A new nurse is rounding on a home health care client who is…
A new nurse is rounding on a home health care client who is newly diagnosed with ataxia. The nurse performs her general assessment with the findings below. Temperature – 98.5F Heart Rate – 88 – Regular Respiratory Rate – 20 – Regular and moderate depth Blood Pressure 120/80 SPO2 – 100% Pain – 0/10 Client is alert and oriented x4, following commands and answering questions appropriately. Lungs are clear, pulses are 2+, capillary refill is less than 2 seconds, bowel sounds are present, voids without difficulty, and muscle strength bilaterally to the upper and lower extremities is 3+. After completing the assessment and reviewing the data, what is an appropriate nursing diagnosis for this client?