Here are all the nursing diagnoses I have noticed. Thank you for your help!
Acute pain is related to the initial postoperative period of the abdominal surgery, secondary to IV infiltration and the past health history of Intermittent episodes of gout, as evidenced by a chief complaint of pain, tachypnea, and reported that the IV is hurting the patient.
Ineffective airway clearance is related to the administration of anesthetic and analgesics during the abdominal surgery as evidenced by tachypnea.
Impaired tissue integrity is related to the leakage of IV fluid into surrounding tissue due to IV infiltration as evidenced by swelling and pollar around the infusion site.
Risk for infection is related to the surgical site and tissue damage because of IV infiltration.
I am wondering should I also put hypertension as one diagnosis or just ignore it as I think it should be normal with a past health history?
There are other nursing diagnoses that might occur, should I also mention them, like the disturbed sleeping pattern because of pain, and disturbed body image? Since the case given doesn't give any evidence, I can't see them as an actual problem. And I have taken a look at the functional health pattern, they cannot put with "risk for".