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rm 17, History of Present Illness includes Client had sinus surgery 1 week ago and was healing well then on 2/7/08 Client started having nosebleeds. He stated he was bleeding profusely from the nares and started feeling week from the loss of blood. Client was seen by the physician in his office and was unable to controll the bleeding. Physician admitted client in order to control blood loss., Identify signs and symptoms of allergic reaction related to blood transfusions. Learner Objectives Deficient Knowledge r/t information regarding blood transfusions and discharge instructions r/t future epistaxis., Self Perception/Self Concept Includes Assessment's, Client will maintain skin integrity on day 2. Goal 2. Risk for impaired skin integrity, Discussion of how and when to use Nasal Spray. Teaching Strategy Deficient Knowledge r/t information regarding blood transfusions and discharge instructions r/t future epistaxis., Coping/Stress/Tolerannce Includes Assessment's, Hospital Meds ordered Morphine, Assessment's includes Functional, Client states that he sees himself as a good father and husband, states he spends most of his time with his wife and son. He works from home to enable more time with them. shows Role Relationship, Risk for Imbalanced Nutrition < Body Requirements Related to Deficient Fluid Volume, Decreased appetite, impaired swallowing, and Blood Transfusion