Author Question: The nursing diagnosis is Impaired Memory related to fluid and electrolyte imbalances AMB inability ... (Read 39 times)

melina_rosy · **on:** Jul 23, 2018

The nursing diagnosis is Impaired Memory related to fluid and electrolyte imbalances AMB inability to Knowledge recent events. Which of the following goals/outcomes must be included on the care plan?

a. Checks current medications for mind-altering side effects
b. Demonstrates use of techniques to help with memory loss
c. Drinks at least 1,500 mL of fluid per day
d. Takes electrolyte supplements with meals

Question 2

The nurse has gathered her assessment data and notes several significant changes in the client's health status.

The client's weight has increased by 5 lb over the past 24 hours, he is short of breath, and crackles are auscultated at both lung bases. To which step of the Nursing Process should the nurse proceed after organizing these data?
a. Diagnosis
b. Planning
c. Implementation
d. Evaluation

Bigfoot1984 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

B
The essential goal/outcome is Demonstrates use of techniques to help with memory loss. An essential goal is aimed at the problem responsein this case, Impaired Memory. The other goals in this question address the etiology of the diagnosis

Answer to Question 2

A
After gathering and analyzing the assessment data, the nurse should next formulate a nursing diagnosis. The other options are not done until after the problem has been diagnosed. The problem is used to plan goals, which are then used to plan interventions. After implementing the intervention(s), evaluation is done to identify change in health status and determine whether goals have been met.