Nursing Care Plan Concept Map Template

Rt. moditfied radical mastectormy
Key Assessments
Key Problem 1
Key Problem #5
Key Problem #4
Key Problem #6
Key Problem #7
Key Problem #8
Key Problem 2
Key Problem #3
Impaired Gas Exchange
Breath sounds decreased in
bases
Incentive spirometry
Impaired Skin Integrity
Wound: edematous, red
2 drains: red drainage
Imbalanced Nutrition
1800 ADA diet
Poor sppetutu
Needs helps eating
IV LR with KCI
Diabetic
Blood Glucose = 235
5' 5" , 190 ib
Poor turgor
K-Dur
Pain, dressing, drains, VS
Chronic Sorrow
Sertraline (Zoloft)
Disturbed Body Image
Masectomy
Acute pain
Incision
5 on 10-point scale
Acetsminophen (Tylenol)
Risk for injury, Impaited
Mobility
Confusion
Oriented to person only
Inappropriate responses to
questions
Pulled out IV and restarted
Restrained (vest/Wrist)
Wears glasses
Falls risk: high
Decreased Cardiac Output
Hx Mi, hypertension
137/72, 152/100
Anemic
H/H-11/32.1
Aspirin (Ecotrin): Heparin;
Furosemide (Lasix);
Potassium =2.8; K-Dur;
Valsartan (Diovan)
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