Answer to Question 1
ANS: C
The related to factor of alveolar-capillary membrane changes is accurately written because it is a patient response to the disease process of pneumonia that the nurse can treat. The related to factors lower lobe infiltrate, dehydration, and pneumonia are all medical diagnoses that the nurse cannot change. Lower lobe infiltrate is simply another term for pneumonia, a medical diagnosis. The related to factor should be the cause of the problem (nursing diagnosis) that a nurse can address.
Answer to Question 2
ANS: B
The etiology, or related to factor, of tibial fracture is a medical diagnosis and needs to be revised. The nursing diagnosis is appropriate because the patient is unable to ambulate. The patient's chief complaint is what the patient subjectively states is the problem. No subjective data are included in the diagnostic statement. The defining characteristic (subjective and objective data that support the diagnosis) is appropriate for Impaired physical mobility.
The nurse conducts the health history as the first step in the nursing assessment
Choosing nursing interventions
Patient conditions not appropriate for elctronic blood pressure measurement
Medicinal leeches on a patient’s neck. Today leeches are sometimes used in microsurgery to prevent b
Computerized Patient Record (CPR)