Author Question: Which nursing diagnostic statement is accurately written for a patient with a medical diagnosis of ... (Read 69 times)

tingc95 · **on:** Jul 23, 2018

Which nursing diagnostic statement is accurately written for a patient with a medical diagnosis of pneumonia?

a. Risk for infection related to lower lobe infiltrate
b. Risk for deficient fluid volume related to dehydration
c. Impaired gas exchange related to alveolar-capillary membrane changes
d. Ineffective breathing pattern related to pneumonia

Question 2

The charge nurse is reviewing a patient's plan of care, which includes the nursing diagnostic statement, Impaired physical mobility related to tibial fracture as evidenced by patient's inability to ambulate to bathroom.

The nurse needs to revise which part of the diagnostic statement?
a. Nursing diagnosis
b. Etiology
c. Patient chief complaint
d. Defining characteristic

babybsemail · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: C
The related to factor of alveolar-capillary membrane changes is accurately written because it is a patient response to the disease process of pneumonia that the nurse can treat. The related to factors lower lobe infiltrate, dehydration, and pneumonia are all medical diagnoses that the nurse cannot change. Lower lobe infiltrate is simply another term for pneumonia, a medical diagnosis. The related to factor should be the cause of the problem (nursing diagnosis) that a nurse can address.

Answer to Question 2

ANS: B
The etiology, or related to factor, of tibial fracture is a medical diagnosis and needs to be revised. The nursing diagnosis is appropriate because the patient is unable to ambulate. The patient's chief complaint is what the patient subjectively states is the problem. No subjective data are included in the diagnostic statement. The defining characteristic (subjective and objective data that support the diagnosis) is appropriate for Impaired physical mobility.