ShadowHealth_EdwardCarater_CarePlan

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Care Plan : 5 of 9.5 (52.6%) Nursing Diagnosis 2 out of 2.5 Nursing Diagnoses: Definitions & Classifications 2018-2020 © NANDA-International, 2017 used by arrangement with Thieme Medical Publish... ers, Inc., a division of the Thieme Group. All rights reserved. Authorized translation from the English language edition published by Thieme Medican Publishers Inc. No part of this material may be reproduced in any form without the written permission of the agent of the copyright holder, NANDA-International. Direct inquires to nanda-i@thieme.com. Link for more information: http://www.nanda.org/. Status Student Response Model Answer Explanation Points Earned exhibits exhibits Edward's problem is occurring presently, not hypothetically, so the correct answer is "exhibits". 0.5 out of 0.5 Diagnosis Student Response Model Answer Explanation Points Earned impaired urinary elimination impaired urinary elimination While Edward has been experiencing acute pain, he states that the hydromorphone has brought his pain level down to a 2/10, which is acceptable to him. Now is an appropriate time to address Edward's non-pain symptom, his impaired urinary elimination. 0.5 out of 0.5 Etiologies Student Response Model Answer Explanation Points Earned kidney stones kidney stones Kidney stones can irritate the bladder, impact urinary habits, and produce blood that is visible in the urine. The other conditions would not impact urinary elimination in Edward's case. 0.5 out of 0.5 Signs & Symptoms Student Response Model Answer Explanation Points Earned blood in urine blood in urine Edward's urinary habits are impacted via the increase to his urinary frequency and the blood in his urine. 0.5 out of 0.5 pain in lower lef side of back frequent urination Edward's urinary habits are impacted via the increase to his urinary frequency and the blood in his urine. 0 out of 0.5 Self Assessment Your answer is not automatically evaluated by the simulation, but may be reviewed by your instructor. Prompt Student Response Model Answer Explanation Why would Acute Pain be a less urgent diagnosis for Edward has no history of kidney stones and has chronic Edward's pain is currently mitigated by hydromorphone; he reports his pain is at a 2 out of 10, The diagnosis that's most appropriate at a given time can change in tandem with the Edward compared to Impaired Urinary Elimination given his treatment thus far? kidney disease. It will be important to maintain the health of his kidneys so not to damange them any further. and that this level does not bother him. Because the patient is satisfied with his current pain level, it is appropriate to move onto his as of yet unaddressed symptoms: increased urinary frequency and blood in his urine. circumstances of the case. Checking in with your patient about their experience of current symptoms can clue you into what needs addressing most urgently. Planning 3 out of 4.5 Short-Term Goal Student Response Model Answer Explanation Points Earned To have the patient, within 12-24 hours, report that urine is no longer pink, and that his urinary frequency has been reduced to once per hour. To have the patient, within 24-48 hours, report that urine is no longer pink, and that his urinary frequency has been reduced to once per two hours. Though these goals are similar, the correct answer is defined by an appropriate 24-48 hour time frame to allow for medication to take effect, as well as including both urinary symptoms so you can assess the complete picture. [Show More]

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