Physiologic Adaptation
Respiratory, Circulatory, or Other Body Systems:
"A client after a total laryngectomy states that she covers her stoma when she is putting on her makeup in the morning."
What is Respiratory?
Physical or Psychosocial:
"A client receiving oxygen per nasal cannula at 4L/min becomes more alert and less agitated."
What is physical?
Physical or Psychosocial:
"A client receiving cisplatin states that they now use a soft toothbrush."
What is physical?
Physical or Psychosocial?
"A client is admitted to the ER with acute chest pain radiating down the left arm"
What is physical?
Physical or Psychosocial:
"The nurse encourages direct contact with the infant through teaching demonstrations with a postpartum woman who delivered a 9-lb 2oz infant."
What is psychosocial?
Respiratory, Circulatory or Other Body Systems:
"A client with a colostomy state that he cleans the area around the stoma with alcohol twice a week."
What is Other Body Systems?
Physical or Psychosocial:
"A 3-year-old post bronchoscopy sits forward with their neck in the extended position with contraction of the supraclavicular muscles."
What is Physical?
Respiratory, Circulatory, or Other Body Systems:
"The nurse measures the hourly urine output for a client receiving hydroxyethyl starch intravenously."
What is circulatory?
Physical or Psychosocial:
"A terminal cancer patient reports hurting everywhere."
What is psychosocial?
Physical or Psychosocial:
"Ask the mother of an infant who vomits after bottle-feeding if there is a family history of milk allergy or intolerance."
What is physical?
Respiratory, Circulatory, or Other Body Systems:
"A client taking a daily dose of aspirin states that she should call the health care provider if she experiences nausea during the day."
What is Circulatory?
Respiratory, Circulatory, or Other Body Systems:
"A client with a history of syncopal episodes reports that they get weak and dizzy when they first get out of bed in the morning."
What is circulatory?
Physical or Psychosocial:
"The nurse evaluates a patient who started on escitalopram three weeks ago for her risk for suicide."
What is physical?
Physical or Psychosocial:
"An 85 year-old-client who has been taking cimetidine for two weeks reports having more trouble remembering things since starting the medication."
What is Physical?
Physical or Psychosocial:
"The activity level of a 2-day-old infant undergoing traditional phototherapy is monitored every 2 hours."
What is physical?
Respiratory, Circulatory, or Other Body Systems:
"A client taking Warfarin states that they also take garlic supplements."
What is Circulatory?
Physical or Psychosocial:
"A client one hour after an appendectomy reports that their stomach feels tight and that they have increased abdominal pain."
What is physical?
Respiratory, Circulatory, or Other Body Systems:
"The nurse flushes the unused catheter lumens of a central venous access device with a 10mL syringe."
What is Other Body Systems?
Physical or Psychosocial:
"A client who is recovering from a total right hip replacement states that his spouse needs to help put on his socks and shoes."
What is physical?
Physical or Psychosocial:
"The nurse evaluates a woman who drinks 4 alcoholic beverages per week for her risk for breast cancer."
What is physical?
Respiratory, Circulatory, or Other Body Systems:
"A hypoxic client is moved to the intensive care unit."
What is other body systems?
Respiratory, Circulatory, or Other Body Systems:
"A client two hours after a percutaneous liver biopsy is positioned slightly on the right side with a pillow under the head."
What is Circulatory?
Respiratory, Circulatory, or Other Body Systems:
"A client diagnosed with myasthenia gravis who is receiving pyridostigmine 75 mg orally, report increased difficulty chewing."
What is Respiratory?
Respiratory Circulatory or Other Body Systems:
"A client diagnosed with a fractured right femur pucks at the bed covers and is confused about the current date and location."
What is Respiratory?
Respiratory, Circulatory, or Other Body Systems:
"The mother of a dehydrated infant states that she will drink more water prior to breastfeeding the baby."
What is Other Body System?