You are planning nursing goals and outcomes with your patien…

You are planning nursing goals and outcomes with your patient. Place your nursing diagnosis in order of priority, with the most important (classified as high) listed first. 1. Constipation 2. Anticipated grieving 3. Ineffective airway clearance 4. Ineffective tissue perfusion.

Which entry will require follow-up by the nurse manager? 080…

Which entry will require follow-up by the nurse manager? 0800:  Patient states, “fell out of bed.”  Patient found lying by bed on the floor.  No abnormalities noted with extremities, peripheral pulses strong, bilateral strengths equal, no bruising or bleeding.  Neuro check within normal limits.  Patient states, “did not pass out”.  Assisted back to bed.  Bed in low position and locked, side rails up x 2 and call light in reach. Bed monitor on———————————————–Jane More, RN 0810 Notified primary care provider of patient’s status.  New orders received.——————————————————-Jane More, RN 0815 Portable x-ray of left hip taken in room.  Patient states, “I feel fine.”  ———————————————————-Jane More, RN 0830:  Incident/occurence report completed and placed in the patient’s chart—Jane More, RN