The nurse is admitting a patient experiencing chest discomfort and shortness of breath. The patient also has a history of stroke. The nurse documents the nursing diagnosis "Risk for stroke related to history of stroke." The risk factor for this patient is
a. stroke.
b. history of stroke.
c. chest discomfort.
d. shortness of breath.
ANS: B
A two-part risk nursing diagnostic statement contains only (1) the patient's identified need or problem (i.e., NANDA-I nursing diagnostic label) and (2) factors indicating vulnerability (i.e., risk factors). The risk factor is the history of stroke. The chest discomfort and shortness of breath are symptoms of the current problems and would not be documented as potential or "risk" issues. "Stroke" would be the identified potential problem.
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