Assignment Complete, please critique.....

[Jtejas]

I had to give 6 Nursing Diagnosis ( combined from ) three pt's, that were high level or most important. And then rank them as highest priority to lowest.

Here is what I got.

Pt with CHF

Pt with hyperkalemia

Pt with osteomylitis, nephrolithisis, and diversion colitus.

6 Diagnosis that I cam up with were

1#Decreased Cardiac out put

2 Impaired gas exchange

3 Fluid volume excess

4 Activity intolerence R/T fatigue, secondary to cardiac insufficiancy

5 Ineffective mgmnt of therapeutic regime r/t lack of adherence to low sodium diet

6 Skin Integrity, risk for impaired, r/t edema

What do you think. Do those sound high level, enough and is the order sufficient for their priority?

Please Pro's let me know your thoughts..

[Daytonite, BSN, RN]

the order of priority sounds ok to me. i would change a few of the related factors. also, are you using a current nanda list of diagnoses? i've written the diagnoses as they are listed (language-wise) in the current 2005 publications from nanda.

1. decreased cardiac output r/t impaired cardiac function
   
2. impaired gas exchange r/t excessive fluids in lungs
   
3. excess fluid volume r/t impaired sodium and water excretion
   
4. activity intolerance r/t fatigue secondary to cardiac insufficiency
   
5. ineffective therapeutic regime management r/t failure to integrate prescribed treatments into daily routine
   
6. risk for impaired skin integrity r/t altered circulation