Respuesta :
Answer:
The five nursing diagnoses that might be priorities in the first 3 days for a patients with fractured bones (right wrist,right tibia and two ribs) which occurred in a car accident include:
1. X-ray examination: This is to determine the location and the extent of the fracture in the patient.
2. Magnetic Resonance Imaging (MRI) scans: For the visualization of fractures, bleeding, and soft-tissue damage in the patient.
3. Complete blood count (CBC): To determine if there is any significant hemorrhage at the fracture site or at distant organs in multiple trauma.
4. Urine creatinine (Cr) clearance: To determine the load of Cr for renal clearance which is caused by muscle trauma. And lastly,
5. Coagulation profile: To determine if there is any alteration in the patient's body due to blood loss, multiple transfusions, or liver injury.
Explanation:
Answer:
Nurse have to check the patient's head and face injuries for trauma, palpating the body if patient have any organ damage or inside bleeding. Also have to do vital signs, asking patient's pain level and discomfort, looking for skin coloration, rash or cytosis. Determine the pain level and giving pain relive under supervision by a Doctor. This patient will have difficulty with mobility, self-care, or ability to do activities of daily living, and breathing. In addition, the patient will have comfort/pain issues, possible problems with bowel and bladder elimination, sleep, etc. The patient may also have knowledge deficits, coping issues, and other psychosocial aspects that will need to be addressed. Priority nursing diagnoses may include acute pain; impaired physical mobility; impaired gas exchange; disturbed sleep pattern; ineffective coping; bathing/hygiene, dressing/grooming, and/or toileting self-care deficit.
Explanation:
