A nurse is formulating a nursing diagnosis for a client with a ...

[student77]

A nurse is formulating a nursing diagnosis for a client with a respiratory disease. Which of the following would be correct?
 
  A) needs nasal oxygen to improve breathing
  B) cough related to ineffective airway clearance
  C) ineffective airway clearance related to thick mucus
  D) refuses to cough and expectorate thick mucus

Question 2

A nurse completes a health history and physical assessment for an adolescent before he begins football practice. Based on findings, the nurse recommends reinforcing good health habits.
 
  A) No problem
  B) Possible problem
  C) Actual problem
  D) Clinical problem

[daiying98]

Answer to Question 1

Ans: C

It is important to use guidelines to formulate correctly written nursing diagnoses. The nurse would not use client needs, put defining characteristics before the diagnoses, or judge the willingness of the client to cough.

Answer to Question 2

Ans: A

The nurse reaches one of four basic conclusions after interpreting and analyzing the client data. Different nursing responses are possible for each conclusion. In this case, the nurse would most likely conclude there was no problem and reinforce the client's health habits.

[student77]

Excellent

[marict]

TYSM