Which of the following is a correctly stated nursing diagnosis?
a. Strep Throat Related to Bacteria
b. Skin Breakdown Due to Wet Bed
c. Myocardial Infarction Related to Ischemia of the Muscle
d. Altered Nutrition, Less Than Body Requirements, Related to Difficulty Swallowing
D
Errors in writing a nursing diagnosis include the use of a symptom as the diagnosis or repeating the diagnostic label as the etiology. Another error is the misuse of a medical diagnosis that is not amenable to treatment by nurses.
You might also like to view...
A patient has just been diagnosed with psoriasis and frequently has lesions around his right eye. What should the nurse teach the patient about topical corticosteroid use on these lesions?
A) Cataract development is possible. B) The ointment is likely to cause weeping. C) Corticosteroid use is contraindicated on these lesions. D) The patient may develop glaucoma.
In caring for a pregnant woman with sickle cell anemia with increased blood viscosity, the nurse is concerned about the development of a thromboembolism. The nursing care would include:
1. monitoring the patient for a negative Homans sign. 2. massaging calves when the woman complains of pain. 3. applying antiembolic stockings. 4. maintaining a restriction on fluid intake.
The nurse feels resistance while trying to flush the intravenous (IV) line with a 5-mL syringe of normal saline solution before administering a medication by IV bolus. Which should the nurse implement next?
a. Use a 3-mL syringe to flush. b. Aspirate the IV line for a blood return. c. Check for causes of resistance. d. Inject the IV medication slowly.
A 68-year-old woman with COPD has come to the clinic for a routine follow-up visit. The nurse escorts the patient to an examination room and measures vital signs. The nurse would expect the patient's vital signs to be what?
A) Higher than normal B) Lower than normal C) WNL D) The nurse would not routinely take this patient's vital signs