First semester of clinicals...is this nursing Dx ok?

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Hi everyone, I just found this site and I am pretty excited about it! I am currently working on a careplan for the patient I have in clinicals tomorrow, I am in a fundamentals course right now and we need to do a 3 part clinical. My patient had surgery today to fix a midshaft closed tibial fracture, so I am doing a diagnosis of acute pain. Here is what I have come up with...please be honest if its terrible! thanks!

Acute pain R/t activation of the peripheral nociceptors and conduction of an action potential to the CNS secondary to surgical repair of closed fracture in midshaft of L tibia AEB elevated blood pressure, pt___ reports of dull/throbbing pain ranging from levels 4-9, grimacing, and immobilization.

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I would say that is overkill.

Acute pain r/t surgical repair of fracture AEB pt report of pain

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Specializes in Critical Care; Cardiac; Professional Development.

What she said.

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Yes, definitely overkill. The r/t is simply why the person has pain. Could be surgery, migraines, injury, etc- you just want to specify what the cause of the pain is, not describe how pain is transmitted in the body.

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