Answer to Question 1
3,4
Rationale 1: The nursing diagnosis is not dependent on the medical diagnosis.
Rationale 2: The focus should be on the patient's needs.
Rationale 3: Including the patient in the formulation of nursing diagnoses encourages more active involvement in working toward meeting identified goals.
Rationale 4: A nursing diagnosis is a clinical judgment concerning human response to health conditions.
Rationale 5: Goals and outcomes need to be measureable, not nursing diagnosis.
Global Rationale: A nursing diagnosis is a clinical judgment concerning human response to health conditions and should be patient focused. Including the patient in the formulation of nursing diagnoses encourages more active involvement in working toward meeting identified goals. It is not dependent on the medical diagnosis. Goals and outcomes need to be measureable, not nursing diagnosis.
Answer to Question 2
1,2,3,4
Rationale 1: Medical history may reveal conditions that contraindicate the use of certain drugs.
Rationale 2: Current lab results may reveal important information about the health of organs, such as the kidneys and liver, which would be important to metabolism and excretion of drugs.
Rationale 3: Allergies to one drug may cross over to another drug and would need to be avoided.
Rationale 4: Some dietary supplements can interact with drugs.
Rationale 5: While this is good information, it is not critical to this admission.
Global Rationale: Medical history may reveal conditions that contraindicate the use of certain drugs. Current lab results may reveal important information about the health of organs, such as the kidneys and liver, which would be important to metabolism and excretion of drugs. Allergies to one drug may cross over to another drug and would need to be avoided. Some dietary supplements can interact with drugs. While knowledge about number of previous hospitalization is good to know it is not critical to this admission.