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Abnormal vital signs can signify changes in tissue perfusion. Early signs of bleeding include gum bleeding, epistaxis, and unexplained bruises. Osteomyelitis Nursing Diagnosis and Nursing Care Plan Provide an emesis basin and tissues. Keeping it this way facilitates evaluation of care by ensuring that planned nursing interventions are clearly related to the diagnosis set. Administer humidified oxygen by facemask to a patient with posterior packing. Encourage oral fluid intake of at least 1000 mL per day if not contraindicated. St. Louis, MO: Elsevier. Interventions chosen should focus on eliminating or reducing the etiology of the nursing diagnosis. Obtain Group and Save blood samples from the patient. If she has posterior packing, she'll be admitted to the hospital. Learn how your comment data is processed. Saunders comprehensive review for the NCLEX-RN examination. Most causes of nasal bleeding can be identified readily through a directed history and physical examination. Medical-surgical nursing: Concepts for interprofessional collaborative care. Sudden changes in the patients symptoms can signify a new stroke or worsening of the condition. Adapted and updated from Rushing J. Follow these steps to stop nasal bleeding. Views on topics do not generally reflect that of the entire community. Reassure the patient. Commence the patient on fluid balance chart. Once made, they live up to eight to ten days. She found a passion in the ER and has stayed in this department for 30 years. (2020). Desired Outcome: The patient will be able to achieve optimal tissue perfusion in the affected areas as evidenced by having strong and palpable pulses, regained leg strength, and reduced pain. As an Amazon Associate I earn from qualifying purchases. Sign in, June 2009, Volume :39 Number 6 , page 12 - 12 [Free], Join NursingCenter to get uninterrupted access to this Article.