Nursing Diagnosis Help Needed!

  1. Hi,
    I am a first year BSN nursing student and we have now started writing our nursing care plans. I am struggling with figuring out a nursing diagnosis for my pt at clinical! He was a 90 yo. His chief complaint was SOB. All of his vitals were within normal limits except his blood pressure was 170/75. I can't seem to figure out a nursing diagnosis for this! I have checked my books and even did some research! Any help would be greatly appreciated!
    Thank you!
  2. 5 Comments

  3. by   Mtac32
    SOB= Ineffective breathing pattern r/t
    Hypertension= Risk for decreased cardiac output
    Activity intolerance = for both

    I would recommend a nursing diagnosis book if you don't already have one because this is only the beginning haha, good luck !
  4. by   mnhodges
    Our professors are big on us using 3 part nursing diagnosis. Do you have any tips on how I might could write one for this particular pt?
    Thank you!
  5. by   Mtac32
    You could goggle it or look in your nursing books. I just gave you these examples to start with.
    Ineffective breathing pattern r/t hypoxia as evidence by shortness of breath.
  6. by   jodispamodi
    I used mosbys care plan book it covered all 3 parts and was the main reason I didn't implode during care plans in school. Its well worth the money
  7. by   mnhodges
    Thank you so much!