How to Answer Ivanos Just Been Questions (Complete Guide)
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Original Question
Ben Ivanos has just been admitted to an orthopedic unit after a motorcycle accident. Mr. Ivanos is 24 years old and healthy; he takes no medications. He had surgical reduction of fractures and now has casts on both legs and a cast on one arm. He is receiving morphine sulfate intravenously via a patient-controlled analgesia (PCA) pump. Imagine that you are an orthopedic nurse and must plan care for Mr. Ivanos. You rank the following nursing diagnoses as a highest priority: Acute Pain secondary to musculoskeletal trauma (arms, legs, body) and muscle spasms Risk for Peripheral Neurovascular Dysfunction secondary to casts/traction You write the following desired outcomes (goals) on the care plan: Goals for diagnosis Demonstrates correct use of PCA pump. Rates pain not higher than 4 on a scale of 1 to 10 at all times. Goals for diagnosis 2 Peripheral pulses palpable Fingers and toes warm Fingers and toes without edema, pallor, or cyanosis Capillary refill less than 3 seconds Choose 3-5 nursing interventions for this patient
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