Answer to Question 1
Answer: 3, 5
Rationale 1: The nursing diagnosis should not include medical diagnoses such as pruritis.
Rationale 2: The nursing diagnosis should not include medical diagnoses such as hypertension.
Rationale 3: The nursing diagnosis should include a problem statement, such as deficient fluid volume, and the etiology, which is fluid restriction. These two parts are connected by the phrase related to.
Rationale 4: A personal care challenge is not a nursing diagnostic problem.
Rationale 5: The nursing diagnosis should include a problem statement, such as acute confusion, and the etiology, which is delayed hemodialysis treatment. These two parts are connected by the phrase related to.
Answer to Question 2
Correct Answer: 1, 4
Rationale: The basic three-part nursing diagnosis statement is called the PES format and includes the problem, etiology, and signs and symptoms.
The nurse conducts the health history as the first step in the nursing assessment
Right sided heart failure
Nursing sensitive outcome
Client positioned and draped
The client is positioned for the examination
The Renal Corpuscle