Author Question: Which of the following is not a nursing diagnosis? a. Amputation c. Ineffective Breathing Pattern ... (Read 58 times)

michelleunicorn · **on:** Jul 22, 2018

Which of the following is not a nursing diagnosis?

a. Amputation c. Ineffective Breathing Pattern
b. Body Image Distur-bance d. Activity Intolerance

Question 2

The nurse is caring for a client admitted with renal failure and metabolic acidosis. Which of the following signs would indicate to the nurse that planned interventions have been effective?

1. Increased deep tendon reflexes
2. Weight gain
3. Decreased respiratory rate
4. Palpitations

CourtneyCNorton · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

A
Errors in writing a nursing diagnosis include the use of a symptom as the diagnosis or repeating the diagnostic label as the etiology. Another error is the misuse of a medical diagnosis that is not amenable to treatment by nurses.

Answer to Question 2

3. Decreased respiratory rate

Rationale:
The client with metabolic acidosis will have an increased respiratory rate and depth. A sign that care has been effective would include a decrease in the rate and depth of respirations. Increased deep tendon reflexes, weight gain, and palpitations are not associated with metabolic acidosis.