Nutrition
Vital Signs
Elimination
Nursing diagnosis
Risk and Actual
+ 1
100

The energy required to sustain life activities such as breathing, circulation, heart rate, and temperature.

 basal metabolic rate (BMR)

100

The most accurate body temperature measurement site 

Rectal 

100

urination / micturition / voiding 

This terminology refers t other process of expelling urine from the body

100

80 year old  woman who is status post hip replacement.

Risk for infection - pain related to surgery - impaired skin integrity related to surgical procedure

100

The term used to describe cleaning and grooming practices that promote an individual well-being e.g. bathing, oral care 

Personal Hygiene 

200

the three nutritional alterations 

Malnutrition / undernutrition / overweight 

200

The normal breathing rate of adults 

12 - 20 breaths per minute 

200

Name the organ responsible for storing urine before elimination 

Bladder 

200

40 year old male patient in the hospital for spine fracture.

What is risk for falls -  pain related to fracture

200

The PPE used to protect nurse's eyes 

Goggles 

300

sociological, cultural, psychological, and emotional.

factors associated with nutrition

300

an abnormally rapid heart rate - above 100 bpm

Tachycardia

300
Pressure ulcer, pressure sore, decubitus ulcer, and bedsore.
What are the terms used to describe impaired skin integrity?
300

20 year old diabetic patient who is a marathon runner admitted to the hospital with dehydration.

 fluid volume deficit less than body requirements

300

The type of precaution used to protect against transmission of infection that is transmitted with large particles droplet 

What is Code of Ethics

400

Dysphagia.

 term used for patients who have difficulty swallowing

400

The vital signs that measures the force with the blood vessels walls during each heartbeat 

Blood pressure 

400

a common urinary disorder caused by bacteria and characterised by inflammation of urinary tract

UTI = urinary tract infection 

400

17 year old female who weighs 50 kilograms.

risk for malnutrition less than body requirements - impaired body image

400
the type of bath performed on patients who are unable yo bath themselves  

Bed Bath 

500

Albumin.

a common lab value to assess nutritional status

500

Occurs when patients move to a sitting or standing position who have been immobile for a period of time.

orthostatic hypotension?

500

what physical assessment is commonly used to assess bladder's size?

Palpation 

500

50 year old male who has been immobile for two weeks post motor vehicle accident.

risk for impaired skin integrity related to immobility -  risk for alterations in cardiovascular function

500

Roles of professional nurse

caregiver, advocate, educator, communicator, manager