NUR 304 Mobility Case Study

NUR 304 Mobility Case Study
1. Case study info
Answer
Meet the Client
John Mathis
John Mathis, a 73-year-old male, is treated in the emergency department (ED) for an infected
wound on hisrightfoot.John states he was walking barefoot and stepped on something sharp that
cut hisfoot.He treated it with topical antibiotics, but it appears red and inflamed, with purulent
drainage. John is admitted to the medical-surgical unit for inpatient wound care treatment.
2. Mr. Matthew tellsthe nurse that he has never been hospitalized. He appears anxious and
frequently turns to his wife for reassurance.What is the best response by the nurse?
Answer
"What concerns do you have about being hospitalized?"
This response utilizes principles of therapeutic communication. It is an open-ended question
designed to allow Mr. Matthew to verbalize any concerns about hospital- ization that might be
contributing to his anxiety.
3. Mr. Matthew tells the nurse, "My sweetheart and I have never been apart during our 55-year
marriage."What action should the nurse implement to help reduce Mr.Matthew's anxiety during
the admission process?
Answer
Explain the room environment to Mr. and Mrs. Matthew.
This action will reduce the client's anxiety by including the spouse, and orienting them both to
the room.
4. Mr. Matthew states the pain level in his right foot is 8 on a scale of 1-10. He says he has
been favoring his foot by staying in bed the past week. In planning his care, which nursing
diagnosis should take priority?
Answer
Impaired physical mobility.
Mr. Matthew's limited activities support this nursing diagnosis.Improving mobility is a nursing
priority to prevent the many potential complications.