A nurse develops a plan of care to meet the needs of a client who ...

[acc299]

A nurse develops a plan of care to meet the needs of a client who has had a large loss of blood after a snowmobile crash. Intravenous fluids and blood are administered and the nurse monitors the client's physiologic response. This action is known as a:
 
  A) medical diagnosis.
  B) nursing diagnosis.
  C) collaborative problem.
  D) goal for care.

Question 2

A nurse is reviewing the health history and physical assessment findings for a client who is having respiratory problems. Of the following data collected, what data from the health history would be a cue to a nursing diagnosis for this problem?
 
  A) I often have diarrhea after I eat spicy foods.
  B) My skin is so dry I just can't keep from scratching.
  C) I get out of breath when I walk a few steps.
  D) I just feel so bad about myself these days.

[efwsefaw]

Answer to Question 1

Ans: C

Collaborative problems are certain physiologic complications that nurses monitor to detect onset or changes in status. Nurses manage collaborative problems by using physician-prescribed and nursing-prescribed interventions to minimize the complications of the event.

Answer to Question 2

Ans: C

Most experienced nurses begin the work of interpreting and analyzing data while they are still collecting it. The term cue is often used to denote significant data, which raises a red flag to look for patterns or clusters of data that signal a nursing diagnosis. In this instance, the client's statement of getting out of breath when walking would be a cue to assess other subjective and objective data related to the respiratory system.

[acc299]

Excellent

[cassie_ragen]

Gracias!