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The patient was experiencing ineffective tissue perfusion as evidenced by irritability, dry lips, facial grimacing indicating pain, pallor, anorexia, hypervolemia, and bilateral pedal edema. After 8 hours of nursing interventions including explaining the need for antiembolic stockings, monitoring intake and weight, assessing edema and the lungs, the patient demonstrated improved circulation in the affected extremities as shown by palpable and equal peripheral pulses and reduced edema.

Author

R Hornilla Arcega

Language

EN