Author Question: A nurse adds a nursing diagnosis to a patient's care plan. Which information did the nurse document? ... (Read 89 times)

xclash · **on:** Jul 22, 2018

A nurse adds a nursing diagnosis to a patient's care plan. Which information did the nurse document?

a. Decreased cardiac output related to altered myocardial contractility.
b. Patient needs a low-fat diet related to inadequate heart perfusion.
c. Offer a low-fat diet because of heart problems.
d. Acute heart pain related to discomfort.

Question 2

A patient has a bacterial infection in left lower leg. Which nursing diagnosis will the nurse add to the patient's care plan?

a. Infection
b. Risk for infection
c. Impaired skin integrity
d. Staphylococcal leg infection

Expo · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

ANS: A
Decreased cardiac output related to altered myocardial contractility is a correctly written nursing diagnosis. Patient needs a low-fat diet related to inadequate heart perfusion is a goal phrased statement, not a nursing diagnosis. Offer a low-fat diet is an intervention, not a diagnosis. Acute pain related to discomfort is a circular diagnosis and gives no direction to nursing care.

Answer to Question 2

ANS: C
Impaired skin integrity is the only nursing diagnosis listed that will correlate to the patient information. While risk for infection is a nursing diagnosis, the patient is not at risk; the patient has an actual infection. Infection can be a medical diagnosis as well as a collaborative problem. Staphylococcal leg infection is a medical diagnosis.