Author Question: A nurse is caring for an elderly lady who recently experienced a stroke and who coughs/chokes after ... (Read 73 times)

asmith134

  • Hero Member
  • *****
  • Posts: 576
A nurse is caring for an elderly lady who recently experienced a stroke and who coughs/chokes after eating or drinking.
 
  The nurse knew that the patient was at risk for aspiration because of the stroke and was concerned that the patient may have impaired swallowing. The nurse develops a care plan based on the nursing diagnosis Impaired Swallowing. Which skill is the nurse using to make this nursing diagnosis? a. Medical diagnosis
  b. Scientific method
  c. Diagnostic reasoning
  d. Data collection

Question 2

Which patient is most at risk for developing a urinary tract infection?
 
  a. Teenage comatose patient on a ventilator lying supine
  b. Middle-age adult after abdominal surgery sitting in a chair
  c. Elderly adult with Alzheimer disease who is wandering at night
  d. Middle-age adult postcardiac catheterization being discharged home



miss_1456@hotmail.com

  • Sr. Member
  • ****
  • Posts: 289
Answer to Question 1

C
The nurse used diagnostic reasoning to arrive at a nursing diagnosis. During diagnostic reasoning, the information a nurse collects and analyzes leads to a diagnosis of a patient's condition. Nurses do not make medical diagnoses; they make nursing diagnoses. The scientific method is one formal way (in this scenario the nurse did not use the formal approach) to approach a problem, plan a solution, test the solution, and come to a conclusion; it is usually used in research. Data collection is a component of assessment in the nursing process. In diagnostic reasoning you use patient data that you gather or collect to logically identify a problem. The nurse in this scenario is past data collection and has made a nursing diagnosis: Impaired Swallowing.

Answer to Question 2

A
The patient most at risk is the teenage comatose patient on a ventilator lying supine. When the patient is in bed, the kidneys and ureters move toward a more level plane, and urine tries to move from the kidney to the bladder against gravity. Because the peristaltic contractions of the ureters are not strong enough to overcome gravity when the patient is reclining, the renal pelvis fills before urine enters the ureters, which increases the patient's risk for urinary tract infection (UTI) and renal calculi. The elderly adult with Alzheimer and the middle-age adult post cardiac catheterization are both upright, which decreases chance for UTI. The middle-age adult after abdominal surgery is sitting in a chair, which decreases chance for UTI because gravity is helping the ureters drain.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question

asmith134

  • Hero Member
  • *****
  • Posts: 576
Both answers were spot on, thank you once again




 

Did you know?

Parkinson's disease is both chronic and progressive. This means that it persists over a long period of time and that its symptoms grow worse over time.

Did you know?

Adolescents often feel clumsy during puberty because during this time of development, their hands and feet grow faster than their arms and legs do. The body is therefore out of proportion. One out of five adolescents actually experiences growing pains during this period.

Did you know?

The most common childhood diseases include croup, chickenpox, ear infections, flu, pneumonia, ringworm, respiratory syncytial virus, scabies, head lice, and asthma.

Did you know?

Though Candida and Aspergillus species are the most common fungal pathogens causing invasive fungal disease in the immunocompromised, infections due to previously uncommon hyaline and dematiaceous filamentous fungi are occurring more often today. Rare fungal infections, once accurately diagnosed, may require surgical debridement, immunotherapy, and newer antifungals used singly or in combination with older antifungals, on a case-by-case basis.

Did you know?

Blastomycosis is often misdiagnosed, resulting in tragic outcomes. It is caused by a fungus living in moist soil, in wooded areas of the United States and Canada. If inhaled, the fungus can cause mild breathing problems that may worsen and cause serious illness and even death.

For a complete list of videos, visit our video library