Critical Thinking & Nursing Process
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| Nursing Process is defined as a | Framework for the organization of individualized nursing care
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| On admission, the patient who should receive a focused assessment is | 53-year old admitted with a perforated ulcer
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| The subjectivie data(data from pt.)the nurse records following a head-to-toe examination would be | Prolonged Nausea
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| Objective data (nurse) the nurse would include after a pt. assessment would be | Flatulence e.g.excessive gas in stomach & intestines.
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| When a pt. is admitted an is unable to provide data during assessment, information provided by the family is classified as | Secondary
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| The two primary methods used to collect data are | Interview and Physical examination
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| 2 nursing diag. 1- Inadequate nutritional intake r/t vomiting m/b 3 lbs wt. loss. and 2. risk for impaired skin integrity r/t inadequate nutrition. The major diff. between the 2 diag. is that diag. 2 | Reflects a problem that does not yet exist
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| Establishment of priorities of care during the planning phase of the nursing process often uses the framework of who | Maslow's hierarchy of needs
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| Appropriate outcome statement for a pt. w/a nursing diag. of Ineffective airway clearance r/t thick secretions would be that the pt. will | Increase intake to 1000 mL dail to liquefy sectetions.
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Created by:
Sheenab
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