Errors may occur with the use of data in formulating an appropriate nursing diagnosis. Based on what you know, which of the following represents the main source of errors in the nursing diagnosis process?

a. Making assumptions without supporting data
b. Placing data in incorrect categories
c. Not validating data with the patient
d. Relying on team members for data


ANS: A

Nursing

You might also like to view...

A 5-year-old is being discharged from the outpatient surgical center. Which statement by the parent would indicate the need for further teaching?

1. "I can expect my child to have some pain for the next few days." 2. "I will plan to give my child pain medicine around the clock for the next day or so." 3. "Since my child just had surgery today, I can expect the pain level to be higher tomorrow." 4. "I will call the office tomorrow if the pain medicine is not relieving the pain."

Nursing

A patient with a severe fungal infection has orders for voriconazole (Vfend)

The nurse is reviewing the patient's medical record and would be concerned if which assessment finding is noted? a. Decreased breath sounds in the lower lobes b. History of cardiac dysrhythmias c. History of type 2 diabetes d. Potassium level of 4.0 mEq/L

Nursing

A patient is admitted with glomerulonephritis. IV gentamicin therapy is started after cultures indicate gram-negative bacilli in the blood. The patient also receives IV furosemide (Lasix)

The nurse will monitor for signs and symptoms of toxicity related to which organ? a. Kidneys b. Pancreas c. Liver d. Brain

Nursing

The nurse is looking after a patient who has abdominal cramps, dizziness, and a rapid and thready pulse. The patient's laboratory results indicate hyponatremia. Which of the following additional signs can the nurse expect?

a. Postural hypotension b. Tetany c. Dry skin and dry mucous membranes d. Elevated temperature and flushed skin

Nursing