NR224: Fundamentals: Skills
Study Guide for Exam 3
70 questions total including 5 math conversions
ï‚· Nursing Diagnosis
o PES / 1, 2, 3
 Directly address the PES. Such as: wound healing: looking for PES that relatedÂ
wound healing. Not select other thing else.Â
 EX: PT stage 3 and non-healing ulcer which fowling statement best supportÂ
PES……..NOT looking for related infection.
 P: impair skin integrant.Â
 E: left side weakness.Â
 S/S: secondary life style, incontinent.Â
o Validation
o Problem / NANDA
o Etiology / Causative factors
o Defining characteristics / signs and symptoms
o Expected outcomes / patient goals
o Nursing interventions
o Education interventions
ï‚· Nutrition
 BMR requirements: is the energy needed to maintain life-sustaining activitiesÂ
(breathing, circulation, heart rate, and temperature) for specific period of time at rest.Â
The amount of energy or number of calories burned to maintain lifeÂ
sustain activities at rest.
Weight can effect by calories intake.
Reduce my calories intake my weight will reduceÂ
Eat too many calories intake my weight gain weightÂ
If I eat the same calories then I will maintain my weightÂ
EX: If PT BMR is imbalance, we want to the PT eat 5 or 6 small high caloriesÂ
meals to meet body requirement,Â
 Monitor PT calories intake by keep them dietary log,Â
 Then RN review the dietary log to make recommendation to the PT increaseÂ
the calories intake.Â
 Also review the Lab albumen and monitors their weight.Â
 BMR imbalance caused factors: decease nutritional intake, abortion in the GI
trackÂ
o Assessment for wound healing
NR224: Fundamentals: Skills
Study Guide for Exam 3
Intake and hydration in the food.
Hydration: skin turgorÂ
Intake: 24 recall. (The % of amount intake) what percent did the PT eat.Â
o Diet types
Maintain protein is created positive nitrogen base that help the deposition andÂ
granulation tissue grows.Â
Need energy and vitamin: A, C and zinc.
Low fat diet: all old people (cardiac disease PT has least 10?t diet. Risk of low
fat diet: interfered absorption of soluble fat vitamins. Depression, colon andÂ
breasts cancer. Related food