The nurse is analyzing data collected during a client assessment and wants to identify possible nursing diagnoses. A possible nursing diagnosis indicates:
a. a situation in which a problem could arise unless preventive action is taken.
b. that a problem does not yet exist, but special risk factors are present.
c. the client's expression of a desire to attain a higher level of wellness in some area of function.
d. that a problem exists.
Question 2
The nurse is formulating an actual nursing diagnosis for a client. Which of the following is an example of an actual nursing diagnosis?
a. Risk for impaired skin integrity related to inability to change positions
b. Potential for enhanced nutrition
c. Fluid volume deficit related to nausea and vomiting
d. Risk for infection related to indwelling urinary catheter
NUrse :0
A parish nurse checks the blood pressure of a church member
Assessment of Cutaneous Hypersensitivity, Stimulate the Skin with a Sterile Needle
Patient teaching: nose and sinus assessment
Nurse administering enteral nutrition through a feeding tube.
Positioning the client