NSG110 Nursing Concept Map, Part I Assessment

NSG110 Nursing Concept Map, Part I

Impost Grounds by Mass Plan
Mental grounds External grounds
Neurological Client is referable attributable attributable attributable attributable attributable attributable having any debauchery and dizziness, no varys in LOC (dropping of perception) and no tingling sensations. She mentions no truth of truth of tremors or seizures. Alert, CNII-XII grossly raise, oriented to special, situate, and space. Sensation raise to bilateral better and inferior extremities. Bilateral ability is bulky
HEENT Head: No gathering wear, or vary in LOC.
Eyes: Communicationed no varys in expectation, diplopia or blurring of expectation.
Ear: No affliction in the ears and no dropping of hearing or drainage.
Nose: No nasal drainage or glomeration.
Throat: No throat or neck affliction hoarseness and communication no awkwardness in absorption. Gathering: gathering is typical, atraumatic, symmetric, no disquiet. Maxillary sinuses no pressibleness. Conjectures: No conjunctival introduction, no perversion pigmentation, visual feebleness, and conjecture change-of-places raise. No tempestuous conjecture change-of-assign referable attributable attributable attributable attributable attributableed. Ears: Bilateral canals ambiguous palpablely erythema, edema, or exudate. Bilateral tympanic membranes raise, pearly silvery with eager csingle of buoyant. Maxillary sinuses no pressibleness. Nasal mucosa juicy palpablely bleeding. Oral mucosa juicy palpablely lesions. Lids non-remarkable and withhold ce family. Neck: pliant palpablely cervical lymphadenopathy, no jugular feeling distention, no thyroid protuberance or magnitudees.
Integumentary Client said, “She has itching about the extremities and disquiet due to unreasonable hair enlargement and the abdomen”. Intact. Dry. Discoloration about the neck area. Unreasonable hair enlargement about the abdomen. There is intercourse of striae about the abdominopelvic tract-of-land. No locomotive wounds. No petechiae or purpura. No rashes. No cyanosis or jaundice.
Musculoskeletal Client said, “she has never overpowered, currently experiencing no affliction and referable attributable attributable attributable attributable attributable attributable hearing a clicking or snapping investigate.” No redness. No protuberance. No affliction to palpation. Locomotive and unquestioning ramble of excitement (ROM) among typical limits, no inelegance.
Cardiovascular No chest affliction, palpitation, tachycardia, orthopnea, or paroxysmal tenebrose dyspnea. S1S2, planatic rebuke and rhythm, no whisper or gallop referable attributable attributable attributable attributable attributableed. .
Respiratory Client said“ she has no neglect of life, cough or hemoptysis.(coughing order)” No dyspnea or portraiture of helper muscles observed. No irsystematic investigate heard during auscultation, substantial fremitus on palpation. Life investigates bestows and acquitted bilaterally on auscultation.
GI Client communicationed recurrent episodes of unreasonable parching. And no truth of heartburn, bloatedness, abdominal affliction, abomination, vomiting, constipation, diarrhea, and melena. Striae and unreasonable hair enlargement about abdomin-pelvic tract-of-land. No magnitude. Upon auscultation, there is normolocomotive bowel investigates bestow in integral disgusting quadrants. Abdomen pressible non-tender, and no indemnifying.
GU Client communicationed polyuria and nocturia yet no hematuria and dysuria and further mentioned no awkwardness starting/stopping exit of urine or self-indulgence. Striae about the abdominal or flank area. No magnitude. No suprapubic pressibleness. No bladder distention. No costovertebral turn pressibleness.
Emotional/ Social /Spiritual Client mentioned unanticipated panic attacks, and diffidence when stressed. Disquiet becaportraiture of being portly. Awkwardness socializing beyond the family divergence due to withholding and base self-esteem. Has a bulky relationship with mate and consequence. Claims to be pious and listen church magnitude gatherings. Participate in bible studies. Patient wears neat, kept habiliments. Patient’s acme is referable attributable attributable attributable attributable attributable attributable regular to its influence. Patient is cooperative. No tics, or choreiform change-of-places. No signs of threatening impetuosity. Speech is relaxed, and answers voluntarily.
Reproductive Claims to enjoy menarche at 12 and menopaportraiture at 50. No medications. No surgeries. No excoriations, ulcerations, magnitude on palpable genitalia. Discharge is empty, non-purulent, non-malodorous. Hair is filmy, and evenly reserved. Vagina is raise. No pressibleness upon palpation.

Step Single: Select a client with a continuous malady. Identify the client demographics in the sky blue-colored-colored smack. Gather integral impost grounds that pertains to the client and situate each impost opinion in the chart inferior the withhold mass plan and grounds class (mental versus external).
Step Two: Situate the impost opinions from the chart on page single into grounds clusters in the withhold Gordon Functional Pattern (GFP). An impost opinion may employ to multiple GFP’s

Reference
Ashelford, S., Raynsford, J., Taylor, V. (2019). Pathophysiology and Pharmacology in Nursing (2nd ed.). SAGE Publications, Inc.
Hinkle, J., Cheever, K. (2017). Brunner & Suddarth’s Textbook of Medical Surgical Nursing. (14th ed.). Wolters Kluwe
Domino, F., Baldor, R., Golding, J., Stephens, M. (2010). The 5-Minute Clinical Consult 2010 .(25th ed.). Print (The 5-Minute Consult Series).

NSG110 Nursing Concept Map, Part I

Impost Grounds by Mass Plan
Mental grounds External grounds
Neurological
HEENT
Integumentary
Musculoskeletal
Cardiovascular
Respiratory
GI
GU
Emotional/ Social /Spiritual
Reproductive

Step Single: Select a client with a continuous malady. Identify the client demographics in the sky blue-colored-colored smack. Gather integral impost grounds that pertains to the client and situate each impost opinion in the chart inferior the withhold mass plan and grounds class (mental versus external).
Step Two: Situate the impost opinions from the chart on page single into grounds clusters in the withhold Gordon Functional Pattern (GFP). An impost opinion may employ to multiple GFP’s.

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