Author Question: The nurse is prioritizing care of a pediatric patient diagnosed with cystic fibrosis. Which nursing ... (Read 55 times)

Cooldude101 · **on:** Jul 24, 2018

The nurse is prioritizing care of a pediatric patient diagnosed with cystic fibrosis. Which nursing diagnosis would the nurse consider the highest priority?

a. Risk for altered nutrition: less than body related to decreased appetite
b. Altered breathing pattern related to thickened mucus secretions
c. Knowledge deficit related to disease process
d. Impaired skin integrity related to decreased mobility

Question 2

An obese patient did not meet the goal of by the end of the second week, is able to follow a 1500 calorie diet. What will the nurse and the patient reassess?

a. Patient's weight
b. Patient's understanding of the 1500 calorie diet
c. Nurse's feelings about obese patients
d. Health care agency's ability to provide the prescribed diet

SamMuagrove · **Reply #1 on:** Jul 24, 2018

Answer to Question 1

ANS: B
Altered breathing pattern would be the highest priority because the physiologic need of oxygenation is required for total body function. Risk for altered nutrition, knowledge deficit, and impaired skin integrity would not be of higher priority than oxygenation.

Answer to Question 2

ANS: B
When goals are not met, the nurse must reassess the patient's understanding of the interventions and commitment to reaching the identified goal. All phases of the nursing process are ongoing as the nurse continues to evaluate, assess, and readjust interventions as indicated to facilitate patient achievement of outcomes. The patient may have followed the diet but not lost any weight. The nurse's feelings should not be a factor in the assessment. The agency's ability to provide the prescribed diet should have been determined before implementation of the plan.