Tubes physical assessment recognize abnormal

School of Health Professions, Science and Wellness
Department of Nursing
Clinical Care Plan
Adult Gerontology Health Nursing I
Semester: ___________________ Total points awarded: __________________ Student: ____________________________________ Date: __________________ ______________________________
Instructor: ______________________________

Section II Recognizing Cues (Points 15)
RECOGNIZING CUES - The mental process involved in identifying relevant and important information

resource for this information. (1-2 pages)
Identify History Of Medical/Surgical/Home Medication/Social, Occupational History cues Recognize contributing past history

What will require action? Prioritizing action (i.e. bathe patient, tidy room, fluid replacement, adjust O2 etc)

findings that may point to an alternative or additional concern) What findings are consistent with admitting diagnosis?

	Mechanism of Action/Indication for Use	Contraindication	Adverse Effects/Side Effects	Nursing Implications	Outcomes

Section IV
Responding & Taking Action
(Points 25)
RESPONDING – UTILIZING YOUR CLINICAL JUDGMENT TO MAKE DECISIONS AND JUDGMENTS

TAKE ACTION – Implementation of the solutions based on generated hypothesis

What specific items will you
teach the client? Health
teachings given?

What findings show
interventions have been
effective?

What interventions require
formulating a new
hypothesis?

What priorities, skills do you
think you need to improve in
order to care for future
patients?