Client Priority Problems/Interventions You are working as

Client Priority Problems/Interventions You are working as a nurse at Assumption Nursing Home. You admit a patient from the St. Cloud Hospital for rehab who had a L total hip replacement one week ago. Your admission assessment data is as follows: Mrs. Applebee: “they sent me here until I can walk better because my daughter isn’t willing to take me to stay with her when I’m like this! I can’t even get up to the bathroom by myself.” Medical history: S/P L total hip replacement, one week ago Previous R total hip replacement (2018) Osteoarthritis Atrial Fibrillation Intermittent constipation Medications: NKDA Ibuprofen 400 mg PO every 6 hours as needed for mild pain hydrocodone and acetaminophen 5mg/325mg every 4 hours as needed for moderate to severe pain (Vicodin®) Digoxin 1mg PO daily for atrial fibrillation Senokot 6mg PO at bedtime Vital signs: 0800: RR 18; P 64; BP 112/68; T 97.8; SpO2 94% on RA Focused Assessment Findings: Pain 3/10 on 0/10 pain scale Incision healing, wound approximated with no drainage Gait unsteady with gait belt assist Patient states he has a fair appetite, no swallowing difficulties Hard, painful BM every 2-3 days. Resident states, “I often need laxatives to go.” CLUSTERING: Review the data above. What pieces of data would you cluster together that relate to each other? 2) From this data, identify two priority problems and which one has the highest priority? State your rationale for this prioritization. 1. 2. 3) Come up with 2 interventions for each problem. 1. 2. 1. 2.

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