Answer to Question 1
ANS: C
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 factors lower lobe infiltrate, dehydration, and pneumonia are all medical diagnoses that the nurse cannot change. Lower lobe infiltrate is simply another term for pneumonia, a medical diagnosis. The related to factor should be the cause of the problem (nursing diagnosis) that a nurse can address.
Answer to Question 2
ANS: B
The etiology, or related to factor, of tibial fracture is a medical diagnosis and needs to be revised. The nursing diagnosis is appropriate because the patient is unable to ambulate. The patient's chief complaint is what the patient subjectively states is the problem. No subjective data are included in the diagnostic statement. The defining characteristic (subjective and objective data that support the diagnosis) is appropriate for Impaired physical mobility.
Palpating the Apical Impulse with the Patient on the Left Side
Nursing intervention classification 2
Sequence of patient positions for heart auscultation
Injectable Drugs Commonly Stocked in the Medical Office
Patient with osteoarthritis.
Diagnosis of ADHD