For the nursing diagnosis provided match the appropriate nursing care. Nursing diagnosis Appropriate nursing care Reduced intake due to nausea and or vomiting. Impaired skin integrity due to irritation form allergic reaction. Pain related to chronic wound Increased risk of hospital acquired infections. Possible adverse effects to medication. Increased risk of delirium. • Administer medications as ordered. • Implement prevention strategies. • Document patient's allergies. • Monitor level of confusion. • Document dietary requirements. • Monitor for signs of medication overdose. • Report to Doctor for management • Provide heat packs • Withhold diet and fluids - A. B. C. D. E. F. Reduced intake due to nausea and or vomiting. - A. B. C. D. E. F. Impaired skin integrity due to irritation form allergic reaction. - A. B. C. D. E. F. Pain related to chronic wound - A. B. C. D. E. F. Increased risk of hospital acquired infections. - A. B. C. D. E. F. Possible adverse effects to medication. - A. B. C. D. E. F. Increased risk of delirium. A. Document dietary requirements. B. Implement prevention strategies. C. Monitor for signs of medication overdose. D. Document patient's allergies. E. Monitor level of confusion. F.
