Question: The Patient Is A 58-year-old Male. His Chief Complaint Upon Admission: Right Hip Pain With Ambulation. His Primary Diagnosis: Osteoarthritis, Secondary Diagnosis: Hip Replacement.

Provider Orders 1. Code status: Full code 2. Admit to orthopedic inpatient unit 3. Diet: Ice chips; if no nausea, diet may be advanced as tolerated. 4. Bedrest until patient is seen by physical therapy 5. Intake and output every shift 6. Vital signs every 15 min for 1 hour starting now, then every hour over the next 4 hours, then every 4 hours until discharge 7. Routine Jackson-Pratt drain care 8. Abductor pillow between legs 9. Sequential compression device to both lower extremities, intermittent compression 10. Incentive spirometry 10 times per hour while awake 11. Complete blood count in AM 12. Physical therapy to evaluate and treat IV. DEVELOPING NURSE THINKING BY UNDERSTANDING RATIONALES FOR MEDICAL MANAGEMENT MEDICAL MANAGEMENT: What is the RELATIONSHIP between the primary care provider’s orders and Mr. Dubois’s primary problem? What are the Current Care Provider What is the RATIONALE for why What is the EXPECTED OUTCOME? Orders? (list ALL here) each one was ordered by the health How will each one resolve the care provider? Primary Medical Problem or OTHER actual or potential problems?