Based upon assessment information, identify, and prioritize
the top 3 client problems. Write one client problem in each of the Client Problem boxes below.
(Analyze Cues; Analysis and Prioritize Hypothesis; Planning)
The nurse is caring
for a 52-year-old client who has experienced a complex lower leg fracture that needed surgical repair and is now immobilized. The client is approximately 24
hr postoperative and describes the pain as “severe”. The client has a history of anxiety,
depression, high blood pressure, and exercise-induced asthma. The client’s current home medications
include an antianxiety medication, antidepressant, and antihypertensive. The provider has
not prescribed these medications in the hospital. The nurse enters the client’s
room to administer opioid pain medication and notes the client is breathing
rapidly, hyperventilating, reports feeling lightheaded, and has numbness of
their hands and feet. The client struggles to state, “My chest hurts.” The
nurse further assesses the client and talks with the family present. The family
states that they think the client is having an anxiety attack because this is
similar to how the client has responded previously during anxiety attacks. The
client’s vital signs are temperature 99.2°F, HR 114, RR 38, and BP 160/90
also, answer this question in a short paragraph
Discuss the desired client outcomes related to the performed interventions identified in the potential client problems. (Generate Solutions; Planning)
a. Discuss client responses that demonstrate an improvement of the client problem.
b. Identify client responses that indicate worsening of the client condition. (Generate Solutions;
Planning)
