NR224: Fundamentals: Skills

Study Guide for Exam 3

70 questions total including 5 math conversions

 Nursing Diagnosis

o PES / 1, 2, 3

 Directly address the PES. Such as: wound healing: looking for PES that related 

wound healing. Not select other thing else. 

 EX: PT stage 3 and non-healing ulcer which fowling statement best support 

PES……..NOT looking for related infection.

 P: impair skin integrant. 

 E: left side weakness. 

 S/S: secondary life style, incontinent. 

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

 Nutrition

 BMR requirements: is the energy needed to maintain life-sustaining activities 

(breathing, circulation, heart rate, and temperature) for specific period of time at rest. 

The amount of energy or number of calories burned to maintain life 

sustain activities at rest.

Weight can effect by calories intake.

Reduce my calories intake my weight will reduce 

Eat too many calories intake my weight gain weight 

If I eat the same calories then I will maintain my weight 

EX: If PT BMR is imbalance, we want to the PT eat 5 or 6 small high calories 

meals to meet body requirement, 

 Monitor PT calories intake by keep them dietary log, 

 Then RN review the dietary log to make recommendation to the PT increase 

the calories intake. 

 Also review the Lab albumen and monitors their weight. 

 BMR imbalance caused factors: decease nutritional intake, abortion in the GI

track 

o Assessment for wound healing

NR224: Fundamentals: Skills

Study Guide for Exam 3

Intake and hydration in the food.

Hydration: skin turgor 

Intake: 24 recall. (The % of amount intake) what percent did the PT eat. 

o Diet types

Maintain protein is created positive nitrogen base that help the deposition and 

granulation tissue grows. 

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 and 

breasts cancer. Related food