What are two priority nursing diagnoses for this child?

Discussion on Module 8 Maternal Child Health System

This child may need to be diagnosed with two priority nursing conditions:

1. The presence of an indwelling foley catheter, surgical wound or a surgical scarlet horn increases the risk for infection
2. There is a risk of impaired mobility due to recent surgery or the long leg cast.

This patient could receive priority nursing care after they are transferred from ICU.

1. To monitor any neurological signs or increased intracranial pressure, it is important to perform neuro checks every 2 hours.
2. Assessment and management of the pain from a fracture or surgical incision
3. To prevent infection, monitor and maintain the foley catheter’s function
4. The long leg cast can be used to promote mobility. This includes turning the patient and moving them around.

Folio catheter placement is associated with the risk of urinary tract infections, catheter-associated microbacteriuria and trauma to urethras during inserting or removing.

Indwelling catheters may be necessary for patients who are not able to urinate by themselves or require monitoring their urine output. To minimize complications, it’s important that the patient’s healthcare team regularly evaluates the necessity for the catheter. Then they should remove the catheter as soon as possible.