The RN is developing a plan of care for an 86-year-old patient who was admitted after falling at home

The RN is developing a plan of care for an 86-year-old patient who was admitted after falling at home. The patient is confused to place and time and has a right hip fracture that will be repaired tomorrow. The patient has an intravenous infusion of normal saline infusing at 100mL per hour, and is NPO after midnight. The patient’s vital signs are stable. The RN has included these nursing diagnostic labels in the plan of care:

Acute pain
Acute confusion
Impaired bed mobility.

Initial Discussion Post:

Identify a strategy to cluster the assessment data.
Describe how you used the identified strategy to cluster data for one (1) of the identified diagnostic labels.
Write a 3-part nursing diagnostic statement for this patient.

 
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