NCP, Laboratory test implications,,

Nursing Students Student Assist

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i have a patient who is male,35 years old... slightly obese, has diabetes mellitus...

his CC is intolerable pain.. its due to a 2inches long and half inch deep wound... upon observation pus formation was noted...

he had and on and off fever for two days... vital signs are as follows T- 37.8 degrees celsius, PR-102 RR-26 BP-130/90 mmHg..

on his urinalysis, WBC-25/hpf, RBC-3/hpf, glucose-+++

on his CBC, RBC-3.4million/ul, HGB 10g/dl, HCT-46%,wbc-20,000mm3

my problem is i dont know what could be my nursing diagnostics... im thinking either injury,risk for or Infection,rick for?

any other options on diagnostics will be helpful and possible can i see a sample NCP?(maybe a link or so)

on laboratory..High WBC counts are signs of infection right? and positive glucose count is because of his diabetes...

what about the RBC on urinalysis(what does it imply)?

and howcome on his CBC, the RBC and HGB implies on anemia? hematocrit is normal right?

sorry fir lots of questions.... im new at this stuff...(student):o

yes i have heard of the term hint. he is being resourceful. while doing his homework ect he is using a very good resource. which is this board. we should be helpful to those who come after us. not just give a hint and hope that they a) find what you expect them to find or b) understand what your telling them in the first place. its better to give a hand and bring them along. give him a link to follow or something. its called mentoring. i appreciate the fact that you are attempting to help him as i am. i just think we should be as helpful as possible.

Specializes in Cardiac Telemetry, ED.

I disagree. I don't think asking for answers on an internet bulletin board is very resourceful, and I feel no obligation to just hand someone the answer.

you can disagree if you want. thats your right. never said you had to hand him the answer either

Specializes in Cardiac Telemetry, ED.
you can disagree if you want. thats your right.

Gee, thanks. I didn't know that. :D

You can help him your way if you want.

well im just a nube at the nursing world(1st year)...we were sort of advance class due to a special(testing) curriculum(four year course and preclinical late 1st year), this constitutes 30% of my grades... so if i dont want to stop taking nursing for 1 year and take the 5 year course i need to give my best shot... maybe you guys noticed but i was working w/ this case for soon to be 24 hours(i have recent posts)..

im not asking for direct answers... i want to understand whats happening...

i know that having infection is a greater threat to the patients life.. but since i cant find the right diagnosis i settled for pain...(since i dont know any, and saying"risk for infection" is not applicable{i think} since he already has infection)...

"Infection,????" then what... i really cant find anything on the net... thus when i saw this site i was eager to ask questions..

just tell me what to do, links or so....

any help is much appreciated..

sorry for the troubles..

no trouble. if you read the posts here this happens. alot. nurses disagree on how to do things all the time. its just the way we are. everyone brings their own flare and methods to the game. if you make it through you will too.

not to be a nit picker, but the patient really isnt febrile, that was a PR temp......

the temp i saw was 37.8 C. the PR of 102 i though was the pulse. that was my take anyway.

Specializes in Utilization Management.

Moving to Nursing Student Assistance forum. If you look on the upper right, you'll see a tab for Students. Lots of help there.

the temp i saw was 37.8 C. the PR of 102 i though was the pulse. that was my take anyway.

ah, maybe indeed....an opening for "dont use unapproved abbr." have never seen or used PR for pulse rate...HR for heart rate, but pulse has always been just "P".....

use very much so. we usually use hr for the pulse or just P. the unapproved abbreviations is a whole other coversation :smilecoffeecup:

since i cant Choose which Dx are to be used.. i figured out ill just do them all..

1)"Pain related to infection of wound on the right foot"

2)"Infection related to impaired skin integrity as evidenced by pus:"

3)knowledge in woundcare. "Deficit Knowledge"

4)Knowledge in illness. "deficit knowledge"

are this right?

i dont have any nanda book yet..

please help me... i have until tonight to finish my work...:o

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