Answer to Question 1
Correct Answer: 2
Rationale 1: Health-Seeking Behavior is a diagnostic label used when the client is seeking health information.
Rationale 2: The NANDA label Deficient Knowledge is used when the client is seeking health information or when the nurse has identified a learning need, as in this case. The area of deficiency (diet and medication regimen) should always be included in the diagnosis.
Rationale 3: Noncompliance is used when the client or caregiver fails to follow a plan, which is too early to tell in this case.
Rationale 4: Risk for Myocardial Infarction is not a NANDA label. If a risk exists, the label could be Risk for Noncompliance related to deficient knowledge.
Answer to Question 2
Correct Answer: 3
Rationale 1: Learning outcomes, like client outcomes, must be specific and observable so they can be measured. Words like understand are not measurable and are not observable.
Rationale 2: Be able to lose weight is not specific enough, and with the information given, it is not known if that is really what the client wants to attain.
Rationale 3: Learning outcomes, like client outcomes, must be specific and observable so they can be measured.
Rationale 4: Words like appreciate are not measurable and are not observable.
Client receiving hemodialysis.
Nebulizing equipment and inhaler medications.
Use face cradle covers to prevent the client’s skin from touching the face cradle upholstery.
(A) Unwrap each of the layers until the client is covered by just the plastic sheet and the towels ...
Client files are kept in alphabetical order in locked file cabinets.
Testing client’s ability to identify sharp sensations