NRS 312 Study Guide - Final Guide: Diarrhea, Esophageal Stricture, Integumentary System
Nursing DX: Exam 1
Nursing Dx: Ineffective Protection
• Def: Decrease in the ability to guard self from internal and external threats such as illness
or injury.
Nursing Dx: Risk for Infection
• Vulnerable to invasion and multiplication of pathogenic organisms, which may
compromise health
Nursing Dx: Risk for Injury
• Vulnerable to physical damage due to environmental conditions interacting with the
individuals adaptive and defensive resources, which may compromise health
Nursing Dx: Risk for Falls
• Vulnerable to increased susceptibility to falling, which may cause physical harm and
compromise health
Nursing Dx: Impaired Tissue Integrity
• Damage to the mucous membrane, cornea, integumentary system, muscular fascia,
muscle tendon, bone cartilage, joint capsule, and/or ligament
Nursing Dx: Impaired Skin Integrity
• Altered epidermis and/or dermis
Nursing Dx: Risk for Disuse Syndrome
• Vulnerable to deterioration of body systems as the result of the prescribed or unavoidable
musculoskeletal inactivity, which may compromise health
Nursing Dx: Self-Care deficit:
• Impaired ability to perform or complete bathing, dressing, feeding, or toileting activities
for self
Nursing Dx: Acute Pain
• An unpleasant sensory and emotional experience associated with actual or potential tissue
damage or described in terms of such damage; sudden or slow onset of any intensity,
from mild to severe, with an anticipated or predicted end
Nursing Dx: Chronic Pain
• Unpleasant sensory and emotional experience arising from actual or potential tissue
damage or described in terms of such damage; sudden or slow onset of any intensity,
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constantly or reoccurring without an anticipated or predictable end and a duration of
greater than three months
Nursing Dx: Impaired Comfort
• Perceived lack of ease, relief and transcendence in physical, psycho spiritual,
environmental, cultural, and/or social dimensions
Nursing Dx: Impaired Physical Mobility
• Limitation in independent, purposeful physical movement of the body or of one or more
extremities
Nursing Dx: Ineffective Airway Clearance
• Inability to clear secretions or obstructions from the respiratory tract to maintain a clear
airway
Nursing Dx: Ineffective Airway Clearance
• Inspiration and/or expiration that does not provide adequate ventilation
Nursing Dx: Impaired Gas Exchange
• Excess or deficit in oxygenation and/or carbon dioxide elimination at the alveoli-capillary
membrane.
Nursing Dx: Activity Intolerance
• Insufficient physiological or psychological energy to endure or compete required or
desired daily activities
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Document Summary
Nursing dx: exam 1: def: decrease in the ability to guard self from internal and external threats such as illness or injury. Nursing dx: risk for infection: vulnerable to invasion and multiplication of pathogenic organisms, which may compromise health. Nursing dx: risk for injury: vulnerable to physical damage due to environmental conditions interacting with the individuals adaptive and defensive resources, which may compromise health. Nursing dx: risk for falls: vulnerable to increased susceptibility to falling, which may cause physical harm and compromise health. Nursing dx: impaired tissue integrity: damage to the mucous membrane, cornea, integumentary system, muscular fascia, muscle tendon, bone cartilage, joint capsule, and/or ligament. Nursing dx: impaired skin integrity: altered epidermis and/or dermis. Nursing dx: risk for disuse syndrome: vulnerable to deterioration of body systems as the result of the prescribed or unavoidable musculoskeletal inactivity, which may compromise health. Impaired ability to perform or complete bathing, dressing, feeding, or toileting activities for self.