Please Concept Question Question & Answer Guide (With Explanation)
This question focuses on applying theory to practical scenarios.
What This Question Is About
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How to Approach This Question
Focus on explaining concepts clearly and supporting them with examples.
Key Explanation
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Original Question
please do the concept map Question NSG 120 Case Study for Concept Map The nurse is caring for Jose Crixell, an 85-year-old client who has been admitted to the hospital for cellulitis of his lower right leg secondary to a puncture wound he experienced after a fall at home. Jose lives with his daughter and her family since his wife died 2 years ago. The client a history of hypertension and using a cane for stability but is otherwise healthy. During shift report, the off going nurse reported Jose’s vital signs to be “within normal limits”; the wound is open and has a scant serosanguinous drainage. The wound is approximately 1 cm round on the lateral side of his lower right leg. The unlicensed assistive personnel (UAP) reports Jose’s current vital signs are as follows: Blood Pressure 165/94, Pulse 101; Respiratory Rate 28, Temperature 101.8°F. The client reports “feeling worse” now compared to previously in the day and generally feeling weak. He reports feeling more pain in his lower right leg, 5/10 on pain scale, and feels his leg is more swollen and red. The client has an antipyretic ordered to treat fever and pain in addition to the IV antibiotics to treat the infection. The last time Jose had the antipyretic acetaminophen was 1200; it is now 1800. The prescription is to administer acetaminophen 650 mg every 4 hr as needed for pain or fever. The antibiotic is due to be administered next at 2200. Jose normally takes an antihypertensive medication once daily but takes no other routine medications; he had the antihypertensive at 0900 following this format Step 1: Complete the chart using the patient assigned to you. You may want to refer to the Physical Assessment Chapter in the Tres & Wilkinson text for assistance. Do not leave any box blank, use “Not Applicable” if there is absolutely nothing that you can identify for the box. Body Systems Subjective Data Objective Data Neurologic HEENT (Head, Eyes, Ears, Nose, Throat) Integument Musculoskeletal Cardiovascular Respiratory GI GU Emotional/Social/Spiritual Reproductive Step 3: Type in the Data Clusters. Analyze the data cluster to determine the problem. Identify top three Nursing Diagnosis (NANDA-I) include RT and AEB where needed. Following SMART, develop a goal for each NSG diagnosis. Develop or select 3 interventions for each NSG diagnosis Give a rationale for the intervention. Your NSG diagnosis book has rationales for each intervention. CITE ALL WORK when needed. Add, Expand, or Rearrange the boxes as needed Patient Name: Age: Gender: Situation: List and prioritize all Nursing Diagnostic Statements (3 part or 2 part) based on data clusters above (at least 3): 1. 2. 3. A) Priority Nursing Diagnostic Statement: Diagnostic Label Related to Evidence Clustered Data (all relevant) Associated Nursing diagnosis: Goal/Outcome (SMART): Intervention with Rationale: 1. Rationale: 2. Rationale: 3. Rationale: Clustered Data (all relevant) B) Associated Nursing diagnosis: Goal/Outcome (SMART): Intervention with Rationale: 1. Rationale: 2. Rationale: 3. Rationale: Clustered Data (all relevant) C) Associated Nursing diagnosis: Goal/Outcome (SMART): Intervention with Rationale: 1. Rationale: 2. Rationale: 3. Rationale: References
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