ATOgator10 replied to Lisa CCU RN's topic in General Nursing
You can ask the patient something along the lines of, "are your ankles normally this big, or do you think your ankles are swelling??" Subjective data can give you clues on what is going on with the...
your priority nursing diagnosis would be related to the respiratory system.. probably altered breathing pattern or ineffective airway clearance because of the trach, vent and respiratory failure....