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.    
  • Identify a strategy to cluster the assessment data.

I’m not understanding what this is asking. Is it asking for the basics like his fall plus his cognitive status, and fracture that has been painful?