Author Question: The nurse is caring for an adolescent client with cystic fibrosis who is intubated with an ... (Read 78 times)

Lobcity · **on:** Jun 25, 2018

The nurse is caring for an adolescent client with cystic fibrosis who is intubated with an endotracheal tube and is breathing with the assistance of a ventilator.

The client is currently alert and oriented to surroundings but has been told by the parents that survival may not be likely. Which is the most appropriate nursing diagnosis for this client?
A) Potential for Imbalanced Nutrition, More Than Body Requirements related to inactivity
B) Potential for Fear of Future Pain related to medical procedures
C) Anxiety related to leaving chores undone at home
D) Powerlessness related to inability to speak to or communicate with friends

Question 2

A nurse is caring for family members who have recently lost their home and belongings in a fire. The family is staying with extended family in the area. Which is the most appropriate nursing diagnosis for this family?

A) Readiness for Enhanced Family Processes
B) Dysfunctional Family Processes
C) Compromised Family Coping
D) Ineffective Individual Coping

morganmarie791 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Answer: D

The adolescent values communication with peers and may feel frustrated that he cannot speak to them while intubated. The adolescent is present, not future, oriented and is unlikely to worry about household chores or future unknown procedures. The adolescent with cystic fibrosis is likely to be underweight and is unlikely to take in more calories than needed while intubated.

Answer to Question 2

Answer: C

The family has experienced a devastating loss. The family's ability to cope has been compromised and the nurse will also assess their external support systems. The family is not in a state of readiness yet. There is no evidence that the family is dysfunctional or that any family member is experiencing ineffective coping.