My patient had a transient ischemic attack and came to the hospital ER complaining of severe dizziness and nausea. Her medical history includes hypertension and osteoporosis. After she was admitted an on med/surg, the hospital gave her the diagnoses of cerebellar infarction, bradycardia, and chronic bronchitis, and osteoporosis. There are no labs nor tests that indicate bronchitis or osteoporosis.
We have to make 4 nursing diagnoses based on our patient.
So far I have:
Decreased cardiac output r/t altered heart rate aeb heart rates ranging from 42-56 (this isn't actually how I wrote the data, but there is a lot of it, so this is to make it simple)
Risk for injury r/t tissue hypoxia
Risk for fall r/t dizziness
For each of these diagnoses we have to list 5 nursing interventions within our scope of practice, needless to say, it leaves me grasping for straws trying to find the right interventions. For instance if I said for a patient with a pressure ulcer that I would clean the wound to help promote healing, my instructor would write on my feedback "You didn't do this, so why are you listing it." We are allowed to do wound care, but she won't let us write it as an intervention unless we perform it.
Any help would be appreciated. If you need more information please let me know. Thank you in advance!
