Which is an example of an actual diagnosis?
a. Risk for Impaired Skin Integrity Related to Inability to Change Positions
b. Potential for Enhanced Nutrition
c. Fluid Volume Deficit Related to Nausea and Vomiting
d. Risk for Infection Related to Indwelling Urinary Catheter
C
An actual nursing diagnosis indicates that a problem exists and is composed of the diagnostic label, related factors, and signs and symptoms.
You might also like to view...
What is the pathologic mechanism involved in aplastic anemia?
A. Decreased intake of iron B. Increased rate of red blood cell lysis and destruction C. Decreased bone marrow production of red blood cells D. Increased (excessive) cellular metabolic oxygen demand
The nurse provides care for several patients. For which patient would the nurse assess acetaminophen (Tylenol) to be contraindicated?
1. A 2-year-old with a high fever due to the flu 2. A 65-year-old with osteoarthritis 3. A 19-year-old with a bladder infection 4. A 55-year old who socially drinks alcohol
A 66-year-old has been conscientious about health as an adult and is disappointed at having been recently diagnosed with type 2 diabetes
The client had been unwilling to discuss this new diagnosis for the past several weeks but has now begun asking the nurse questions about this disease. Which of the following nursing diagnoses is most appropriate for this client? A) Readiness for enhanced knowledge B) Readiness for enhanced self-care C) Readiness for enhanced power D) Readiness for enhanced comfort
A nursing student is caring for a client who has diabetes mellitus. The client takes insulin 2 times per day
Based on the student's knowledge of insulin's onset of action, he makes sure the client's meals arrive in coordination with the insulin's effect. The knowledge used by the student is: A) evaluative. B) lacking. C) integrated. D) creative.