Discussion: Venous thromboembolism
Meet the Client: John Mathis
John Mathis, a 73-year-old male, is treated in the emergency
department (ED) for an infected wound on his right foot. John
states he was walking barefoot and stepped on something sharp
that cut his foot. 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.
As part of the admission interview, the nurse asks Mr. Mathis and
his wife how they would like to be addressed by the staff. They
reply that until they are more comfortable, they prefer to be
called “Mr. and Mrs. Mathis.” As the interview continues, Mr. Mathis
tells the nurse he has never been hospitalized. He appears
anxious and frequently turns to his wife for reassurance.
Mr. Mathis states his pain level is 8/10 and that he has been
staying in bed due to his foot pain.
What is your patient’s primary (priority) nursing diagnosis? (Must
place all three components of a nursing diagnosis for full points.)
Why does this take priority?
What nursing actions will you take in providing care to your
patient? (Please think about the patient holistically. This should be
a fairly comprehensive list. Include all necessary interventions
related to the primary diagnosis, must be measurable and

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