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FUNDAMENTALS OF NURSING I. Nursing Theorists
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FUNDAMENTALS OF NURSING REVIEW NOTES FOR NLE AND NCLEX
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List of prioritized nursing diagnoses Nursing diagnosis
Ineffective cerebral tissue perfusion related to interruption of blood flow secondary to hemorrhage as evidenced by GCS of 7
Impaired swallowing related to muscle paralysis and perceptual impairment as evidenced by NGT.
Impaired physical mobility related to neuromuscular involvement as evidenced by muscle strength of 1/5
Impaired verbal communication related to neuromuscular impairment as evidenced by inability to modulate speech.
Risk for impaired skin integrity related to physical mobility secondary to CVA
Rank
1st
2nd
3rd
4th
5th
Justification This is the 1 st prioritized nursing diagnosis because according to ABC rule circulation should prioritized first.
This is the 2 nd nursing diagnosis because according to Maslow, physiologic need should satisfy first. Food is one of the basic needs of man, so that the patient should satisfy this first.
This is the 3 rd prioritized nursing diagnosis because according to Maslow’s hierarchy of needs, physiologic needs should satisfy first, so that the client should satisfy this to satisfy his physiologic needs.
This is the 4 th prioritized nursing diagnosis because according to Maslow, esteem need should satisfy, because if the client cannot speak, he cannot socialized with other people.
This is the 5 th prioritized nursing diagnosis because according to the rule risk problem should prioritized least, because actual problem should solve first.