Scenario

 

Meika Jeffries is a 66-year- old Asian American woman who is visiting the clinic for her annual physical examination. During the assessment, the nurse notes the presence of an upper back curvature. The following information is documented in Ms jeffries ‘chart:

 

Chief compliant- lower back pain for 3 months and difficulty going up and down stairs.

Retired with a sedentary lifestyle

Smokes five cigarettes per day

Drinks two glasses of wine per day

Status/post ovarian cancer, patient had a total abdominal hysterectomy and bilateral oophrectomy 25 years ago

Hight- 5 feet 2 inches (this measurement is 2 inches less than the finding on her previous examination approximately 1 year ago)

Weight- 100 pounds

Lactose intolerance (she does not take any calcium supplement)

 

Critical Thinking Questions

 

1. What are the priority nursing diagnoses at this time?

 

2. What are the expected outcome associated with these diagnoses?

 

3. Describe the leaching/learning needs related to the scenario that correspond to the priority nursing diagnoses

 

4. List nursing interventions with rationales that correspond to the priority nursing diagnoses