Of the following statements, which one is an example of an ...

[jasdeep_brar]

Of the following statements, which one is an example of an appropriately written nursing diag-nosis?
 
  1. Acute pain related to left mastectomy
  2. Impaired gas exchange related to altered blood gases
  3. Deficient knowledge related to need for cardiac catheterization
  4. Need for high protein diet related to alteration in client nutrition

Question 2

A 53-year-old client is seen at the clinic for a yearly physical examination. In evaluating the cli-ent's weight, the nurse also considers the age and height. This is an example of:
 
  1. Defining the client problem
  2. Recognizing gaps in data assessment
  3. Comparing data with normal health patterns
  4. Drawing conclusions about the client's response

[tanna.moeller]

Answer to Question 1

ANS: 3
This nursing diagnosis is written correctly. It defines a problem and its etiology. In this case the problem is the client's response to a diagnostic test. A medical diagnosis should not be recorded as the etiology because nursing interventions cannot change the medical diagnosis. It would be appropriate to state acute pain related to impaired skin integrity secondary to mastectomy inci-sion. This nursing diagnosis is written incorrectly because it uses supportive data of the problem as the etiology. This nursing diagnosis does not identify the problem and etiology. It identifies the client's goal rather than the problem. It could be reworded as imbalanced nutrition: less than body requirements related to inadequate protein intake.

Answer to Question 2

ANS: 3
The nurse uses scientific knowledge and experience to analyze and interpret data collected about the client. This includes comparing the data with norms. The nurse is comparing data to deter-mine if there is a problem. A problem has not yet been identified. The nurse is not recognizing gaps in data assessment. An example of a gap in data assessment would be if the client's weight had not been measured. The nurse has not drawn a conclusion about the client's response. The nurse must first compare the data with normal health problems to be able to arrive at a conclu-sion.

[jasdeep_brar]

Thanks

[tanna.moeller]

Welcome