Answer to Question 1
ANS: C
Diagnostic reasoning is defined as a process of using the assessment data gathered about a patient to logically explain a clinical judgment, in this case a nursing diagnosis. Defining characteristics are assessment findings that support the nursing diagnosis. Defining characteristics are the subjective and objective clinical cues, which a nurse gathers intentionally and unintentionally. The nurse organizes all of the patient's data into meaningful and usable data clusters, which lead to a diagnostic conclusion. Diagnostic labeling is simply the name of the diagnosis.
Answer to Question 2
ANS: D
The related to factor of alveolar-capillary membrane changes is accurately written because it is a patient response to the disease process of pneumonia that the nurse can treat. The related to factor should be the cause of the problem (nursing diagnosis) that a nurse can address. The related to factors of dehydration and pneumonia are all medical diagnoses that the nurse cannot change. A diagnostic test or a chronic dysfunction is not an etiology or a condition that a nursing intervention is able to treat.
Pulmonary function test: spirometry. (a) Normal respiratory volumes, as measured during spirometry.
Critical thinking and implementing care
Circulation Assessment
Abdominal thrusts are delivered with a firm thrust into the patient’s abdomen with an upward ...
Symptoms of a patient in shock.
Hypothetical Exchanges of Information within the Brain of a Patient with Visual Agnosia