The nurse identifies the nursing diagnosis of Imbalanced ...

[armygirl]

The nurse identifies the nursing diagnosis of Imbalanced Nutrition as appropriate for a client with osteoporosis. Which client statement supports the use of this diagnosis when planning care?
 
  A) I have removed all scatter rugs from my home.
  B) I frequently take long walks in the sun.
  C) My pain is relieved by Tylenol.
  D) I am allergic to dairy products.

Question 2

The nurse is planning care for a client with osteoarthritis. Which diagnosis would have the highest priority?
 
  A) Fatigue
  B) Chronic Pain
  C) Ineffective Coping
  D) Disturbed Body Image

[jackie]

Answer to Question 1

Answer: D

The client who is allergic to dairy products may not take in much calcium, so focusing on diet would be a priority for this client. The statements about taking long walks, removing scatter rugs, and taking acetaminophen (Tylenol) for pain would not elicit the nursing diagnosis Imbalanced Nutrition.

Answer to Question 2

Answer: B

When providing care to the client diagnosed with osteoarthritis, priority diagnoses would include Chronic Pain, Impaired Physical Mobility, and Self-Care Deficit. Of the diagnoses identified for the client, Chronic Pain would be the priority for the client's musculoskeletal status. There is not enough information to determine if the client has Fatigue, a Disturbed Body Image, or Ineffective Coping.

[armygirl]

Gracias!

[helenmarkerine]

Thanks for the timely response, appreciate it