A child is admitted to the hospital for complications from ...

[newbem]

A child is admitted to the hospital for complications from diabetes. Which of the following nursing diagnoses will the nurse focus on as priority?
 
  1. Fear, related to unfamiliar surroundings
  2. Ineffective management of therapeutic regimen, related to complexity
  3. Altered nutrition, less than body requirements, related to inability to maintain glucose level
  4. Risk for infection, related to circulatory changes, secondary to high blood glucose levels

Question 2

A nurse manager is implementing computerized care plans for the units of the hospital. Which of the following guidelines must be followed when writing care plans? (Select all that apply.)
 
  ______ Plans must be dated and signed.
  ______ Categories must have headings.
  ______ Plans must be specific.
  ______ Plans must include preventive and health maintenance.
  ______ Standardized or approved medical or English symbols may be used.
  ______ Plans must include interventions for ongoing assessment.
  ______ Plans are standardized and generalized for all clients.

[josephsuarez]

Answer to Question 1

Correct Answer: 3
Rationale 1: Prioritizing is the process of establishing sequencing for addressing nursing interventions. The nurse in this case must decide which diagnosis requires attention first. Physiologic needs are basic to life and receive higher priority than the need for security and education.
Rationale 2: Prioritizing is the process of establishing sequencing for addressing nursing interventions. The nurse in this case must decide which diagnosis requires attention first. Physiologic needs are basic to life and receive higher priority.
Rationale 3: Prioritizing is the process of establishing sequencing for addressing nursing interventions. The nurse in this case must decide which diagnosis requires attention first. Physiologic needs are basic to life and receive highest priority.
Rationale 4: Identifying a potential problem, but one that is not present, would take the lowest priority.

Answer to Question 2

Correct Answer: Plans must be dated and signed.
Categories must have headings.
Plans must be specific.
Plans must include preventive and health maintenance.
Standardized or approved medical or English symbols may be used.
Plans must include interventions for ongoing assessment.
Rationale : Other guidelines include reference to procedure books or other sources of information rather than including all the steps on a written plan. Tailor the plan to the unique characteristics of the client by ensuring that the client's choices are included. Include collaborative and coordination activities in the plan, and include discharge and home care needs in the plan.

[newbem]

Excellent

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TYSM