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The document prioritizes 3 nursing diagnoses: 1) Ineffective tissue perfusion due to decreased oxygen at the capillary level failing to nourish tissues, 2) Hyperthermia resulting from benign febrile convulsions triggered by rising body temperature which is part of the body's defense against infection, and 3) Risk for injury because seizures cause uncontrollable muscle spasms putting patients at risk of striking objects during convulsions.
The document prioritizes 3 nursing diagnoses: 1) Ineffective tissue perfusion due to decreased oxygen at the capillary level failing to nourish tissues, 2) Hyperthermia resulting from benign febrile convulsions triggered by rising body temperature which is part of the body's defense against infection, and 3) Risk for injury because seizures cause uncontrollable muscle spasms putting patients at risk of striking objects during convulsions.
The document prioritizes 3 nursing diagnoses: 1) Ineffective tissue perfusion due to decreased oxygen at the capillary level failing to nourish tissues, 2) Hyperthermia resulting from benign febrile convulsions triggered by rising body temperature which is part of the body's defense against infection, and 3) Risk for injury because seizures cause uncontrollable muscle spasms putting patients at risk of striking objects during convulsions.
Prioritization and Lists of Identified Nursing Diagnosis (3 NCP)
Priority Nursing Diagnosis Analysis
1 Ineffective Tissue The circulation to the tissues is not getting Perfusion enough oxygen or nourishment. Decrease in oxygen resulting in the failure to nourish the tissues at the capillary level. 2 Hyperthermia Benign Febrile Convulsion is a convulsion triggered by a rise in body temperature. Fever is not an illness and is an important part of the body’s defense against infection. Antigens or microorganisms cause inflammation and the release of pyrogens which is a substance that induces fever. 3 Risk for Injury A seizure or convulsion is the visible sign of a problem in the electrical system that controls your brain. A single seizure can have many causes, such as a high fever and lack of oxygen. Hemoglobin is a protein in red blood cells that carries oxygen. Therefore, Low levels of hemoglobin in the human body may result to seizure. During episodes of convulsion, patients are prone to injuries since they may strike different objects due to uncontrollable muscle spasms.