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[Expert Solution]: Using NANDA diagnosis, write a Nursing care…

Using NANDA diagnosis, write a Nursing care plan for PT NAME: M.M Age: 61 years Weight 132 lbs Medical DX: Reversal of ileostomy Allergies: NKA Medical history: Cholecystectomy, cesarean section, tubal ligation Activity order: From bed to chair at this time Elimination: Patient has an ileostomy on the left lower quadrant Contact: standard Self-care: independent Sensory: no deficits Extra info: right extended hemicolectomy with ileocolostomy anastomosis about 6 months ago. Complicated by sepsis who presents for reversal of ileostomy. Pt has another loop ileostomy done on the left side of abdomen as well as repair of the ventral incisional hernia. Recorded input: 0 output: 920 balance: -920 Vitals: BP: 101/68 O2: 92% ROOM AIR Respirations: 15 Pain: sore on abdomen Temp 98 degrees F Labs: WBC: 7.03 Calcium: 9.0 RBC: 4.26 Hbg:11.5 (LOW) Glucose: 110 Albumen: 3.1 Sodium: 135 Potassium: 4.6 MAR: 1. Acetaminophen 1000mg IV Piggyback Q8H 2. Ethanol topical 1 application each nostril 3.Heparin 5000 U every 12 hrs 4. Levoflaxin 750 mg iv every 24 hrs 5. methocarbamal 1000 mg= 10 ml every 8 hr IV 6. normal sailine 0.9% IV 7. Albuterol Nebulizer every 24 hrs 8. apixabon 1 tab oral twice a day NO OTHER LABS OR XRAYS AT THIS TIME Note: PT has metabolic acidosis. Monitor. Never had radiation or chemo therapy Please include: Nursing diagnosis, Priority, patient goal and expected outcomes (note: needs to be Realistic, undertandable, measurable, behavioral, and attainable), Nuring orders (note: include what, how much, where and when), and rationale for nursing orders

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