Question

Identify three priority health issues/nursing diagnoses which may consist of potential, at risk for, or actual diagnoses

b. provide supporting evidence for the priority issues/diagnoses
c. select a priority issue/diagnosis from the list and provide rationale for why it is the priority
d. formulate one goal related to the priority issue/diagnosis; and
e. create an evidence-informed action plan with three nursing actions or interventions to help meet the stated goal.

Answer 1

Three priority health issues/nursing diagnoses are ineffective breathing pattern, infection, and falls risk. Infection is the selected priority issue/diagnosis due to its potential complications. The goal is to prevent the spread of infection and promote healing. The evidence-informed action plan includes implementing strict hand hygiene protocols, ensuring proper wound care, and educating the patient and family on infection prevention.

Step-by-step explanation:

Three priority health issues/nursing diagnoses that may consist of potential, at risk for, or actual diagnoses are:

1. Ineffective breathing pattern: This nursing diagnosis may be supported by evidence such as abnormal breath sounds, increased respiratory rate, and decreased oxygen saturation levels.
2. Infection: Supporting evidence for this diagnosis may include fever, elevated white blood cell count, and presence of pathogens in laboratory tests.
3. Falls risk: Evidence for this priority issue/diagnosis can include history of falls, impaired mobility, and use of medications that increase the risk of falls.

The priority issue/diagnosis selected from the list is Infection because it poses a significant threat to the patient's overall well-being and can lead to further complications if not addressed promptly.

An example of a goal related to the priority issue/diagnosis could be: To prevent the spread of infection and promote healing.

An evidence-informed action plan to meet this goal could include the following nursing actions or interventions:

1. Implement strict hand hygiene protocols: This can help to prevent the transmission of pathogens and reduce the risk of infection.
2. Ensure proper wound care: By providing appropriate wound care techniques, such as cleaning and dressing wounds, the risk of infection can be minimized.
3. Educate the patient and family on infection prevention: Providing education on strategies to prevent infection, such as proper hygiene practices and recognizing signs of infection, can empower the patient and family to take active measures in preventing infections.