The nurse has diagnosed the client's problem as altered elimination. From the database the nurse identifies all the following as appropriate etiologies for this diagnosis except:
1. Poor fiber intake
2. Limited fluid intake
3. Total hip replacement
4. Lower abdominal discomfort
ANS: 3
Total hip replacement because the medical diagnosis requires medical interventions, it is legally inadvisable to use it in the nursing diagnosis. Rather, the nurse should identify the client's re-sponse, such as decreased mobility. The nurse should be able to provide nursing interventions that will treat the etiology. Poor fiber intake would be an appropriate etiology for the problem of altered elimination. Limited fluid intake would be an appropriate etiology for the nursing diagno-sis of altered elimination. Lower abdominal discomfort is an appropriate etiology for the nursing diagnosis of altered elimination.
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