Read the following case. Formulate 2 Actual Problem Nursing Care Plan and 2 Risk or Potential Nursing care Plan.
– provide at least 5 nursing intervention with rationale
Use the NCP template provided (just need to fill the form thats all. 2 for actual problem, and 2 for risk or potential)
Mr Smith admit to LTC (long term care) facility for rehabilitation and continuation of 14 days antibiotic treatment for his recent diagnosis of UTI. He is 89 y/o with hx of dementia, parkinson, htn, dm and fall 3 weeks ago. Had rt hip fx and went to Rt Hip Replacement a week ago. A/0 x3 with episode of confusion and forgetful but cooperative with care. Current v/s T = 100.3F P = 98 R = 21 BP = 156/89 O2 ra = 98%. Ambulatory with fww use. Unstable when ambulating and c/o pain discomfort @ rt leg. Rt hip incision still has staples with redness at surrounding. No bleeding or drainage noted. Has prn Vicodin 1 tab q 4 hrs po. Fair po intake. Last lunch meal was 75%. Fair with fluid intake (lunch 250 ml total intake). Pt stated last bm was 2 days ago with period of straining but denies melena. Voids continently using urinal but stated period of dysuria. Denies hematuria but notice some cloudiness when void. Prefer to stay up in chair and watch TV in his room all day. Seldom will join group activities unless family visits and he goes to patio. Currently taking Levaquin 500mg ivpb daily x10 days (started 2 days ago).
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