Author Question: A plan of care formulated by an operating room (OR) nurse includes four nursing diagnoses. Which ... (Read 60 times)

chandani · **on:** Jul 23, 2018

A plan of care formulated by an operating room (OR) nurse includes four nursing diagnoses. Which diagnoses will the nurse include that is directly related to safety?

A) Deficient knowledge regarding drug therapy
B) Disturbed sensory perception (kinesthetic, tactile) related to anesthesia
C) Risk for impaired skin integrity related to immobility
D) Risk for injury related to central nervous system (CNS) depressive effects of drugs

Question 2

What is a layer of the nerve plexus?

A) Mesenteric
B) Mucosal
C) Sympathetic
D) Myenteric

Jordin Calloway · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

D
Feedback:
The nursing diagnosis, which directly relates to safety, is high risk for injury. The other three options are only indirectly related to safety. While in the OR, the patient under general anesthetic is unable to express safety concerns and must rely completely on the surgeon and OR staff for protection.

Answer to Question 2

D
Feedback:
The nerve plexus has two layers of nerves, one submucosal layer and one myenteric layer. The other options are not part of the nerve plexus.