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BELLEVUE COMMUNITY COLLEGE Student Name:Associate Degree Nursing Program Clinical Week #:Bellevue, Washington Clinical Instructor:

N101 NURSING CONCEPT MAP (NCM)

Instructor Comments:

Client Initials: Age: Date of Admission: Hospital day # Date:Medical Diagnosis: Surgical Diagnosis:Current Vital Signs: 1) BP _______ P _______ RR ________ T _______

2) BP _______ P _______ RR ________ T _______

PATHOPHYSIOLOGY: Briefly describe the following utilizing one of your clients medical diagnoses

Pathophysiology

Etiology and/or risk factors of the pathophysiology:

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Currently relevant orders, prescribed medicationsand therapies within past 24 hours (PLEASENUMBER)

WRITTEN rationales for each order, prescribed medication and therapies(PLEASE NUMBER TO CORRESPOND TO LEFT COLUMN)

1. Diet:

2. Vital signs

3. Activity:

4. Wound care:

5. IV fluid:

6. Diagnostic procedures/ labs:

7. Therapies

1. Rationale:

2. Rationale:

3. Rationale:

4. Rationale:

5. Rationale:

6. Rationale

7. Rationale:

LAB RESULTS:

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RATIONALES FOR PRESCRIBED MEDICATIONS: Routine meds (scheduled) and any PRN given within past 24 hours (addpages as needed)

DIRECTIONS: add pages as needed to include all you clients current prescribed meds and PRNs

MEDICATION (genericand Trade name, drug

classification

Dose,route,

frequency

MECHANISM OFACTION

EFFECT ONCLIENT

WHY CLIENT ISTAKING THIS

MED

NURSINGCONCIDERATIONS

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Nursing Diagnosis

Presenting SymptomsLab and Diagnostic Tests

Nursing Diagnosis

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Reason for Seeking Health Care(Medical Diagnosis)

Data

Expected Outcome

Interventions

Pre-Existing MedicalConditions

Risk Factors

Evaluation

Data

Data

Data

Nursing DiagnosisNursingDiagnosis

Expected Outcome

Expected Outcome

Expected Outcome

Interventions

InterventionsInterventions

Evaluation

EvaluationEvaluation

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