My patient has megaloblastic anemia. During my clinical it hadn't yet been diagnosed as B12- or Folate-deficiency. My assignment is "Find 5 nursing diagnoses based on 1 medical diagnosis; prioritize those 5 nursing diagnoses in order of urgency, and create an in-depth care plan with 5-7 interventions for the top 2 nursing diagnoses."
Listed below are my 5 diagnoses in order of urgency. Please let me know if my order is correct, or if I have a diagnosis wrong, or if I should be including a different diagnosis. For what it's worth, I'm only a 1st semester student, so please excuse my lack of knowledge. Thanks so much!
1. Risk for ineffective tissue perfusion d/t decreased oxygen-carrying capacity of the blood.
2. Risk for bleeding d/t decreased platelet count secondary to megaloblastic anemia.
3. Activity intolerance r/t imbalance between oxygen supply/demand a/e/b verbal report of weakness and dyspnea.
4. Fatigue r/t decreased oxygen-carrying capacity of the blood a/e/b reported inability to maintain usual level of physical activity.
5. Risk for falls d/t decreased oxygen-carrying capacity of the blood.
Additional info: Patient presented with a pale complexion and reported generalized weakness and shortness of breath for 3 days. Pertinent lab values compared to hospital standards:
RBC: 1.62 Low
HGB: 6.0 Low (critical)
HCT: 16.2 Low (critical)
MCV: 99.9 High
MCH: 37.0 High
MCHC: 37.0 High
Platelets: 79 Low
MPV: 7.9 Normal