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    Nursing Process (Page7)

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    Patients complain of throbbing pain and unable to weight bear on left leg. Goal At the end of the shift the patients complain of pain will decrease from 9 / 10 to 4 / 10 in pain scale. After implementing the nursing interventions, the patients pedal pulses are palpable and the left lower extremity is pinkish in color and warm in touch.

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    Nursing Process (Page7)

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    api-3775363
    766 views2 pages
    Patients complain of throbbing pain and unable to weight bear on left leg. Goal At the end of the shift the patients complain of pain will decrease from 9 / 10 to 4 / 10 in pain scale. After implementing the nursing interventions, the patients pedal pulses are palpable and the left lower extremity is pinkish in color and warm in touch.

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    Nursing process( page7)

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    Patients complain of throbbing pain and unable to weight bear on left leg. Goal At the end of the shift the patients complain of pain will decrease from 9 / 10 to 4 / 10 in pain scale. After implementing the nursing interventions, the patients pedal pulses are palpable and the left lower extremity is pinkish in color and warm in touch.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    766 views2 pages

    Nursing Process (Page7)

    Uploaded by

    api-3775363
    Patients complain of throbbing pain and unable to weight bear on left leg. Goal At the end of the shift the patients complain of pain will decrease from 9 / 10 to 4 / 10 in pain scale. After implementing the nursing interventions, the patients pedal pulses are palpable and the left lower extremity is pinkish in color and warm in touch.

    Copyright:

    Attribution Non-Commercial (BY-NC)
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    Download as doc, pdf, or txt
    of 2

    7

    Part B: The Nursing process

    Nursing Goal Nursing Intervention Evaluation


    Diagnosis
    • Assess COLDSPA • Patients feeling
    • Acute pain • At the end of • Administer pain of pain decrease
    related to the shift the medication PRN from 9/10 to 5/10
    fractured left patients • Monitor Vital signs in pain scale after
    hip as complain of • Elevate her left leg to 7 hrs.
    evidenced by pain will decrease pressure and
    complains of decrease from facilitate circulation.
    throbbing 9/10 to 4/10 in
    pain 9/10 on pain scale.
    pain scale
    and unable to
    weight bear
    on left leg.

    • After • Assess pedal pulses • Patients pedal


    • In effective implementing pulses are strong
    • Assess Capillary
    peripheral the nursing palpable and
    Refill on left lower
    tissue interventions, bilaterally equal.
    extremity.
    perfusion the patients Cap refill on
    related to pedal pulses • Elevate feet to patients feet are
    fractured left are palpable prevent edema and less than 5sec
    hip as and the left facilitate circulation. and warm to
    evidenced by lower • Inspect the skin of the touch. After 2
    weak and extremity is left foot for color, days.
    faint left pinkish in temperature edema
    pedal pulse color and and skin changes.
    and pale in warm to
    color on her touch.
    left lower
    extremity.
    7

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