemia and what might the result be? Why is this particular electrolyte important to normal body function? What effect did Ms. Elliason's physical symptoms have on the electrolyte?

A.S. is a 70-year-old white woman who presented to the emergency department because of a 4-day...

A.S. is a 70-year-old white woman who presented to the emergency department because of a 4-day history of increased shortness of breath and generalized weakness. A.S. stated that she has been able to do her daily chores at home independently, but for the past few days, it was getting difficult for her to get around and that she needed to take frequent breaks because she was short of breath and had no energy. She has a long history of heart...

A.S. is a 70-year-old white woman who presented to the emergency department because of a 4-day...

A 68 year old women was admitted to a hospital because of headaches that began a...

A 68 year old women was admitted to a hospital because of headaches that began a month earlier. She was in good health, prior to developing severe headaches, vertigo, photophobia, lethargy, and forgetfulness. Her temperature was 98.9 degrees F, and she knew her name but not the date. She had some resistance to bending her neck, consistent with mild inflammation of the meninges. She also had past-pointing when reaching for objects. A lumbar puncture revealed a total white blood cell...

A 35 year old woman with type 1 diabetes was admitted to the hospital with severe...

A 35 year old woman with type 1 diabetes was admitted to the hospital with severe anemia, vomiting and fever. She had not been feeling well for the past several months. She lost more than 25 pounds without dieting. Physical examination revealed a pale female with a distended abdomen. A CBC, glucose, pregnancy test and urinalysis were ordered. Patient result Reference range WBC 22.1 x10^9/L RBC 4.06 x 10 ^12/L Hemoglobin 11.4 g/dl HCT 35.5 % MCV 87 fl MCH...

. Mrs. E., a 70-year-old Hispanic woman, was admitted to the medical unit with complaints of...

. Mrs. E., a 70-year-old Hispanic woman, was admitted to the medical unit with complaints of increasing dyspnea on exertion. Subjective Data · Had a severe MI at 58 years of age · Has experienced increasing dyspnea on exertion during the last 2 years · Recently had a respiratory tract infection, frequent cough, and edema in legs 2 weeks ago · Cannot walk two blocks without getting short of breath · Has to sleep with head elevated on three pillows · Does not always remember to...

The patient is a 56-year-old woman admitted to the hospital after being seen in the physician's...

The patient is a 56-year-old woman admitted to the hospital after being seen in the physician's office for two large draining abscesses on her back. One was on the left-upper back and the other on the right-lower back. skin. Both lesions were large, actively draining, and showed some necrotic features to the surrounding tissue. These areas on the back were warm to the touch and tender. Because of the size of the lesions, the patient was admitted as an inpatient...

Mrs Dean is 75-year - old woman admitted to the hospital for a small bowel obstruction....

Mrs Dean is 75-year - old woman admitted to the hospital for a small bowel obstruction. Her medical history includes hypertension. Mrs Dean is NPO. She has a nasogastric (NG) tube to low continuous suction. She has an IV of 0.9% NS at 83 mL/hr. Current medications include furosemide 20 mg daily and hydrmophone 0.2 mg every 4 hours as needed for pain. The morning electrolytes reveal serum potassium of 3.2 mEg/L Qn 1: what are possible causes of a...

1. A 30-year old woman with a 2-day history of diarrhea is admitted to the hospital...

1. A 30-year old woman with a 2-day history of diarrhea is admitted to the hospital after fainting. Her blood pH is lower than normal and her respiratory rate is dangerously high. Identify the patient's primary acid-base disorder, and identify the response of the patient's body. Briefly explain your reasoning. 2. Explain the concept of antagonistic pairs. Describe the functions of one antagonistic hormone pair. Be sure to include where each hormone is secreted and how each hormone acts upon...

Mrs. E., a 70-year-old Hispanic woman, was admitted to the medical unit with complaints of increasing...

Mrs. E., a 70-year-old Hispanic woman, was admitted to the medical unit with complaints of increasing dyspnea on exertion. Subjective Data · Had a severe MI at 58 years of age · Has experienced increasing dyspnea on exertion during the last 2 years · Recently had a respiratory tract infection, frequent cough, and edema in legs 2 weeks ago · Cannot walk two blocks without getting short of breath · Has to sleep with head elevated on three pillows · Does not always remember to take...

Subjects