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.
NUrse
Nursing Notes on diabetes
Patient teaching: hair and scalp assessment
Preparing the Patient’s Skin for Surgical Procedures
Foley catheter with balloon in the bladder of a male patient.
Body Plan of a Crocodile