Nursing students are analyzing the following nursing diagnostic statement during a study group session
Acute pain related to pressure on lumbar spinal nerves as evidenced by a pain level of 9, patient verbalizations of pain, and grimacing when walking. The students would be correct if they stated that the etiology of the patient's problem is:
a.
patient verbalizations of pain.
b.
acute pain.
c.
pressure on lumbar spinal nerves.
d.
grimacing when walking.
ANS: C
According to the NANDA-I guidelines, the second part of the nursing diagnosis consists of related factors (for actual nursing diagnoses) and risk factors (for risk nursing diagnoses). Related factors are the underlying cause or etiology of a patient's problem. Risk factors are environmental, physical, psychological, or situational concerns that increase a patient's vulnerability to a potential problem or concern. In this case, the acute pain is being caused by pressure on the lumbar spinal nerves.
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