Republic of the

Philippines
UNIVERSITY OF
NORTHERN
PHILIPPINES
Tamag, Vigan City
2700 Ilocos Sur

College of Nursing
Name of Client: _____________________________________ Name of Student Nurse: ______________________________ Age: _______ Year/Section:
_______________ Sex: _______
ASSESSMENT NURSING SCIENTIFIC PLANNING NURSING RATIONALE EVALUATION
DIAGNOSIS BACKGROUND INTERVENTIONS

“Hindi ko Impaired skin Trauma After 30 minutes of Independent:

masyadong integrity related to rendering nursing Assess the skin for Provide information
ginagalaw paa ko immobilization Vehicular Accident interventions and rashes, swelling, regarding skin
baka kumirot”, as secondary to health teachings, the bleeding, or circulation and
verbalized by the Balanced Skeletal Fracture of the femur patient will discoloration. problems that may
patieint. Traction as (right) verbalize prevention require further
evidenced by and understanding medical intervention.
Objective data: Steinmann Pin Pain of further skin
- With insertion infection. Observe for sling To promote
Balanced Immobility application. ventilation, avoid
Skeletal friction and skin
Traction Prolonged inability in irritation.
- Difficulty turning or changing
repositioni position Remove excess To prevent friction
ng in bed clothing, especially that may result to
- Difficulty Impaired skin integrity rough textures. skin irritation and
reaching rashes.
objects
Assist and Increase blood flow to
demonstrate passive muscles and bones to
ROM exercises to improve muscle tone
unaffected
extremities.

Explain and To help the client how

demonstrate the to properly reposition
function and from time to time to
importance of the promote ventilation
overhead trapeze. and prevent skin
breakdown.

Encourage adequate To promote well

intake of fluids and being and improves
nutritious food, like healing.
food rich in vitamin C
and calcium.

Dependent:
Check the principles To promote proper
of traction and make placement of the
necessary ropes, bags and
adjustments with the pulleys; it helps in
supervision of the preventing further
clinical instructor. complications that
may impede the
patient’s treatment.
Quirino Blvd., Brgy. Tamag, Vigan City, 2700 Ilocos Sur Website: ISO 9001:2015
REGISTERED
www.unp.edu.ph Certificate. No. SCP000580Q
Email: cn@unp.edu.ph Telephone #077-604-2500
 Republic of the
Philippines
UNIVERSITY OF
NORTHERN
PHILIPPINES
Tamag, Vigan City
2700 Ilocos Sur

College of Nursing

Quirino Blvd., Brgy. Tamag, Vigan City, 2700 Ilocos Sur Website: www.unp.edu.ph ISO 9001:2015
REGISTERED
Email: cn@unp.edu.ph Telephone #077-604-2500 Certificate. No. SCP000580Q
 Republic of the
Philippines
UNIVERSITY OF
NORTHERN
PHILIPPINES
Tamag, Vigan City
2700 Ilocos Sur

College of Nursing

Quirino Blvd., Brgy. Tamag, Vigan City, 2700 Ilocos Sur Website: ISO 9001:2015
REGISTERED
www.unp.edu.ph Certificate. No. SCP000580Q
Email: cn@unp.edu.ph Telephone #077-604-2500
 Republic of the
Philippines
UNIVERSITY OF
NORTHERN
PHILIPPINES
Tamag, Vigan City
2700 Ilocos Sur

College of Nursing
DRUG STUDY
Name of Student Nurse: _________________________________ Year/Section: ___________
DRUG (BRAND, DOSE, MECHANIS INDICATION CONTRAINDICATION ADVERSE NURSING
GENERIC, ROUTE, M OF REACTION/ RESPONSIBILITIES
DRUG CLASS) FREQUENCY ACTION SIDE EFFECTS

Quirino Blvd., Brgy. Tamag, Vigan City, 2700 Ilocos Sur Website: www.unp.edu.ph ISO 9001:2015
REGISTERED
Email: cn@unp.edu.ph Telephone #077-604-2500 Certificate. No. SCP000580Q
 Republic of the
Philippines
UNIVERSITY OF
NORTHERN
PHILIPPINES
Tamag, Vigan City
2700 Ilocos Sur

College of Nursing

Quirino Blvd., Brgy. Tamag, Vigan City, 2700 Ilocos Sur Website: www.unp.edu.ph ISO 9001:2015
REGISTERED
Email: cn@unp.edu.ph Telephone #077-604-2500 Certificate. No. SCP000580Q
 Republic of the
Philippines
UNIVERSITY OF
NORTHERN
PHILIPPINES
Tamag, Vigan City
2700 Ilocos Sur

College of Nursing

Quirino Blvd., Brgy. Tamag, Vigan City, 2700 Ilocos Sur Website:
www.unp.edu.ph
Email: cn@unp.edu.ph Telephone #077-604-2500
ISO 9001:2015
REGISTERED
Certificate. No. SCP000580Q