Author Question: Roger, a 34-year-old patient with cancer, is undergoing outpatient chemotherapy. Nancy, the nurse ... (Read 109 times)

pragya sharda · **on:** Jul 22, 2018

Roger, a 34-year-old patient with cancer, is undergoing outpatient chemotherapy. Nancy, the nurse caring for him at the clinic where he goes for his treatments notes that Roger's white blood cell count is very low and he has little energy.

Roger's plan of care is based upon the nursing diagnosis Risk for infection. Nancy provides patient teaching in order to reduce Roger's risk for infection. Nancy is using which skill in this situation? A. Medical diagnosis
B. Scientific method
C. Diagnostic reasoning
D. Data collection

Question 2

Mary is a student nurse caring for Alma, a 45-year-old postsurgical patient. Mary is prioritizing her care based on Alma's needs. Alma has developed a health careacquired wound infection that has become systemic.

Which of the following should be Mary's top priority? A. Changing the surgical dressing
B. Managing fever
C. Providing patient education
D. Providing personal hygiene

Harbringer · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

C
Diagnostic reasoning involves the use of cognitive thinking, metacognition (thinking about thinking), and assessment skills to structure situations so a nurse can apply knowledge. Expert nurses make diagnostic conclusions in the form of nursing diagnoses.

Answer to Question 2

B
Give special attention to any urgent needs the infection creates. For example, if the patient's infection becomes systemic, a nurse will need to manage fever and prevent dehydration. Once the infection begins to resolve, focus priorities on patient education and emotional support.