A teenage client has been having problems with peer support, school performance, and parental expectations, all of which have led to an eating disorder
After gathering this assessment data, the nurse formulate the diagnosis Activity Intolerance related to weakness. After evaluating this information, the nurse should realize which of the following?
1. The data collected would support the diagnosis.
2. The diagnosis is directly related to the data presented.
3. The nursing diagnosis is not relevant to the data.
4. The data are not sufficient enough to support this diagnosis.
Correct Answer: 4
Rationale 1: Perhaps this diagnosis is appropriate for this client, but there are not enough data presented to know that for sure.
Rationale 2: Once data are complete, the diagnosis and information need to be directly related to each other.
Rationale 3: Once data are complete, the diagnosis and information need to be relevant to each other.
Rationale 4: An incomplete database influences all steps of the nursing process and care plan. The nurse must complete the assessment before formulating a diagnosis about weakness and fatigue. Perhaps this diagnosis is appropriate for this client, but there are not enough data presented to know that for sure.
You might also like to view...
A patient has had a "terrible itch" for several months that he has been continuously scratching. On examination, the nurse might expect to find:
a. A keloid. b. A fissure. c. Keratosis. d. Lichenification.
The nurse conducting community education on transplant options would teach that the client who would benefit most from kidney-pancreas transplantation is the client with
a. acute renal failure and pancreatitis. b. end-stage renal disease and type 1diabetes. c. glomerulonephritis and pancreatitis. d. polycystic kidney disease and type 2 diabetes.
The nurse is teaching a patient with stomatitis about mouth care. What should the nurse include in this teaching?
Select all that apply. 1. Avoid tobacco and alcohol. 2. Use a saline or sodium bicarbonate rinse after every meal. 3. Consume 8 oz of yogurt or buttermilk daily. 4. Avoid cold beverages. 5. Use lemon-glycerin swabs between meals.
In what phase of the cell cycle (if any) are tumor cells most sensitive to mechlorethamine??
A. G1 B. S C. G2 D. M E. Drug is cell cycle non-specific