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QUESTION

Each student should focus on what it takes to be competent and confident in using the nursing process:

Each student should focus on what it takes to be competent and confident in using the nursing process:

  •     Knowledge
  •       Skills
  •       Attitude
  •       Caring
  •       Critical Thinking
  •       Clinical Reasoning
  •       Effective Communication
  •       Effective Decision Making

Clustering the following data based on history, demographics (client profile) and a head to toe physical assessment by system. 

  1. Patient's: age 40, male
  2. Exercise tolerance
  3. Widow with 4 children ranging from age 4 to 17 years old
  4. Medical Diagnosis: pneumonia
  5.  Surgical History: Tracheostomy, Peg
  6. T-100.8, P-98, R-24, BP - 106/70
  7. Pt states: "I am concerned about who is going to care my children"
  8. Religion: Catholic
  9. Occupation: RN
  10. Pt states: " I feel weak and tired all the time, but cannot seem to rest with this constant cough"
  11. Appetite poor
  12. Smoked a pack of cigarettes a day, but quit 2 weeks ago
  13. Lungs have bilateral rhonchi
  14. Productive cough of thick yellow mucus
  15. Chest X-ray shows improvement over the past 3 days
  16. WBC is 15,000
  17. Allergic to penicillin
  18. Erythema to bilateral elbows
  19. Foley catheter draining clear yellow urine
  20. Spontaneous respirations

I. Use the following terms to describe each of the findings above (each may have 1 or more categories). 

  • Body system: which one (nervous, respiratory, cardiovascular, GI, GU, musculoskeletal, integumentary, reproductive)
  • Maslow's Hierarchy of Needs (physiological, safety & security, love and belonging, self-esteem, and self-actualization)
  • Brief client profile (name, age, chief complaint, vital signs, surgical or medical history, allergies, diet, etc.
  • Determine if the information is relevant or irrelevant (does it need follow-up).

For example: copy and paste this assignment on a word document. First one done for you.

Therefore, next to Patient's age/gender: Student entered: Vital statistic, reproductive system

Patient's age/gender: vital statistic, reproductive system

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