Help Me PLEASE

Nurses General Nursing

Published

Hi...

I need 2 nursing diagnoses for tomorrow.. My pts main problem is that he has a pleural effusion in the Rt. lung.. Very diminished breath sounds on that side... He only complains of SOB when he moves around alot.. Right now he is on 2l O2 Via Nasal Cannula.. He is also a Type II diabetic and has hypertension... He has two stents, and has had 3 Angioplastys.. He is 73..

Any suggestions would be LOVED :)

Originally posted by fab4fan

When you hear hooves, think horses, not zebras.

Excellent advice!!!

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Specializes in Med-Surg.

So, nurs2b, what nursing diagnoses did you end up choosing?

Hope you got the thumbs up from your instructor.

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Specializes in Med-Surg, Trauma, Ortho, Neuro, Cardiac.

fab4fan! Yeah to you for helping but not giving. When I read the post I thought the exact same thing. I didn't have the internet and I struggled for those diagnosis on my own.

But don't get me started on my "nurses diagnosis rant". LOL

Good luck nurs2b! I feel your pain, believe me. What memories.

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Specializes in Specializes in L/D, newborn, GYN, LTC, Dialysis.

Get a good care planning book such as Doenges' and your med-surg text and I am thinking, there you will find what you are looking for. There are multiple possiblities for the symptoms you describe. Good luck.

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Your first choice is perfect..recognizing the biggest problem right now.

I always paired up my diagnoses, one for the physical--the one you have.

And my second one would always be on the emotional side--to "humanize" the patient. The instructors always lapped it up, that I was considering the patient's feelings/coping.

So, for the second diagnosis, you could choose something related to how he is coping with the loss of lifelong activities, grieving, changes in self-image, etc. Or anxiety. Anxiety is always great. When you can't breathe or have to "work" at breathing, you are anxious-- 24/7. Anxiety is much better than pain on this one. It's a winner. The good thing about choosing an emotional diagnosis for the 2nd one is it is usually easier, and as I said, the teachers love it 'cause they see that you are seeing the patient as a person, not a diagnosis.

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