The nurse is identifying nursing diagnoses that are appropriate ...

[pragya sharda]

The nurse is identifying nursing diagnoses that are appropriate for a client with a large area of erythema, swelling, and pruritic lesions on the hands and arms. Which of the following would be the most appropriate for this client?
 
  1. Impaired Social Interaction
   2. Anxiety
   3. Situational Low Self-Esteem
   4. Impaired Skin Integrity

Question 2

A nurse is caring for a female client age 35 who was recently diagnosed with hypothyroidism. After reviewing the nursing admission assessment, the nurse plans care for this client based on which of the following documented findings?
 
  1. Hot flashes
   2. Tachycardia
   3. Fatigue
   4. Nausea

[honnalora]

Answer to Question 1

4. Impaired Skin Integrity

Rationale:
The client is experiencing manifestations of contact dermatitis. The nursing diagnosis that is the most appropriate for this client would be impaired skin integrity. If left untreated, the client could develop impaired social interaction, situational low self-esteem, or anxiety, or Ineffective coping.

Answer to Question 2

3. Fatigue

Rationale:
Symptoms of hypothyroidism include fatigue, increased need for sleep, bradycardia, cold intolerance, ataxia and balance difficulties, and hypothermia. Hot flashes, tachycardia, and nausea are not symptoms of hypothyroidism.

[pragya sharda]

TYSM

[miss_1456@hotmail.com]

Gracias!