Author Question: A nurse is developing nursing diagnoses for a group of patients. Which nursing diagnoses will the ... (Read 70 times)

Cooldude101 · **on:** Jul 22, 2018

A nurse is developing nursing diagnoses for a group of patients. Which nursing diagnoses will the nurse use? (Select all that apply.)

a. Anxiety related to barium enema
b. Impaired gas exchange related to asthma
c. Impaired physical mobility related to incisional pain
d. Nausea related to adverse effect of cancer medication
e. Risk for falls related to nursing assistive personnel leaving bedrail down

Question 2

A nurse is developing nursing diagnoses for a patient. Beginning with the first step, place in order the steps the nurse will use.

1. Observes the patient having dyspnea (shortness of breath) and a diagnosis of asthma
2. Writes a diagnostic label of impaired gas exchange
3. Organizes data into meaningful clusters
4. Interprets information from patient
5. Writes an etiology
a. 1, 3, 4, 2, 5
b. 1, 3, 4, 5, 2
c. 1, 4, 3, 5, 2
d. 1, 4, 3, 2, 5

dreamfighter72 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

ANS: C, D
Impaired physical mobility and Nausea are the only correctly written nursing diagnoses. All the rest are incorrectly written. Anxiety lists a diagnostic test as the etiology. Impaired gas exchange lists a medical diagnosis as the etiology. Risk for falls has a legally inadvisable statement for an etiology.

Answer to Question 2

ANS: A
The diagnostic process flows from the assessment process (observing and gathering data) and includes decision-making steps. These steps include data clustering, identifying patient health problems, and formulating the diagnosis (diagnosis is written as problem or NANDA-I approved diagnosis then etiology or cause).