Which of the following is a correctly written nursing diagnosis appropriate for a patient's plan of care?
a. Ineffective airway clearance related to excessive secretions as evidenced by diminished breath sounds.
b. Imbalanced nutrition: less than body requirements.
c. Impaired physical mobility related to contractures.
d. Risk for suffocation related to smoking in bed as evidenced by absent breath sounds.
ANS: A
There are three types of diagnoses: actual, risk, and health-promotion. Actual diagnoses have three parts: problem, etiology, and signs/symptoms. Risk diagnoses include only the identified need and the risk factors. The nursing diagnosis, imbalanced nutrition: less than body requirements, is missing the problem, etiology, and signs and symptoms. Impaired physical mobility is missing the evidence. Risk for suffocation should have only two parts. There are no signs and symptoms if the patient is at risk.
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