I am in my 1st semester of nursing and on my 1st week of clinicals I had a post-op pt with an elective total hip replacement the prior day. He was 80 and had no additional health concerns over than high BP. His Hgb, Hct, WBC were low, and his BP was running 90/52 (normally takes hypertensive meds/BP dropped post surgery). He received 1 unit of blood while I was there. Surgeon's rpt indicated less than 200cc blood loss. His incision looks good - no swelling, dressing was clean, dry, entact - drain was removed prior to my shift starting. He was not ambulated following surgery d/t low BP, and was not ambulated the next day d/t the same. PT did ROM exercises with him.
I am completely lost about a Nursing Dx. I thought about Risk for Infection or Impaired Skin Integrity d/t surgical incision but I have used these Dx's already. My clinical instructor will not let us use the same Dx's back-to-back (even if it fits).
Any suggestions?