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Original Question

Using the template below, write 3 NANDA-I approved nursing diagnoses in a proper format based on the client case provided below. Write one SMART client-centered goal for each nursing diagnosis. Consider the client’s medical history and medications. Kacie Benson, a 19-year-old woman, is a client on your unit due to a skiing accident. She is unconscious and may or may not regain consciousness. She is on complete bedrest. She requires frequent repositioning to maintain correct body alignment and attention to her ROM. She responds to painful stimuli with slight non-purposeful withdrawal. No spontaneous movements are noted. The recent lower extremity ultrasound showed no evidence of venous thrombosis, and she continues on low molecular weight heparin injections. Her fluid and electrolyte balance is being maintained by a tube feeding at 60 mL per hour continuously. She is incontinent of stool and has an indwelling Foley catheter. Her heels are reddened, but otherwise, her skin is intact. Need help with the smart goals Nursing Diagnosis Infection-related to indwelling Foley catheter, tube feeding, IV catheter, and bowel incontinence as evidenced by immobility and inability to perform ADLs due to unconsciousness. SMART GOALS Nursing Diagnosis Impaired mobility is related to unconsciousness as evidenced by bed rest, no spontaneous movement even to pain, bowel incontinence, and redness in heels. SMART GOALS

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