Which nursing diagnostic statement is accurately written for a patient with a medical diagnosis of pneumonia?
a. Risk for infection related to lower lobe infiltrate
b. Risk for deficient fluid volume related to dehydration
c. Impaired gas exchange related to alveolar-capillary membrane changes
d. Ineffective breathing pattern related to pneumonia
ANS: C
The related to factor of alveolar-capillary membrane changes is accurately written because it is a patient response to the disease process of pneumonia that the nurse can treat. The related to factors lower lobe infiltrate, dehydration, and pneumonia are all medical diagnoses that the nurse cannot change. Lower lobe infiltrate is simply another term for pneumonia, a medical diagnosis. The related to factor should be the cause of the problem (nursing diagnosis) that a nurse can address.
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