Author Question: The nurse has formulated a diagnosis of Activity intolerance related to decreased airway capacity ... (Read 38 times)

SGallaher96 · **on:** Jul 23, 2018

The nurse has formulated a diagnosis of Activity intolerance related to decreased airway capacity for a client with chronic asthma.

In looking at the client's coping skills, the nurse realizes that the client has a vast knowledge about the disease and what exacerbates symptoms in particular situations. Why should the nurse utilize this information?
1. Strengths can be an aid to mobilizing health and the healing process.
2. The client will be more active in the plan.
3. It will be easier for the nurse to educate the client about other interventions.
4. The nurse won't have to spend time going over the pathology of the client's disease.

Question 2

The graduate nurse is struggling with identifying cues from clustered data. What should the nurse use to recognize data patterns and cues?

1. Depend on knowledge gained from peers' experiences.
2. Work with seasoned and experienced nurses and learn from them.
3. Take assessment notes and utilize information from textbooks for comparison.
4. Know that this will take time, and experience is the best teacher.

cuttiesgirl16 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 1
Rationale 1: Establishing strengths, resources, and ability to cope will help the client develop a more well-rounded self-concept and self-image. Strengths can be an aid to mobilizing health and regenerative processes.
Rationale 2: The client may be more active in the plan; however, this does not explain why the client will be more active.
Rationale 3: Looking at what will be easier for the nurse is not the reason strengths are included in the client's plan.
Rationale 4: Looking at what will be time effective for only the nurse is not the reason strengths are included in the client's plan.

Answer to Question 2

Correct Answer: 3
Rationale 1: Learning from peers is helpful, but does not take the place of didactic information.
Rationale 2: Learning from seasoned nurses is helpful, but does not take the place of didactic information.
Rationale 3: The novice nurse must take careful assessment notes, search data for abnormal cues, and use textbook resources for comparing the client's cues with the defining characteristics and etiologic factors of the accepted nursing diagnoses.
Rationale 4: Experience teaches much information, but it never takes the place of concrete, scientific theory.