Fundamentals
Develop measurable, patient‑centered goals and select evidence‑based interventions tailored to address the highest‑priority diagnoses.
what is a plan/generate solutions?
Intracellular bacterial STD—often asymptomatic; can cause PID and infertility if untreated.
what is chlamydia?
this can lead to cytotoxic edema
what is anything involving decreased oxygenation?
Narrowing of the mitral valve orifice, often from rheumatic fever, causing exertional dyspnea, atrial enlargement, and diastolic rumbling murmur
what is Mitral Stenosis?
Chronic airflow limitation from emphysema or chronic bronchitis, causing dyspnea, cough, and sputum production.
what is COPD?
Systematically collect and prioritize subjective and objective data (e.g., vital signs, patient report, physical findings) to identify deviations from normal and emerging problems.
what is assessment / recognize cues?
Neisseria STD—purulent discharge, dysuria, and risk of dissemination.
what is gonorrhea?
Inflammation of the brain parenchyma, often viral, presenting with fever, headache, altered mental status, and focal neurologic deficits.
what is encephalitis?
Incompetent aortic valve closure leading to diastolic backflow, bounding pulses, wide pulse pressure, and a decrescendo diastolic murmur.
what is Aortic Regurgitation?
Reversible airway hyperreactivity—wheezing, chest tightness, and variable airflow obstruction.
what is Asthma?
Compare patient responses against expected goals, determine intervention effectiveness, and revise the care plan as needed to ensure continuous improvement and goal attainment.
what is evaluation / evaluate outcomes?
Inflammation of epididymis/testis—scrotal pain, swelling, often post‑STD or UTI.
what is Epididymitis & Orchitis?
Acute, unilateral facial nerve (CN VII) paralysis of unknown etiology causing drooping of one side of the face and inability to close the eye.
what is Bell’s Palsy?
Multiple rib fractures causing a free-floating chest wall segment that moves paradoxically with respiration and predisposes to respiratory compromise
what is Flail Chest?
Reflux of gastric contents into the esophagus causing heartburn, regurgitation, and potential esophagitis.
What is GERD?
Synthesize assessment data to formulate nursing diagnoses or clinical problems, ranking them by severity, immediacy, and patient safety risk.
what is diagnosis / analyze cues & prioritize hypotheses?
Viral infection causing painful, grouped vesicles on erythematous base.
what is Herpes Simplex?
Autoimmune demyelinating polyneuropathy characterized by ascending symmetric weakness and areflexia following infection.
what is Guillain–Barré Syndrome (GBS)?
Air in the pleural space causing lung collapse, characterized by sudden unilateral pleuritic chest pain and absent breath sounds.
what is pneumothorax?
Mucosal erosion in stomach/duodenum due to H. pylori or NSAIDs, presenting with epigastric pain.
what is Peptic Ulcer Disease?
Carry out nursing orders and interventions—such as medication administration, patient education, and procedures—while coordinating with the healthcare team and documenting care.
what is implement/ take actions?
Protozoan STD—frothy, greenish discharge, pruritus, strawberry cervix on exam.
what is Trichomoniasis?
Progressive degeneration of upper and lower motor neurons leading to muscle weakness, atrophy, and spasticity without sensory loss.
what is Amyotrophic Lateral Sclerosis (ALS)?
Collapse of alveoli leading to decreased or absent gas exchange, often post‑op, presenting with dyspnea, hypoxemia, and diminished breath sounds.
what is Atelectasis?
Obstruction of the appendix leading to RLQ pain, fever, and risk of perforation if untreated.
what is Appendicitis?