Question: For A Conceptual Map What Woukd Be The The Nursing Diagnosis In Order ??

Abdominal Assessment Scenario Mr. TM is a 71 year old admitted to room H-523 with a GI Bleed. VSB/P 100/60 TPR=37°C 100-20. Pulse Ox= 96% RA. Pain 7/10 c/o abdominal discomfort. Color pale, skin warm & dry. Braden = 21. A&Ox 4, PERRLA, MAE X 4. Hand grip = & weak. Unsteady galt when ambulating. Needs assistance of 1. Denies numbness or tingling to extremities. Lungs clear vesicular sounds. No cough. PPP x4 @ + 2, No edema, No JVD. CR <3 sec. Abdomen hyperactive BS in all four quadrants. Abd soft; C/o abdominal tenderness to RUQ & LUQ upon palpation. No distention. Negative rebound. Black tarry stool e visible blood. Plc/o diarrhea x 2 days. No c/o nausea. Foley catheter inserted to straight drain clear amber urine. Falls precautions dit weakness. History of GERD and depression Stat EGD completed. Results of biopsy pending. Pt. states he is afraid of results of biopsy. CXR is normal. Lab results: Na+ 132 K+ 3.2 CI- 97, Bicarb 23 BUN 10 Creatinine 0.9 Blood glucose 100 WBC=6,200 Hbg = 7.8 Het = 36% Platelets = 224,000 Dr’s orders: Insert foley catheter. Type & cross match for 2 units PRBCS: BR BRP. SCDs while in bed. IV0.9% Normal Saline Intuse @ 50 mlhr to L-antecubital redness or swelling. 1 & O; NPO except for po meds; May give small sips of H20 with meds only. esomeprazole magnesium 20 mg tab po daily hydromorphone 1 mg IVP 24h pm pain venlafaxine 75 mg po daily. I