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Author Question: Following the completion of a comprehensive assessment, a nurse has identified the following nursing ... (Read 84 times)

oliviahorn72

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on: Jul 22, 2018
Following the completion of a comprehensive assessment, a nurse has identified the following nursing diagnosis for a newly admitted client: Risk for aspiration related to dysphagia as evidenced by coughing during feeding.
 
  The phrase related to dysphagia constitutes what component of a nursing diagnostic statement? A) Etiology
  B) Pathophysiology
  C) Root cause
  D) Epidemiology

Question 2

A nurse is planning the nursing care of an elderly client who presented to the emergency department in respiratory distress and has been admitted to an inpatient unit. Which of the following nursing diagnoses is correctly worded?
 
  A) Excess fluid volume related to congestive heart failure as manifested by peripheral and pulmonary edema
  B) Exacerbation of congestive heart failure related to peripheral edema, excess fluid volume, and pulmonary edema
  C) Excess fluid volume and impaired gas exchanged related to congestive heart failure
  D) Congestive heart failure resulting ineffective airway clearance related to pulmonary edema


CAPTAINAMERICA

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Reply #1 on: Jul 22, 2018
Answer to Question 1

A
Feedback:
The phrase related to denotes the etiology of a nursing diagnosis.

Answer to Question 2

A
Feedback:
The diagnosis, Excess fluid volume related to congestive heart failure as manifested by peripheral and pulmonary edema contains the three parts of a nursing diagnostic statement: problem, etiology, and signs and symptoms. The diagnostic statement should begin with the nursing diagnosis, not the etiology, and each statement should include only one nursing diagnosis.


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