Signature Assignment Flashcards
1
Q
Neuro Nursing Diagnosis
A
- Acute Confusion
- Chronic Confusion
- Deficient Knowledge
- Impaired Memory
- Impaired verbal communication
- Risk for ineffective cerebral tissue perfusion
2
Q
Cardiovascular Nursing Diagnosis
A
- Risk for unstable blood pressure
- Decreased cardiac output (or risk)
- Ineffective cardiac tissue perfusion
- Ineffective peripheral tissue perfusion (or risk)
3
Q
Respiratory Nursing Diagnosis
A
- Ineffective airway clearance
- Impaired gas exchange
- Ineffective breathing pattern
- Respiratory Distress
4
Q
GI Nursing Diagnosis
A
- Constipation (or risk)
- Diarrhea
- Dysfunctional GI motility
- Bowel incontinence
- Impaired Dentition
- Nausea
- Indigestion or risk for GI Ulcer
- Impaction
5
Q
GU Nursing Diagnosis
A
- Urinary retention
- Stress urinary incontinence
- Urge urinary incontinence
- impaired urinary elimination
- Functional urinary incontinence
- Overflow urinary incontinence
- Reflex urinary incontinence
- Risk for ineffective renal perfusion
6
Q
Mobility/sleep Nursing Diagnosis
A
- Impaired physical mobility
- Impaired skin integrity
- Activity intolerance
- Risk for activity intolerance
- Sedentary lifestyle
- Fatigue
- Sleep deprivation
- Disturbed sleep pattern
- Insomina
7
Q
Safety/ other Nursing Diagnosis
A
- Infection
- Risk for infection
- Risk for aspiration
- Risk for bleeding
- Risk for falls
- Risk for injury
- Risk for impaired skin integrity
- Risk for pressure ulcer
- Impaired tissue integrity
- Delayed surgical recovery
- Risk for venous thromboembolism
- Sensory deficit
- Sensory deprivation
- Sensory overload
8
Q
Psychosocial Nursing Diagnosis
A
- Hopelessness
- Risk for loneliness
- Situational low self-esteem
- Disturbed body image
- Stress overload
- Caregiver role strain
- ineffective coping
- Anxiety
- Fear
- Grieving
- Powerlessness
- Stress overload
- Ineffective Health Maintenance
- Ineffective self-health assessment
- Dysfunctional family process
- noncompliance
9
Q
Nutrition/ fluid Nursing Diagnosis
A
- Imbalanced nutrition: less than body
- Imbalanced nutrition: greater than body
- Malnutrition
- Impaired swallowing
- Risk for unstable blood glucose levels
- Risk for electrolyte imbalance
- Deficient fluid volume
- Excess fluid volume
- Risk for deficient fluid volume
- Risk for imbalanced fluid volume
- Nausea
- Impaired dentition
- Obesity
10
Q
Skin Nursing Diagnosis
A
- Impaired skin integrity (or risk for)
- Impaired tissue integrity
- Hyperthermia
- Risk for pressure ulcer
11
Q
Pain Nursing Diagnosis
A
- Impaired comfort
- Acute Pain
12
Q
Anxiety Cues
A
-ED nurse reported pt. anxious
-Fidgeting
-HR 105
-hx. anx/dep
13
Q
Acute pain cues
A
-“Please help me, I am hurting really bad”
-HR 105
-BP 180/82
-Pain 10/10
14
Q
Risk for decreased cardiac output cues
A
-increased BP in ED
-3 BP meds given
-hx. HTN
-HR 105
-BP 180/82
-lacerated finger
15
Q
Safety or risk for injury
A
-L grip 2+/5+
-passed out
-vision problems
-decreased sensation
