What would be included in the nursing care plan?

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What would be included in the nursing care plan?

William Smaile is a 65-year-old man who presents to his general practitioner’s office with complaint of right forearm swelling, redness, and pain. He was recently discharged from the hospital where he had been receiving intravenous antibiotics for a respiratory infection.

Subjective Data

  • Pain level is a 5/10 location = right forearm, aching
  • Retired foreman at a local industrial plant

Objective Data

  • Vital signs: BP 150/68, T 37 degrees Centigrade, P 80, R 16
  • Swelling and reddened right forearm, warm to touch
  • + pulses, brachial and radial (R)
  • +2 capillary refill fingers right hand
  1. What other assessments should be included for this patient?
  2. From your readings, what is the most probable cause of the swelling?
  3. What is your nursing diagnosis?
  4. What would be included in the nursing care plan?
  5. What interventions might be included in the plan of care for this patient?
  6. APA FORMAT
  7. REFERENCE:
  8. Jarvis, C. (2016). Physical examination & health assessment (7th ed.). Philadelphia, PA: Saunders.
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      • pp. 199-225 (Structure, Function, Subjective and Objective Data, Documentation and Critical Thinking)
      • p. 250 (Summary Checklist)
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