Mtaraj

Please help, I am new on this site and nursing field. I have a case study which requires three nursing diagnosis one goal for each of them and three interventions. I thought one of them would be acute pain r/t surgery aeb pt stating stabbing pain, 7/10 c ambulation &repositioning. Anyway the following is the case. Please help 72 year ol male Admiting Dx: DJD (degenerative joint disease) L knee; TKR (total knee replacement) MD Orders: VS q 4 hrs; BR; up c PT; CPM(continuous, passive motion) Except during sleep @noc Bilateral SCD (sequential compression device ) Bilateral antiemboltic stockings (TEDs) Regular Diet Dressing change L Knee: clena w/ betadine;apply DSD Bactrim DS po BID Demerol 75 mg IM q 4h prn pain Vistaril 50 mg IM q4h prn (give c Demerol) Nursing Assessment: A&O *2 , hand grips equal &strong; Leg Pushes: weak L, strong R B/P 140/82; apical pulse 82&regular; Homan's negative bilaterally ; BLE pulses present Lungs clear to auscultation; RR 22&unlabored Bowel sounds + *4 quads; LBM Today; 75% of meals Voiding qs clear, amber urine via urinal L Knee incision c staple intact well approximated, serosanguineous drainage; minimal redness, edema noted; c/o stabbing pain, 7/10 c ambulation &repositioning

Hi to whoever is reading this. THis is my first time on this site and I am in need for finding three nursing diagnosis and one goal for each one of them and three interventions for each one of them on the following case. This is the first time for me dealing with nursing diagnosis and I am not sure about it. i know one of them which is pain acute so i have exhausted that one. But for the other ones I am confused. here is the case: 72 year ol male Admiting Dx: DJD (degenerative joint disease) L knee; TKR (total knee replacement) MD Orders: VS q 4 hrs; BR; up c PT; CPM(continuous, passive motion) Except during sleep @noc Bilateral SCD (sequential compression device ) Bilateral antiemboltic stockings (TEDs) Regular Diet Dressing change L Knee: clena w/ betadine;apply DSD Bactrim DS po BID Demerol 75 mg IM q 4h prn pain Vistaril 50 mg IM q4h prn (give c Demerol) Nursing Assessment: A&O *2 , hand grips equal &strong; Leg Pushes: weak L, strong R B/P 140/82; apical pulse 82&regular; Homan's negative bilaterally ; BLE pulses present Lungs clear to auscultation; RR 22&unlabored Bowel sounds + *4 quads; LBM Today; 75% of meals Voiding qs clear, amber urine via urinal L Knee incision c staple intact well approximated, serosanguineous drainage; minimal redness, edema noted; c/o stabbing pain, 7/10 c ambulation &repositioning Please help.