Cues Nursing diagnosis Nursing objective Planning Nursing intervention Rationale Subjective Cues: “Nahihirapa n akong umihi‚‚ madalas sya pero pakonti konti lang » as verbalized by the client. Objective Cues: Distended abdomen Frequency Hesitancy T-38.3 P-105Bpm R-24 bpm BP-130/90 mmHg Impaired Urinary Elimination r/t Inflammatio n of bladder mucosa As evidence by the objective cues. __________ _ Scientific Explanation : Disturbance in urine elimination. After 8 hrs of
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PATIENT HEALTH ASSESSMENT Student’s Name: Antonina Polukhina Date: 4/1/2015 Clinical Facility: NCMC PHYSICAL ASSESSMENT: Patient Initials: S. E. Age: 58 y. o. Sex: Female Admitting Diagnosis: weakness/dizziness Vital Signs: Temp. 97.4‚ Pulse 106‚ Respirations 18‚ BP 118/56 Ht/Wt/BMI: Height = 167.64 cm‚ Weight = 84.878 kg‚ BMI 30.2 Skin/Wounds: (Skin turgor; presence of any skin breakdown; incisions; wounds.) Subjective: patient denies any skin breakdowns. Objective: leg skin is
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X Nursing Care Plan |Assessment |Diagnosis |Planning |Intervention |Rationale |Evaluation | | | | | | | | |Subjective: “nahihirapan siyang |Activity intolerance related to |Within the
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Family Nursing Plan of Care NUR/405 September 6‚ 2010 Sybil Beth Meadows‚ RN‚ MSN‚ NCSN CERTIFICATE OF ORIGINALITY: I certify that the attached paper is my original work and has not previously been submitted by me or anyone else for any class. I further declare I have cited all sources from which I used language‚ ideas‚ and information‚ whether quoted verbatim or paraphrased‚ and that any assistance of any kind‚ which I received while producing this paper‚ has been acknowledged
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Nursing Care Plan As soon as the history and head-to-toe assessment were completed nursing priorities focused on alleviating pain‚ preventing infection and urinary obstruction‚ and providing information about disease process and treatments. Physical assessment data included: vital signs B/P 87/51‚ HR 110‚ T 99.7 F; weight 160lb‚ height 5’8”. MK presented to the ED with acute severe right colicky flank pain that radiated into the abdomen and lower back‚ guarding his abdomen‚ and moaning. MK rated
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Name: John Doe Class: NRN 101 Date: 12/12/12 Pt. initial RB Age 100 Date of Admit 01/01/01 DOB 07/01/01 Code Status full Allergies NKDA Admitting Diagnosis: Pneumonia secondary to a bacterial infection Nursing Diagnosis: Risk for ineffective tissue perfusion (arterial‚ venous‚ and peripheral) STG: Patient will have adequate perfusion AEB Spo2= 95% or greater LTG: Patient will maintain adequate tissue perfusion to vital organs AEB mucous membranes‚ capillary refill time
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Anatomy and Physiology from Science to Life second edition. Hoboken‚ NJ: John Wiley & Sons‚ Inc. Lilley‚ L.‚ Rainforth-Collins‚ S.‚ Harrington‚ S.‚ & Snyder‚ J. (2011). Pharmacology and the nursing process. (6th ed.). St. Louis‚ MO: Mosby Elsevier. Potter‚ P. A.‚ & Perry‚ A. G. (2009). Fundamentals of Nursing seventh edition. St. Louis‚ MO: Mosby Elsevier. Skidmore‚ L. (2011). Mosby’s drug guide for nurses. (9th ed.). St. Louis‚ MO: Mosby Elsevier. .
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Student Name: Dealon Rouse | Patient Initials: JB | Admission Diagnosis: Left Total Knee Arthroplasty &Excision of Left Knee Mass Related to Gouty Arthritis | Date(s) of Care: 11/10/11- 11/12/11 | Age: 46 | | Date of Admission: 11/10/11 | Gender: Male | | Marital Status: Married | Room #: 507 | Code Status: Full Code | Occupation: Electrician | Race: Hispanic | Isolation Type: | Religion: Roman Catholic | | Allergies: No Known Allergies | History of Present Illness:
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Carson-Newman University Student_______ _______________ Department of Nursing Date ________________________ NURS 303L – Clinical Case Study Assignment Client Age __________ M F Admit Date__________________ Allergies__________________________________ Admitting Diagnosis __Hypertension______________________________________________________________________________________________ Activity Level__________________________________ Diet____________________________________________________________
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Family Nursing Care Plan Problem # 1: (Poor Personal Hygiene): Cues | Analysis | Objectives | Nursing Intervention | Rationale | Method of Contact | ResourcesRequired | ExpectedOutcome | Subjective:“Ayaw nilang lagging maglilinis ng katawan” as verbalized by the motherObjective:-Dirty and uncut nails- Uncombed hair- Not properly groomed | Inability of the family members to recognized the problem due to lack of knowledge- Inability to take appropriate actions to solve the health problem due to
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