TPR Charting ACTIVTY

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UNIVERSITY OF SOUTHERN PHILIPPINES FOUNDATION

COLLEGE OF HEALTH SCIENCES


DEPARTMENT OF NURSING
NgCM 107 RLE

Student Nurse: _Marie Ashley Casia_________

A. Activity: Plotting the VS

Instruction: Use the data below to plot the patient’s vital signs in the TPR Chart.

Patient’s Name: Coco R. Melon Age: 16 y.o HRN: 188569667-0000

Date / Time of Admission: November 30, 2021; 12:45 AM Physician: Dr. Art Villar

November 30,2021 December 1, 2021 December 2, 2021

AM PM AM PM AM PM
2 6 10 2 6 10 2 6 10 2 6 10 2 6 10 2 6 10

T 37.8 38.5 37.8 37.5 37.8 37.0 37.5 36.5 37.3 37.3 37.8 38.3 37.0 37.5 36.5 37.5 36.5 37.3

P 100 95 100 86 85 93 98 102 110 99 89 100 100 90 93 90 93 90

R 20 22 18 19 20 22 18 19 23 16 15 19 20 22 18 16 20 16

BP 120/ 140/ 110/ 140/ 110/ 130/ 130/ 120 / 80 130/ 120 / 110/ 140/ 130/ 130/ 120/ 130/ 130/ 130/
80 90 90 100 80 90 90 90 80 80 80 90 80 80 90 80 80
PAIN 9 9 7 6 6 6 4 5 4 4 3 3 4 3 2 0 0 0
B. Nursing Diagnosis: Formulate two (2) nursing diagnosis for each focus of concern.

Patient’s Name: Julis A. Roberts Age: 5 y.o HRN: 188569667-0000

Date / Time of Admission: December 2, 2021; 10:00 AM Physician: Dr. Art Villar

Focus of Concern Sample Nursing Diagnosis


A. Elevated Body 1. Hyperthermia r/t dehydration as evidence by flushed skin noted
Temperature
2. Hyperthermia r/t exposure to a hot environment as evidenced by a body temperature of 38.5 ᴼC

B. Frequent Urination 1. Urinary retention r/t inability of bladder to contract adequately as evidenced by bladder distention

2.
C. Vomiting 1.

2.

D. Cough 1.

2.

E. Underweight 1.

2.

F. Safety 1.

2.

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