The RN is attempting to formulate a nursing diagnosis for a client but does not find where the problem fits into a North American Nursing Diagnosis Association (NANDA)–approved diagnosis. What is the best option for the nurse?
A) Gather other data so that it will fit into a NANDA approved diagnosis.
B) The nurse will have to forgo applying a nursing diagnosis.
C) Pick a NANDA-approved diagnosis as long as it somewhat fits.
D) Use his or her own terminology.
D
Feedback:
If a client's problem does not fit into any of the NANDA-approved diagnoses, the nurse can use her or his own terminology. The nurse is not able to forgo, pick any diagnosis as long as it comes close to fitting, or try gathering new data so that a diagnosis will be chosen.
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a. Lanugo. b. Vascular nevi. c. Nevus flammeus. d. Mongolian spots.
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A. Securing the tube in a midline position B. Assessing bilateral breath sounds every 2 hours C. Changing the tracheostomy ties every 24 hours D. Suctioning the tube with as small a catheter as possible