Mr. McClaren is a 48-year-old man who is admitted to the emergency department (
Mr. McClaren is a 48-year-old man who is admitted to the emergency department (ED) with abdominal pain and general weakness. He reports that he drinks “one bottle of scotch whisky every week for the past one year,and one to two cans of beer during the weekends.” For the past three months, his condition has started to deteriorate. His wife claims that “he has not been eating well for the past three months”. Mr. McClaren reports he has passed dark red stool on three occasions – the last one being just one day before coming to ED. On examination, Mr. McClaren has an enlarged abdomen with tenderness upon palpation. He also presents with the following clinical manifestations: peripheral edema, pale yellow skin color, dry mucus membranes and body weakness. The physician suspects that Mr. McClaren has hepatic cirrhosis. His vital sign findings include: Temperature 37.8 Celsius, BP 94/52, Pulse 110, Oxygen saturation 94%. From your nursing classes, you know that some of the treatments Mr. McClaren may receive are paracentesis, ultrasound and CT scan of the abdomen, as well as vitamin K administration.Nursing Care PlanPart 1: Identify one priority nursing problem (actual problem not “at risk”) and formulate one appropriate NANDA nursing diagnosis based on the case study. Provide rationale to explain why this is a priority problem based on the case study (One paragraph, Max. 8 sentences). : Diagnosis is appropriate for patient and ordinal level, and approved. “Actual” diagnosis identifiedUse appropriate source of information (from case study and literatures)to support your answer.Part 2: Develop a comprehensive Nursing Care Plan using the Nursing Care Plan Template. 1: Three short term and one long term goal presented. Patient or family oriented.2: 6 nursing interventions to help patient or family meet goals3: 6 Evaluation related to interventions. Health Science Science Nursing NURS 20009 Share EmailCopy link Comments (0)
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