NR i224 iExam i3 iStudy iGuide
Ch i20: iEvaluation
Ch i32: iMedication
iAdministrationiCh i45: iNutrition
Ch i46: iUrinary
iEliminationiCh i47: iBowel
iElimination
65 iquestions itotal iincluding i5 imath iconversions i(190 iPOINTS)
• Nursing iDiagnosis
o i PES i/ i1, i2, i3
o Validation
o Problem i/ iNANDA
o Etiology i/ iCausative ifactors
o Defining icharacteristics i/ isigns iand isymptoms
o Expected ioutcomes i/ ipatient igoals
o Nursing i interventions
o Education iinterventions
• Nutrition
o Assessment ifor iwound i healing
o Diet itypes i– iADA, iAHA
o Assessment ifor i nutrition
▪ Infants
• rapid igrowth, i high iprotein, ivitamins, i minerals, iand ienergy irequirements
▪ School-age ichildren
• grow iat ia islower iand isteadier irate, igradual idecline iin ienergy irequirements.
iPoorinutritional i intake, i may i lead ito ichildhood iobesity.
▪ Adolescents:
• increased ienergy irequirements. i Need ifor icalcium, iminerals, ivitamins.
iDietia ffected iby ieating i habits, ibody iimage
▪ Young iand imiddle iage:
• decline i in i nutritional idemands isince i growth iperiod ihas iended. iNutrients iare
ineeded i for i maintenance, irepair, iand ienergy. iObesity ibecomes ia iproblem idue ito
idecreased iimmobility, ibetter idiet, iWomen ineed imore ivitamins, iiron, iand icalcium.
▪ OlderiAdults:
• decrease i metabolism irate i leads ito idecrease i in ienergy ineeds. iAge-related
ichanges iin iappetite, itaste, ismell, idigestive ichanges, ietc. i vitamin iand i mineral
ineeds iremainithe isame ias i in i middle iage.
o 3 ipart iNursing idiagnosis
▪ Expected ioutcomes
▪ Teaching
▪ Interventions
1
, o 6 iNutrients
▪ 1. iProtein i– iheal, ienergy, iregrowth, inecessary ifor i healthy itissue
▪ 2. iCarbs i–ienergy, ifiber
▪ 3. iFats i– ienergy, isatiety
▪ 4. iH2 O i– ibodyiis i70% iwater, i need ito ireplenish i it ito iprevent iconstipation
▪ 5. iVitamins i– iFat-soluble iand iwater-soluble
▪ 6. iMinerals i– i iron, i iodine
o Mobile i vs i immobile i– iincrease iprotein, idecrease icalories
o Skin/tissue i integrity i– idecreases iin idrug iusers
o Oxygenation i– iveggies/fruits
o Urinary ihealth i– iprotein, ihydration
o Infection i– ineed iadequate ihydration
▪ Drug iusers ihave ipoor inutrition, iinfection irisk i increases
o BMI i– ibody i mass i index
▪ Talk ito ipatient iabout ihealthy ichoices
o BMR i– ibasal imetabolic irate
▪ To ifunction/ ibreathe
o Nitrogen iBalance i– ibreaking idown iof iprotein, iwaste iproducts
▪ + iworking ieffectively
▪ - ibad i– inot ienough iprotein, i increased ipressure iulcer irisk
▪ - ifever, iinfection, iburns i(3rd idegree)
o Box i45 i– i4 iElderly
▪ Factors iaffecting inutritional istatus
• Age irelated iGI ichanges ithat iaffect idigestion iof i food iand i maintenance iof inutrition
iinclude ichanges i in iteeth, igums, ireduced isalvia, iatrophy iof ioral i mucosal,
iincreaseditaste ithreshold, idecreased ithirst isensation, ireduced i gag ireflex, idecreased
iesophageal iand icolonic iperistalsis
• Presence iof ichronic i illness iaffects i nutrition i intake
• Adequate inutrition i is iaffected iby ilifelong ieating i habits, iculture,
isocialization, iincome, ieducation i level, iphysical i function ito i meet iADLs, i loss,
identition, ianditransportation
• Cognitive i impairments i– idelirium, idementia, iand idepression iaffect iability
itoiobtain, iprepare, iand ieat i healthy ifoods
o Blood iglucose
▪ Pinky ifingers, i lateral iside
▪ Wipe i1st idrop, ithen imilk i2nd idrop iout
2
Ch i20: iEvaluation
Ch i32: iMedication
iAdministrationiCh i45: iNutrition
Ch i46: iUrinary
iEliminationiCh i47: iBowel
iElimination
65 iquestions itotal iincluding i5 imath iconversions i(190 iPOINTS)
• Nursing iDiagnosis
o i PES i/ i1, i2, i3
o Validation
o Problem i/ iNANDA
o Etiology i/ iCausative ifactors
o Defining icharacteristics i/ isigns iand isymptoms
o Expected ioutcomes i/ ipatient igoals
o Nursing i interventions
o Education iinterventions
• Nutrition
o Assessment ifor iwound i healing
o Diet itypes i– iADA, iAHA
o Assessment ifor i nutrition
▪ Infants
• rapid igrowth, i high iprotein, ivitamins, i minerals, iand ienergy irequirements
▪ School-age ichildren
• grow iat ia islower iand isteadier irate, igradual idecline iin ienergy irequirements.
iPoorinutritional i intake, i may i lead ito ichildhood iobesity.
▪ Adolescents:
• increased ienergy irequirements. i Need ifor icalcium, iminerals, ivitamins.
iDietia ffected iby ieating i habits, ibody iimage
▪ Young iand imiddle iage:
• decline i in i nutritional idemands isince i growth iperiod ihas iended. iNutrients iare
ineeded i for i maintenance, irepair, iand ienergy. iObesity ibecomes ia iproblem idue ito
idecreased iimmobility, ibetter idiet, iWomen ineed imore ivitamins, iiron, iand icalcium.
▪ OlderiAdults:
• decrease i metabolism irate i leads ito idecrease i in ienergy ineeds. iAge-related
ichanges iin iappetite, itaste, ismell, idigestive ichanges, ietc. i vitamin iand i mineral
ineeds iremainithe isame ias i in i middle iage.
o 3 ipart iNursing idiagnosis
▪ Expected ioutcomes
▪ Teaching
▪ Interventions
1
, o 6 iNutrients
▪ 1. iProtein i– iheal, ienergy, iregrowth, inecessary ifor i healthy itissue
▪ 2. iCarbs i–ienergy, ifiber
▪ 3. iFats i– ienergy, isatiety
▪ 4. iH2 O i– ibodyiis i70% iwater, i need ito ireplenish i it ito iprevent iconstipation
▪ 5. iVitamins i– iFat-soluble iand iwater-soluble
▪ 6. iMinerals i– i iron, i iodine
o Mobile i vs i immobile i– iincrease iprotein, idecrease icalories
o Skin/tissue i integrity i– idecreases iin idrug iusers
o Oxygenation i– iveggies/fruits
o Urinary ihealth i– iprotein, ihydration
o Infection i– ineed iadequate ihydration
▪ Drug iusers ihave ipoor inutrition, iinfection irisk i increases
o BMI i– ibody i mass i index
▪ Talk ito ipatient iabout ihealthy ichoices
o BMR i– ibasal imetabolic irate
▪ To ifunction/ ibreathe
o Nitrogen iBalance i– ibreaking idown iof iprotein, iwaste iproducts
▪ + iworking ieffectively
▪ - ibad i– inot ienough iprotein, i increased ipressure iulcer irisk
▪ - ifever, iinfection, iburns i(3rd idegree)
o Box i45 i– i4 iElderly
▪ Factors iaffecting inutritional istatus
• Age irelated iGI ichanges ithat iaffect idigestion iof i food iand i maintenance iof inutrition
iinclude ichanges i in iteeth, igums, ireduced isalvia, iatrophy iof ioral i mucosal,
iincreaseditaste ithreshold, idecreased ithirst isensation, ireduced i gag ireflex, idecreased
iesophageal iand icolonic iperistalsis
• Presence iof ichronic i illness iaffects i nutrition i intake
• Adequate inutrition i is iaffected iby ilifelong ieating i habits, iculture,
isocialization, iincome, ieducation i level, iphysical i function ito i meet iADLs, i loss,
identition, ianditransportation
• Cognitive i impairments i– idelirium, idementia, iand idepression iaffect iability
itoiobtain, iprepare, iand ieat i healthy ifoods
o Blood iglucose
▪ Pinky ifingers, i lateral iside
▪ Wipe i1st idrop, ithen imilk i2nd idrop iout
2
