The nurse is creating a care plan for a patient admitted with severe bone pain related to an infected leg wound. Which diagnosis written on the plan indicates an understanding of the components of a nursing diagnosis? (Select all that apply.)
a. Acute pain
b. Risk for impaired walking
c. Ineffective bone tissue perfusion
d. Osteomyelitis
e. Infection
ANS: A, B, C
Whereas medical diagnoses identify and label medical (physical and psychological) illnesses, nursing diagnoses are much broader in focus. Nursing diagnoses consider a patient's response to medical diagnoses and life situations in addition to making clinical judgments based on a patient's actual medical diagnoses and conditions. Pain, potential inability to ambulate, and decreased blood flow to the bone are a patient's response to the medical condition of osteomyelitis. Medical diagnoses identify the specific physical or psychological condition. Osteomyelitis and infection are medical diagnoses defined as inflammation and an infection of the bone usually caused by bacteria.
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