Author Question: A nurse is reviewing the nursing care plan for a hospitalized child. Which statements are ... (Read 93 times)

Zulu123 · **on:** Jun 27, 2018

A nurse is reviewing the nursing care plan for a hospitalized child. Which statements are collaborative problems? Select all that apply.

a. Risk for injury
b. Potential complication of seizure disorder
c. Altered nutrition: Less than body require-ments
d. Fluid volume deficit
e. Potential complication of respiratory acidosis

Question 2

Which patient outcome is stated correctly?

a. The child will administer his insulin injection before breakfast on 10/31.
b. The child will accept the diagnosis of type 1 diabetes mellitus before discharge.
c. The parents will understand how to determine the child's daily insulin dosage.
d. The nurse will monitor blood glucose levels before meals and at bedtime.

dawsa925 · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

B, E
In addition to nursing diagnoses, which describe problems that respond to independent nursing functions, nurses must also deal with problems that are beyond the scope of independent nursing practice. These are sometimes termed collaborative problemsphysiologic al complications that usually occur in association with a specific pathological condition or treatment. The potential complications of seizure disorder and respiratory acidosis are physiological complications that will require physician collaboration to treat. Risk for injury, altered nutrition, and fluid volume deficit will respond to independent nursing functions.

Answer to Question 2

A
The outcome is stated in client terms, with a measurable verb and a time frame for action. The verb accept is difficult to measure. The goal of accepting a diagnosis before hospital discharge is unrealistic. Outcomes should be stated in client terms. Nursing actions are determined after outcomes are developed in the implementation phase of the nursing process.