The nurse is concerned that atelectasis may develop as a ...

[vinney12]

The nurse is concerned that atelectasis may develop as a postoperative complication. Which of the following is an appropriate diagnostic label for this problem, should it occur?
 
  1. Impaired gas exchange
  2. Decreased cardiac output
  3. Ineffective airway clearance
  4. Impaired spontaneous ventilation

Question 2

The nurse has diagnosed the client's problem as altered elimination. From the database the nurse identifies all the following as appropriate etiologies for this diagnosis except:
 
  1. Poor fiber intake
  2. Limited fluid intake
  3. Total hip replacement
  4. Lower abdominal discomfort

[Swizqar]

Answer to Question 1

ANS: 1
A potential etiology for impaired gas exchange may be atelectasis. Atelectasis would not support the diagnostic label for decreased cardiac output. Atelectasis would not be an etiology for inef-fective airway clearance. Increased tenacious sputum production would be a possible etiology for ineffective airway clearance. Impaired spontaneous ventilation would not be an appropriate di-agnostic label for atelectasis.

Answer to Question 2

ANS: 3
Total hip replacement because the medical diagnosis requires medical interventions, it is legally inadvisable to use it in the nursing diagnosis. Rather, the nurse should identify the client's re-sponse, such as decreased mobility. The nurse should be able to provide nursing interventions that will treat the etiology. Poor fiber intake would be an appropriate etiology for the problem of altered elimination. Limited fluid intake would be an appropriate etiology for the nursing diagno-sis of altered elimination. Lower abdominal discomfort is an appropriate etiology for the nursing diagnosis of altered elimination.

[vinney12]

Excellent

[31809pancho]

Thanks for the timely response, appreciate it