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Nursing Assignment Questions

John is a 60-year old male admitted into a rehabilitation unit post left hip replacement. John is complaining of pain and is reluctant to move out of bed, despite being encouraged by doctors and nurses.
Identify 2 actual nursing diagnoses and one potential nursing diagnoses, relevant to John’s condition.
Outline three nursing interventions in correctly formatted nursing progress notes.

Nursing Assignment Solution on Nursing Case Study

Option 2

Analgesia like opioid analgesics can help in preventing pain in John post operation. These analgesics act as antagonists and helps in preventing pain sensation in patients by blocking the pain receptors (Macrae, 2008).

Physiotherapist's help is required in improving John's mobility and regain independence. The exercises done by them will not only help in strengthening the muscles, but improves mobility and take control of day to day routine work (Rahmann, 2009)…

Read more in the complete solution PDF document at the end of this page.

DIAGNOSIS	INTERVENTION	EVALUATION	RATIONALE
Heavy loss in fluid and electrolytes (Actual)	Observation of vital status of individual	Fluid and electrolytes balance restored to normal level within 8 hours of intervention	Abnormal vital signs can worsen the situation and lead to death
	Measurement of fluid intake and output	Patient feels better and regains strength	Fluid balance is essential for proper functioning of body and to prevent excessive weakness (Metheny, 2011)
	Assessing sodium, potassium and other minerals in the body	Patient muscle coordination's  and weakness improves	Excessive dehydration can lead to heavy loss of minerals which impair important signalling pathways
Nutritional Needs impaired (Actual)	Measurement of nutritional status and weight of patient	Nutritional status improved	Excessive dehydration can lead to excess weight loss.
	Assessing factors which leads to nutritional disorder	Intake of liquid and semi –solid nutrition increase	Improved nutrition is required to maintain the integrity of patient
	Physical examination of abdomen is must as excessive vomiting must have led to stress.	No nausea and vomiting	Excessive nausea and vomiting can lead to excessive pressure on gut and lung muscles and weakens the total system.
Impaired Skin due to heavy water and fluid loss	Cleaning of anal area and changing clothes from time to time	Patient doesn't feel uncomfortable	Excessive dehydration and watery stool can lead to skin infection
	Application of anti-dermatitis and anti-infection powder near the hip region.	The skin will remain toned and doesn't break on application of little pressure	Excessive moisture and one single position can lead to inflammation by bacteria (Gordon, 2010)
	Changing position of patient slowly and gently	No irritation or infection	Stress on weakened skin can lead to skin breakage

 

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