NM 222 Clinical Nursing I Care Plan Assignment

NM 222 Clinical Nursing I Care Plan Assignment

NM 222 Clinical Nursing I Care Plan Assignment

NM 222 Clinical Nursing I Name

Herzing University BSN Program

Assessment Nursing Diagnoses Outcome / Goals Plan Rationale Implementation Evaluation
Subjective Data:

Pt. started he has SOB at the Casino when he went out.

Pt. started he is on fluid restriction.

Pt. started he preferring to sit in recliner in high Fowler’s position than lying in bed.

Objective Data:

Pt. lung sound was wheezing his V.S. BP-98/49, T-98.4%, P-75, R-18. O2-94.


Nursing care plan for patient with heart failure form NANDA each should have three sources:

NM 222 Clinical Nursing I Name: Bindu Komara

Herzing University BSN Program Care Plan Assignment

Assessment Nursing Diagnoses Outcome / Goals Plan Rationale Implementation Evaluation
Subjective Data:

Pt. stated that she has pain in her legs 8/10

Pt. stated having stiffness in bilateral legs

Objective Data:

Tenderness and redness to bilateral legs joints.

Joint area is warm to touch

VS:BP-144/70,R-20,P-57, T-97.6,02-96% RA

Acute pain related to inflammation as evidence by pain of 8/10 tenderness, swelling and warmth.

Impaired physical mobility related presence of joint pain.

Potential for impaired skin integrity related to inflammation to bilateral legs as evidence by redness, tenderness, and warm.

Reduce inflammation result to reduction in pain to 2/10 or at a tolerable level

Pt. will be able to have full ROM to bilateral lower extremities (BLE) without complaint of pain.

Patient will have reduce inflammation to BLE to reduce risk of skin integrity

The nurse will Monitor signs and symptoms inflammation and pain throughout the shift.

The nurse will perform Full ROM to BLE to prevent contraction.

The nurse will Monitor signs and symptoms inflammation.

To assess level of inflammation and need for quick intervention. Prevent pain.

Prevent immobility and contraction.

Prevent impairment to skin integrity and reduce pain

1. Administer acetaminophen 500mg every 4 to 6 hours for pain control.

2. Apply cool compress as tolerable to reduce inflammation.

3. Elevate BLE to reduce inflammation.

4. ROM (10 to 15 repetition) to BLE every 4 hours to prevent contraction/immobilization.

5. Assess circulation, sensation and motion to BLE to ensure adequate perfusion.

6. Reposition BLE to prevent skin impairment.

Goal Not met: Pt. will have pain level of 8/10 to lower extremities with inflammation; tenderness to (BLLE).Pt. will be unable to do ROM (BLLE) at the end of the shift.

Goal met: pt. pain 2/10 and verbalize adequate relieve of Inflammations reduced.

Pt. has full ROM to BLE at the end of the shift.


Place your order
(550 words)

Approximate price: $22

Calculate the price of your order

550 words
We'll send you the first draft for approval by September 11, 2018 at 10:52 AM
Total price:
The price is based on these factors:
Academic level
Number of pages
Basic features
  • Free title page and bibliography
  • Unlimited revisions
  • Plagiarism-free guarantee
  • Money-back guarantee
  • 24/7 support
On-demand options
  • Writer’s samples
  • Part-by-part delivery
  • Overnight delivery
  • Copies of used sources
  • Expert Proofreading
Paper format
  • 275 words per page
  • 12 pt Arial/Times New Roman
  • Double line spacing
  • Any citation style (APA, MLA, Chicago/Turabian, Harvard)

Our guarantees

Delivering a high-quality product at a reasonable price is not enough anymore.
That’s why we have developed 5 beneficial guarantees that will make your experience with our service enjoyable, easy, and safe.

Money-back guarantee

You have to be 100% sure of the quality of your product to give a money-back guarantee. This describes us perfectly. Make sure that this guarantee is totally transparent.

Read more

Zero-plagiarism guarantee

Each paper is composed from scratch, according to your instructions. It is then checked by our plagiarism-detection software. There is no gap where plagiarism could squeeze in.

Read more

Free-revision policy

Thanks to our free revisions, there is no way for you to be unsatisfied. We will work on your paper until you are completely happy with the result.

Read more

Privacy policy

Your email is safe, as we store it according to international data protection rules. Your bank details are secure, as we use only reliable payment systems.

Read more

Fair-cooperation guarantee

By sending us your money, you buy the service we provide. Check out our terms and conditions if you prefer business talks to be laid out in official language.

Read more