Case Study
.QY. is a 45-year-old man who presents to the outpatient clinic with two swollen toes on his right foot. He does not recall injuring his foot.
Subjective Data
Pain level is a 6/10 location = right foot, throbbing
Works as a truck driver
Objective Data
Vital signs: T 37 P 80 R 14 BP 120/68
+2 edema great toe and second toe, right foot, warm to touch
+ pulses
+2 capillary refill
Questions
1.What other assessments should be included for this patient?
2.From the readings, what is the most probable cause of the edema?
3.What are two known nursing diagnoses?
4.What would be included in the nursing care plan?
5.What interventions might be included in the plan of care for this patient?
