Published Jan 18, 2010
cmonkey
613 Posts
I'm helping a friend with her workbook questions and we're going back and forth over one:
The pt is admitted with osteoarthritis. One assessment, the nurse notes that the pt walks with a limp. What is the priority nursing diagnosis?
a. Activity intolerance
b. Impaired physical mobility
c. Ineffective health maintenance
d. Chronic osteoarthritis
We can't decide between a) and b). The book says b), so we need to know why. Is activity intolerance not a NANDA dx?
eta: I find it odd that the teacher is having the class go over questions like this when they really haven't discussed care plans, nursing dxs, etc. Seems kind of backwards.
Christine2009
358 Posts
I would also choose B for the simple fact that the pt is walking with a limp...in other words, the pt's physical mobility is impaired. This is a listed NANDA Dx listed in the 2009-2010 book.
The reason why this is a one of the first priorities is because of the osteoarthritis...it is important to find out if the disease is progressing so that appropriate PT or OT can help pt regain full use of limb causing the problem.
I do not know if anyone else has any other suggestions but this is what I came up with
Bug Out, BSN
342 Posts
Is she actually not intolerating activity? Sounds like she is scooting around just fine, her mobility is just impaired.
Daytonite, BSN, RN
1 Article; 14,604 Posts
the pt is admitted with osteoarthritis. one assessment, the nurse notes that the pt walks with a limp. what is the priority nursing diagnosis?
we can't decide between a) and b). the book says b), so we need to know why.
eta: i find it odd that the teacher is having the class go over questions like this when they really haven't discussed care plans, nursing dxs, etc.