The nurse is caring for a patient diagnosed with blood clots in the right lower extremity. The admitting physician orders bed rest. The patient tells the nurse, "I usually exercise three times a week. It helps me go to the bathroom."
The nurse determines that the patient may have difficulty with bowel movements. Which nursing diagnosis statement accurately reflects the nurse's concern?
a.
Constipation related to bed rest as manifested by hard, dry stools.
b.
Perceived constipation resulting from patient's expectation manifested by patient statement.
c.
Risk for constipation related to immobility as manifested by verbal complaint.
d.
Risk for constipation related to insufficient physical activity.
ANS: D
Each type of nursing diagnostic statement contains sections or parts. Actual nursing diagnostic statements are written with three parts: a diagnosis label, related factors, and defining characteristics. Risk nursing diagnoses have two segments: a diagnosis label and risk factors. Health-promotion nursing diagnoses are written with only two sections: the diagnosis label and defining characteristics. There are no data suggesting the patient is constipated at this time.
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