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nrsingrulz

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  1. I have a patient that has terminal ileitis with free air, but it is not Crohn's disease. They think it might be from a foreign body but are still unsure. He is post up 4 days from a lapileocecal resection. He is still NPO with ice chips and has a NG tube. His labs are slightly low Hct and Hgb levels, and high EBS levels, his electroyltes are normal. I was thinking my top 5 nursing diagnosis would be 1) Deficient fluid volume 2) Imbalanced nutrition: less than body requirements 3) Acute pain 4) Anxiety 5) Disturbed sleep pattern (pt has sleep apnea) I have to conduct a care plan on deficient fluid volume. I was thinking about Deficient fluid volume r/t NG tube and inadequate fluid intake from being NPO AEB dry mucous membranes, thirst, and poor skin turgor. Is this a good diagnosis...and I was wondering if anyone could help on some goals and interventions. Thanks for all your help!!!!!!!
  2. I have a pt that was admitted for renal failure. He is a diabetic and just recently had his RT great toe amputated.. Can anyone help me with prioritizing nursing diagnosis!! I am not sure what diagnosis would be the most important. Thanks!!

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