TKR nursing diagnosis

Nursing Students General Students

Published

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

+ Add a Comment