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Author Question: The nurse has collected the following assessment data: right heel with reddened area that does not ... (Read 130 times)

FButt

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on: Jul 22, 2018
The nurse has collected the following assessment data: right heel with reddened area that does not blanch. What nursing diagnosis would the nurse assign?
 
  a. Ineffective tissue perfusion
  b. Risk for infection
  c. Imbalanced nutrition: less than body requirements
  d. Acute pain

Question 2

Which of the following is an example of affective learning?
 
  a. Skill acquisition
  b. Values clarification
  c. Emotional capability
  d. Learning control of blood glucose levels


courtney_bruh

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Reply #1 on: Jul 22, 2018
Answer to Question 1

A
The area on the heel has experienced a decreased supply of blood and oxygen (tissue perfusion), which has resulted in tissue damage. The most appropriate nursing diagnosis with this information is Ineffective tissue perfusion. Risk for infection, Acute pain, and Imbalanced nutrition may be part of this patient's nursing diagnosis, but the data provided do not support this nursing diagnosis.

Answer to Question 2

B

Feedback
A Skill acquisition is an example of psychomotor learning.
B Values clarification is an example of affective learning.
C Emotional capability is an area for assessment of the patient's readiness to learn.
D Learning control of blood glucose levels is an example of cognitive learning.


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