Question Answered step-by-step 19.  Scenario: The patient has telephoned the clinic complaining of post-operative problems, specifically, with her abdominal incision. In the last twenty-four to thirty-six hours, Mrs. Carter has noticed her incision is mildly swollen and continuously tender to touch, and it appears slightly warm and swollen.  She states yellow-green drainage is seeping from the incision. Mrs. Carter does note that she is “feeling run down” and “washed out,” more so than any time since her operation.  She stated, “I anticipated being recovered from my surgery by now, and completely back to my normal routine”.  She periodically feels “warm and flushed” but has not checked her temperature because she is unsure how.  Mrs. Carter states that she was instructed           during her post-operative visit that the incision no longer required a dressing.  She also states she             was instructed that she could now “resume usual hygiene practices except tub baths”. She             admitted that she “does not have a shower” and she “has been taking long tub baths since the             first post-operative day but was afraid to tell her doctor”. Write TWO 3-part nursing diagnoses for this patient. Problem/diagnosis- patient poses a risk for infection-related to- patient not following post-operative instructions from the doctor as evidenced by the incision being warm and swollen, and yellow-green drainage seeping from the incision.    problem/diagnosis- Lack of knowledge related to the patient not being able to take temperature due to not knowing how as evidenced by- PT stating she is unsure of how to take her temperature.  Health Science Science Nursing NO 106 Share QuestionEmailCopy link Comments (0)

Question Answered step-by-step 19.  Scenario: The patient has telephoned the clinic complaining of post-operative problems, specifically, with her abdominal incision. In the last twenty-four to thirty-six hours, Mrs. Carter has noticed her incision is mildly swollen and continuously tender to touch, and it appears slightly warm and swollen.  She states yellow-green drainage is seeping from the incision. Mrs. Carter does note that she is “feeling run down” and “washed out,” more so than any time since her operation.  She stated, “I anticipated being recovered from my surgery by now, and completely back to my normal routine”.  She periodically feels “warm and flushed” but has not checked her temperature because she is unsure how.  Mrs. Carter states that she was instructed           during her post-operative visit that the incision no longer required a dressing.  She also states she             was instructed that she could now “resume usual hygiene practices except tub baths”. She             admitted that she “does not have a shower” and she “has been taking long tub baths since the             first post-operative day but was afraid to tell her doctor”. Write TWO 3-part nursing diagnoses for this patient. Problem/diagnosis- patient poses a risk for infection-related to- patient not following post-operative instructions from the doctor as evidenced by the incision being warm and swollen, and yellow-green drainage seeping from the incision.    problem/diagnosis- Lack of knowledge related to the patient not being able to take temperature due to not knowing how as evidenced by- PT stating she is unsure of how to take her temperature.  Health Science Science Nursing NO 106 Share QuestionEmailCopy link Comments (0)