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Discussion

HELP HELP HELP

Hi, I just started nursing school and i am a bit confused. I have to put a nursing care plan together, based on priotity.

The guy is extremly overweight, smoked for 40 years but has quit 10 years ago, he is on anti-hypertensive drugs but his blood pressure is stilol 151/92, he likes his meat and potatoes + lots of salt, now he has difficulty getting around the farm, shortness of breath when walking and swollen leg. The kids have no interest in the farm. He is married.

I would go with shortness of breath- ineffective breathing pattern related to weight?

then something about the leg skin integrity/circulation related to weight and inactivity?

but i should also say something about the activity intolerance and the Nutritional imbalance:more than body requirements. Where does the hypertension fit in? and what do i do first?

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    When prioritizing patient care (or nursing diagnoses) I've learned to follow the ABCs

    Airway

    Breathing

    Circulation

    Then, after you've got the most life-threatening deals taken care of you can look at Maslow's Hierarchy of Needs to see what else the patient may require.

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