Diagnostic Studies r/t Care Plans

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im getting ready to start my integ care plan and as im compiling info about my pt, an 86 yo female admitted from the ER to the inetermediate care unit, i notice that she has only one diagnostic study... chest x-rays... blah... anyway we need a minimum of 3 and my instructors said that if there werent enough studies actually performed we can write about ones that we would EXPECT to see... her diagnoses are Stage2 decub on her coccyx and RLL Pheumonia.... she also has diabetes, hypertension, alzheimers c dementia, psychosis and Hx of hypothyroidism, atherosclerotic coronary vascular disease, anemia, and chloelithiasis to name a few.... i havent researced the possible studies she would have recieved in depth yet... but even my instructors said they would have to think about it also...

if anyone has time to offer up some insight, it would be greatly appreciated... thanks so much in advance!:spam:

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Do they have to be radiologic diagnostic studies? Seems like there would be at least a couple of relevant lab studies to get you over the top.

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have to agree with Eric. With those dx's she'd have a ton of available blood tests that could be done. More than enough to suffice for the care plan.

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Specializes in med/surg, telemetry, IV therapy, mgmt.

you have a patient that has the following medical diseases:

  • rll pneumonia
  • diabetes
  • hypertension
  • alzheimer's disease
  • dementia
  • psychosis
  • hypothyroidism
  • atherosclerotic coronary vascular disease (this is basically ashd)
  • anemia
  • cholelithiasis

you are going to find a lot more than 3 diagnostic studies for these conditions. go to the list on this thread, https://allnurses.com/forums/f205/medical-disease-information-treatment-procedures-test-reference-websites-258109.html - medical disease information/treatment/procedures/test reference websites, and search in the websites listed under "physician sponsored sites" and "consumer (patient) information" using each of the medical diagnoses as a search word. as information about each diagnosis comes up, you will not only find information about the signs and symptoms of these diseases and their treatment, but you will also find information about the diagnostic tests that are ordered included in many of the discussions about these diagnoses. i used to just pull up the diagnosis pages on the family practice notebook website to find this kind of stuff, but they have made access to their site more difficult and you now have to get into their webpages by going through the medical specialties.

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i wish we could use labs as diagnostic studies... those fall under diagnostic tools... the difference between the two catagories is vague... thank you for your imput though eric and CT.... daytonite thanks for the link its really helpful...

thanks again everyone!!:specs:

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DX prioritization....Help Needed

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HELP!

I have a pt admitted for interstitial pneumonia, and has anemia- low H&H and metastatic cancer of unknown origin, he has low prealbumin, protein malnutrition, hyponatremia, crackles in RLL, inspiratory wheezes in RUL, LUL, and LLL. He is on 12L O2 NC and has a O2 sat of 90-93%.

I have some nursing dx's thought of but not sure about the r/t part and which ones to use and in which order I need 3.

impaired gas exchange - What is the r/t part that I should include ?

Ineffective airway clearance- What is the r/t?

imbalanced nutrition less than body requirements- What is the r/t part? the man has a normal bmi but has protein malnutrition!

deficient knowledge r/t ? aeb pt asking why he is on steroids,

activity intolerance r/t ?

Chronic pain is r/t chronic disease process okay? he has met Ca in his bones- high WBC, low RBC, low H&Hbarely low Na+, and slightly high glucose- non fasting.

Can I use infection as a nursing dx or only risk for infection?

Any help would be greatly appreciated!

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Specializes in med/surg, telemetry, IV therapy, mgmt.
dx prioritization....help needed

permalink

help!

i have a pt admitted for interstitial pneumonia, and has anemia- low h&h and metastatic cancer of unknown origin, he has low prealbumin, protein malnutrition, hyponatremia, crackles in rll, inspiratory wheezes in rul, lul, and lll. he is on 12l o2 nc and has a o2 sat of 90-93%.

i have some nursing dx's thought of but not sure about the r/t part and which ones to use and in which order i need 3.

impaired gas exchange - what is the r/t part that i should include ?

ineffective airway clearance- what is the r/t?

imbalanced nutrition less than body requirements- what is the r/t part? the man has a normal bmi but has protein malnutrition!

deficient knowledge r/t ? aeb pt asking why he is on steroids,

activity intolerance r/t ?

chronic pain is r/t chronic disease process okay? he has met ca in his bones- high wbc, low rbc, low h&hbarely low na+, and slightly high glucose- non fasting.

can i use infection as a nursing dx or only risk for infection?

any help would be greatly appreciated!

see https://allnurses.com/forums/f205/nursing-diagnosis-help-patient-interstitial-pneumonia-mets-bone-276459.html for the answer to your questions.

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