Foundations Exam 1 Chapter 12 PrepU – Flashcards
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A nurse is justified in independently identifying and documenting which diagnosis related to impaired elimination? Small Bowel Obstruction Ulcerative Colitis Irritable Bowel Syndrome Bowel Incontinence
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Bowel Incontinence
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A nurse who is caring for a client admitted to the nursing unit with acute abdominal pain formulates the care plan for the client. Which nursing diagnosis is the priority for this client? Disturbed sleep pattern Disturbed body image Impaired comfort Activity intolerance
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Impaired comfort
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After assessing a client, a nurse identifies the nursing diagnosis, "Ineffective Airway Clearance related to thick tracheobronchial secretions." The nurse would classify this nursing diagnosis as which type? Risk Possible Wellness Actual
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Actual
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A nurse is caring for a client diagnosed with arthritis. The client is experiencing pain that is interfering with her ability to ambulate. The nurse accurately documents which nursing diagnosis in the client's records? Impaired physical mobility related to pain Impaired movements due to pain Ineffective physical mobility due to pain Ineffective movement related to arthritis
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Impaired physical mobility related to pain
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Which statement appropriately identifies an at-risk nursing diagnosis for a woman 78 years of age who is confined to bed? Risk for impaired skin integrity related to bed rest Ineffective airway clearance related to bed rest Potential for pneumonia related to inactivity Immobility related to confinement to bed
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Risk for impaired skin integrity related to bed rest
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Which of the following errors has the nurse made in formulating the nursing diagnosis: Pain related to nurse failing to administer pain med in a timely manner AEB client pain rating of 7 out of 10, client guarding abdominal incision, client ambulates slowly. Used a medical diagnosis Used legally inadvisable terms Used imprecise language Omitted defining characteristics
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Used legally inadvisable terms
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Which of the following errors has the nurse made in formulating the following nursing diagnosis: Prolonged Immobility related to impaired skin integrity AEB one-inch diameter open area on right buttocks surrounded by a one-inch margin of redness; wound surface clean and beefy red; no drainage or foul odor detected. Reversed the health problem and the etiology Omitted the defining characteristics of the client health problem Writing the diagnosis in terms of a need rather than a client response Identified environmental factors rather than client factors as the problem
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Reversed the health problem and the etiology
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A nurse who believes strongly that women should make their own decisions is caring for a female client from a culture where women defer decisions to their husbands. Based on the client's insistence that her husband make all decisions for her, the nurse formulates a nursing diagnosis of "Dysfunctional Family Processes." What type of nursing diagnosis error has the nurse made? The nurse has inserted her own beliefs into the interpretation of the data. The nurse needs further evidence to validate this diagnosis. The nurse is not addressing the reason the client is seeking health care. The nurse has not selected the correct nursing diagnosis to address this problem.
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The nurse has inserted her own beliefs into the interpretation of the data.
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During morning report, the night nurse tells the day nurse that the client refused to allow the technician to draw blood for laboratory testing. What step would be essential for the day nurse to complete before selecting a nursing diagnosis to address this issue? The nurse should determine what laboratory tests are critical at this time. The nurse should determine the length of time the client has been in the hospital. The nurse should determine the reason for the client's refusal. The nurse should determine the client's last laboratory results.
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The nurse should determine the reason for the client's refusal.
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A homeless client in the public health clinic has a strong body odor and is wearing clothes that are visibly soiled. What nursing diagnosis would be most appropriate for the nurse to identify? Bathing Self-care Deficit related to lack of access to bathing facilities as evidenced by a strong body odor Homelessness Syndrome related to lack of housing as evidenced by visibly soiled clothing Inadequate Hygiene related to homelessness as evidenced by client's stink Impaired Impulse Control related to poor socioeconomic conditions as evidenced by visibly soiled clothing
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Bathing Self-care Deficit related to lack of access to bathing facilities as evidenced by a strong body odor
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A client is being admitted from the emergency room reporting shortness of breath, wheezing, and coughing. What would the nurse formulate as an appropriate nursing diagnosis? Acute Dyspnea Bronchial Pneumonia Asthma Attack Ineffective Airway Clearance
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Ineffective Airway Clearance
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A nurse is caring for a marathon runner who collapsed while running in extremely warm weather. Upon admission, the client's temperature is 102°F (38.9°C). What is the most appropriate nursing diagnosis? Hyperthermia Electrolyte imbalance Heat exhaustion Dehydration
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Hyperthermia
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A client recently diagnosed with pancreatic cancer tells the nurse, "I don't see any hope for my future." What would be the most appropriate nursing diagnosis for the nurse to formulate to address this health problem? Ineffective Health Maintenance related to being overwhelmed by cancer diagnosis Hopelessness related to difficulty coping secondary to pancreatic cancer diagnosis Disturbed Self-Concept related to pancreatic cancer diagnosis Knowledge Deficit: Cancer treatment options related to new diagnosis
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Hopelessness related to difficulty coping secondary to pancreatic cancer diagnosis
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A client diagnosed with advanced lung cancer has a nursing diagnosis of Ineffective Coping. What assessment data would provide evidence to the nurse for this diagnosis? The client states, "I am sure the doctors have misdiagnosed me." The client asks about hospice services. The client makes funeral plans. The client states, "I hope that I am able to attend my daughter's wedding."
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The client states, "I am sure the doctors have misdiagnosed me."
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When reviewing the client's history, the nurse notes that it has been recorded that the client's last bowel movement was 2 days ago. Before the nurse identifies a diagnosis of "Constipation," what assessment must the nurse make? The nurse should determine the client's normal bowel elimination pattern. The nurse should assess the client's dietary habits. The nurse should determine the standard bowel elimination pattern for the client's age. The nurse should assess the client's bowel sounds.
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The nurse should determine the client's normal bowel elimination pattern.
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The client, who is 8 weeks pregnant as the result of a rape, tells the nurse, "I do not want to have this baby, but I have always believed that abortion is a sin. I don't know what to do." What nursing diagnosis would be most appropriate for the nurse to formulate? Complicated Grieving related to mental trauma as evidenced by the client's inability to make a decision Ineffective Coping related to rape trauma syndrome as evidenced by client's inability to make a decision Decisional Conflict related to conflict with moral beliefs as evidenced by the client's statement Hopelessness related to inability to decide a course of action as evidenced by the client's statement
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Decisional Conflict related to conflict with moral beliefs as evidenced by the client's statement
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The nurse recognizes that health problems that can be prevented by independent nursing interventions are called what? Actual or potential nursing diagnoses Dependent nursing diagnoses Syndrome nursing diagnoses Collaborative nursing diagnoses
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Actual or potential nursing diagnoses
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The nurse is aware that development of nursing diagnoses are: Both within the nursing scope of practice and are client focused. collaborative in nature and dependent on the medical diagnosis. based on assessment data and the primary care provider's input. dictated by the medical diagnoses and change day by day.
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both within the nursing scope of practice and are client focused.
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A client reports not having a bowel movement for 7 days, followed by a day of small, loose stools. How does the nurse define the health problem? Constipation related to irregular evacuation patterns Diarrhea related to client report of small, loose stools Bowel incontinence related to depressive state Readiness for Enhanced Nutrition related to constipation
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Constipation related to irregular evacuation patterns
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A nurse is caring for a toddler who has been treated on two different occasions for lacerations and contusions due to the parents' negligence in providing a safe environment. What is an appropriate nursing diagnosis for this client? Child Abuse related to unsafe home environment High Risk for Injury related to abusive parents High Risk for Injury related to unsafe home environment High Risk for Injury related to impaired home management
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High Risk for Injury related to unsafe home environment
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A group of nursing students is reviewing information about nursing diagnoses. The students demonstrate understanding when they identify which as a characteristic feature? describes a disease or pathology of specific organs or body systems describes the client's response to the health problem conveys information about the signs and symptoms of disease processes provides a convenient means for communicating treatment requirements
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describes the client's response to the health problem
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The nurse formulates the following nursing diagnosis: Disturbed Body Image related to decreased ability to cope with surgical removal of right breast. The client refuses to look at surgical site and states, "I'm ugly. My husband will no longer find me desirable." What is the etiology? "I'm ugly. My husband will no longer find me desirable." Disturbed body image Refusal of client to look at surgical site Decreased ability to cope with surgical removal of right breast
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Decreased ability to cope with surgical removal of right breast
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A client with diabetes mellitus has been admitted to the hospital in diabetic ketoacidosis. During the admission assessment of the client, the nurse learns that the client is not following the prescribed therapeutic regimen. The client states, "I don't really have diabetes. My doctor overreacts." What is the most appropriate diagnosis for this client's health problem? Ineffective Coping related to client's inability to manage the diabetic regimen Risk for Injury related to client's mismanagement of disease Risk for Unstable Blood Glucose related to client's reluctance to manage the diabetic regimen Ineffective Health Maintenance related to client's denial of illness
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Ineffective Health Maintenance related to client's denial of illness
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During a home health care visit, the nurse identifies a nursing diagnosis of Caregiver Role Strain for a parent who is caring for a child dependent on a ventilator. What subjective assessment data would support the nurse's diagnosis? The parent states, "A member of my church gives me a break twice a week." The parent states, "I make sure that I get regular exercise." The parent states, "I attend support group meetings when I am able to go." The parent states, "I cannot allow anyone else to help because they won't do it right."
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The parent states, "I cannot allow anyone else to help because they won't do it right."
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The care plan for a client who has been frequently admitted to the hospital for exacerbation of COPD (chronic obstructive pulmonary disease) has a nursing diagnosis of "Noncompliance related to lack of knowledge as evidenced by frequent admissions to the hospital." What is the most appropriate method for the nurse to use to validate the nursing diagnosis? Assess the severity of the client's illness. Assess the client's knowledge of COPD. Assess the client's financial resources. Assess the client's access to health care.
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Assess the client's knowledge of COPD.
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A newly graduated nurse is unable to determine the significance of data obtained during an assessment. What would be the nurse's most appropriate action? Document the data for future reference. Continue to collect assessment data. Consult with a more experienced nurse. Contact the client's health care provider.
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Consult with a more experienced nurse.
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A client, whose care plan includes a nursing diagnosis of "Risk for infection related to a disruption of skin integrity secondary to abdominal surgery", is displaying redness, edema, and warmth at the surgical site. What would be the nurse's most appropriate revision of the care plan? Formulate the collaborative problem "PC: Infection related to disrupted skin integrity." Formulate the medical diagnosis "Wound infection related to infectious processes." Revise the nursing diagnosis to "Infection as evidenced by redness, edema, and warmth at the surgical site." Revise the nursing diagnosis to include prescribed medication for infection.
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Formulate the collaborative problem "PC: Infection related to disrupted skin integrity."
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A female client undergoing chemotherapy for breast cancer has lost all her hair. The client states, "I cannot stand to see myself without hair. I am disgusting." What would be the most appropriate nursing diagnosis for the nurse to use to address this client's problem? Disturbed Body Image related to loss of hair Disturbed Body Image as evidenced by client's negative comments Disturbed Body Image related to breast cancer Disturbed Body Image as evidenced by client's refusal to look at self
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Disturbed Body Image related to loss of hair
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A new chemical plant is being built in the community. The nurse is concerned about the possibility of environmental pollution adversely affecting the health of the residents. What nursing diagnosis would the nurse use to address this concern? Risk for Infection related to community contamination Risk for Community Contamination related to possible environmental pollution Knowledge Deficit related to effects of chemical plant pollution Deficient Community Health related to chemical plant
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Risk for Community Contamination related to possible environmental pollution
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A client admitted for a surgical procedure tells the nurse, "I am very worried because I am allergic to latex. I want to make sure that everyone knows this." In order to assure the safety of the client, what nursing diagnosis would the nurse address? Anxiety related to surgical procedure Knowledge Deficit related to surgical procedure Risk for Injury related to latex allergy Risk for Allergy Response related to latex allergy
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Risk for Allergy Response related to latex allergy
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A pregnant client asks the nurse for information on breastfeeding her baby. What type of nursing diagnosis would the nurse formulate? A wellness diagnosis An actual nursing diagnosis A possible nursing diagnosis A risk nursing diagnosis
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A wellness diagnosis
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A nurse is explaining the purpose of nursing diagnoses to a client. What would be the most appropriate statement for the nurse to make? "Nursing diagnoses are necessary to validate the medical diagnosis." "Nursing diagnoses are necessary to schedule the amount of nursing care required by the client." "Nursing diagnoses are used to bill insurance for nursing care." "Nursing diagnoses are used to guide the nurse in selecting appropriate nursing interventions."
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"Nursing diagnoses are used to guide the nurse in selecting appropriate nursing interventions."
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A nurse is planning education about prescription medications for a client newly diagnosed with asthma. What nursing diagnosis would be most appropriate for the nurse to select? Noncompliance related to deficient knowledge of a new medical diagnosis Ineffective Airway Clearance related to bronchial constriction Knowledge deficit: Medications related to new medical diagnosis Anticipatory Grieving related to chronic illness management
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Knowledge deficit: Medications related to new medical diagnosis
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A nurse is interviewing an older adult client who has experienced a drastic weight loss following a CVA (cerebrovascular accident). The client states, "I have trouble getting groceries since I can no longer drive, so I don't have much food in the house." Based on this evidence, what would be the most appropriate nursing diagnosis? Imbalanced nutrition: Less than Body Requirements related to decreased appetite Imbalanced Nutrition: Less than Body Requirements related to drastic weight loss Imbalanced Nutrition: Less than Body Requirements related to cerebrovascular accident Imbalanced nutrition: Less than Body Requirements related to difficulty in procuring food
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Imbalanced nutrition: Less than Body Requirements related to difficulty in procuring food
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The nurse has identified a collaborative problem of Risk for Complications of Electrolyte Imbalance for a client with diarrhea. The client begins to exhibit a decrease in level of consciousness. What is the nurse's most appropriate action? Document the client's level of consciousness. Consult with another nurse to validate the assessment. Decrease stimulation and allow the client to rest. Notify the physician for additional orders.
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Notify the physician for additional orders.
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While developing a plan of care for a client, what should the nurse do before selecting a nursing diagnosis? Establish short- and long-term client goals. Verify the primary care provider's written orders. Perform a focused assessment related to the reason for admission. Collect client subjective and objective data.
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Collect client subjective and objective data.
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Which example of client care is not the responsibility of the nurse? tailoring treatment and medication regimens for each individual promoting safety and preventing harm; detecting and controlling risks monitoring for changes in health status confirming a medical diagnosis
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confirming a medical diagnosis
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A nurse is using Gordon's functional health patterns as an organizing framework for client assessment. The client has significant problems related to breathing for which the nurse identifies several nursing diagnostic labels, including ineffective breathing pattern and impaired gas exchange. The nurse understands that these nursing diagnoses would be organized under which functional pattern? Activity-exercise Coping-stress tolerance Congnitive-perceptual. Nutritional-metabolic
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Activity-exercise
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A 57 year-old woman is caring for her 84-year-old mother-in-law. Which statement would lead the nurse to make a nursing diagnosis of caregiver role strain? "My mother-in-law and I go for a walk daily." "My mother-in-law makes dinner on Tuesday's and I cannot stand her cooking." "I feel great but wish that I could get more sleep." "I just don't have time to take a shower."
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"I just don't have time to take a shower."
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"Acute Pain related to instillation of peritoneal dialysate as evidenced by client wincing and grimacing during procedure, client description of experience as 'stabbing'" is an example of which type of nursing diagnosis? Potential diagnosis Wellness diagnosis Risk diagnosis Actual diagnosis
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Actual diagnosis
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Which of the following best defines nursing diagnoses? Identification of signs and symptoms that identify diseases Identification of actual client problems, not including potential problems Identification of client problems that nurses can treat independently Identification of client problems that require collaboration with other health care professionals
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dentification of client problems that nurses can treat independently
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The process of nursing diagnosis carries legal implications for nurses. Which of the following legal responsibilities exists for a nurse who has documented a nursing diagnosis related to a client's kidney failure? coordinating the treatment of the client's kidney failure independently managing the client's kidney failure choosing interventions to resolve the client's kidney failure reporting signs and symptoms related to the client's kidney failure
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reporting signs and symptoms related to the client's kidney failure
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A nurse is educating a client about care to be taken in nephrotic syndrome. The client expresses that the education is of no use because the disease is not curable. What nursing diagnosis should the nurse formulate with regard to the client's concern? Disturbed Body Image Fear Impaired Comfort Risk for Powerlessness
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Risk for Powerlessness
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A client is brought to the emergency room in an unconscious condition, accompanied by his son. The client is having respiratory arrest and is put on a ventilator. What is the most appropriate nursing diagnosis for this client? Ineffective airway clearance Impaired spontaneous ventilation Ineffective breathing pattern Impaired gas exchange
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Impaired spontaneous ventilation
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The nurse is caring for a client who is experiencing a collaborative problem. The nurse should plan the client's care based on an understanding that this problem is characterized by: an emergent condition that requires rapid nursing response. a result of disease, trauma, treatment, or diagnostic studies. a risk or wellness human response to health problems. a convenient means for communication among team members.
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a result of disease, trauma, treatment, or diagnostic studies.
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What does the nursing diagnosis represent? Symptoms Maladaptation Cues Signs
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Cues
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The nurse has identified a nursing diagnosis of "Risk for Impaired Parenting" for a client who has recently learned of her pregnancy. What assessment data would be appropriate to lead the nurse to select this diagnosis? The client states, "I do not know how to take care of a baby." The client states, "I do not plan to tell my family about my pregnancy right away." The client states, "I am shocked to find out that I am pregnant." The client states, "I know that I will have to make some changes in my life."
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The client states, "I do not know how to take care of a baby."
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The nurse caring for a client diagnosed with melanoma has identified a nursing diagnosis of "Ineffective Coping." What subjective assessment data would provide evidence for this nursing diagnosis? Client's report of reading the Bible and praying daily Client's report of increased consumption of alcohol Client's report of eating more fruits and vegetables Client's report of researching treatment options for melanoma
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Client's report of increased consumption of alcohol
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A nursing diagnosis of Ineffective Airway Clearance has been chosen by the nurse caring for a client with respiratory problems. Which assessment data would be appropriate evidence of this diagnosis? Select all that apply. Ineffective cough Viral pneumonia Oxygen at 3 liters/min per nasal cannula Labored respirations Wheezes auscultated over all lung fields
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Ineffective cough Wheezes auscultated over all lung fields Labored respirations
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The nurse caring for a client with obesity would like to address the possible health problems that can develop related to obesity. To plan care for this client, what type of nursing diagnosis would the nurse formulate? A risk nursing diagnosis A wellness diagnosis A possible nursing diagnosis An actual nursing diagnosis
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A risk nursing diagnosis
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While caring for a client admitted to the hospital for a fractured tibia, the nurse notes that the pattern of the client's blood pressure readings is consistently over the expected range for the client's age. How would the nurse most appropriately plan to care for this client? Address the nursing diagnosis, "Risk for Injury related to hypertension." Address the possible nursing diagnosis "Ineffective Tissue Perfusion related to hypertension." Address the medical diagnosis of hypertensive disorder. Address the collaborative problem PC: Hypertension.
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Address the collaborative problem PC: Hypertension.
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A client has been diagnosed with a recent myocardial infarction. What collaborative problem would be the priority for the nurse to address? PC: Decreased cardiac output related to cardiac tissue damage PC: Disturbed body image related to decreased activity tolerance PC: Fear related to new diagnosis of myocardial infarction PC: Activity intolerance related to decreased oxygenation capacity
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PC: Decreased cardiac output related to cardiac tissue damage
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A client with diabetes mellitus has been admitted to the intensive care unit with a serum glucose reading of 400 mg/dL (22.20 mmol/L). Because the care for this client will involve multiple disciplines, which diagnostic statement would be most appropriate for the nurse to select? Need for glucose control as evidenced by hyperglycemia Risk for unstable blood glucose related to diabetes Diabetes mellitus as evidenced by serum glucose of 400 mg/dL (22.20 mmol/L) PC: Hyperglycemia related to uncontrolled serum glucose
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PC: Hyperglycemia related to uncontrolled serum glucose
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A student nurse is learning how to write a nursing diagnosis for a client. Which actions are accurate guidelines when formulating nursing diagnoses? Select all that apply. Make sure defining characteristics follow the etiology. Include the medical diagnosis in the nursing diagnosis. Phrase the nursing diagnosis as a client need rather than alteration. Write the diagnosis in legally advisable terms. Be sure the problem statement indicates what is unhealthy about the client. Make sure the client problem precedes the etiology.
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Make sure the client problem precedes the etiology. Write the diagnosis in legally advisable terms. Be sure the problem statement indicates what is unhealthy about the client. Make sure defining characteristics follow the etiology.
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Nurses use approved NANDA-I nursing Diagnoses when writing diagnoses for clients. Which diagnoses represent "Domain 1: Health Promotion" as established by NANDA-I? Sedentary Lifestyle Ineffective Self-Health Management Deficient Diversional Activity Risk for Disuse Syndrome Impaired Environmental Interpretation Syndrome Readiness for Enhanced Coping
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Ineffective Self-Health Management Sedentary Lifestyle Deficient Diversional Activity
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A nurse has identified a risk nursing diagnosis for a client. When writing this diagnosis, the nurse would write a statement consisting of how many parts? One Two Three Four
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two
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Which is the best example of a nursing diagnosis? Ineffective Airway Clearance as evidenced by client not speaking. Ineffective Breastfeeding related to latching as evidenced by nonsustained suckling at the breast. Cellulitis related to infection as evidenced by warm, reddened skin. Gastroesophageal Reflux related to low stomach pH as evidenced by foul breath and burning sensation in throat.
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Ineffective Breastfeeding related to latching as evidenced by nonsustained suckling at the
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A nurse makes a nursing diagnosis of Constipation after a client tells her he did not defecate on his last trip to the bathroom. The nurse has no other information on the client's defecation history. This is an example of: premature closure. cluster interpretation. inconsistent cues. clustering of cues.
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premature closure.
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Which is an accurately phrased risk diagnosis? Risk for Impaired Coping as evidenced by client crying. Risk for Pain After Surgery. Risk for Falls related to altered mobility. Risk for Fluid Volume Excess related to increased oral intake as evidenced by consuming 3 L of soda.
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Risk for Falls related to altered mobility.
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A nurse is preparing to write a nursing diagnosis for a client. Which activity would the nurse need to do first?
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Identify the significant data
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After assessing a client, a nurse identifies the nursing diagnosis, "Ineffective Airway Clearance related to thick tracheobronchial secretions." The nurse would classify this nursing diagnosis as which type? Actual Risk Wellness Possible
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Actual
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What is the purpose of establishing a nursing diagnosis? To collaborate with the physician to identify medical problems to describe a functional health problem to meet accreditation criteria
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to describe a functional health problem
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The nurse is formulating nursing diagnoses pertaining to a client with pancreatic cancer. Which of the following factors would the nurse identify as strengths of the client? Select all that apply. The client has demonstrated effective coping skills in the past. The client states that no one should ever ask for help from others. The client has a long history of health problems. The client has been accompanied by family members to every appointment. The client states a belief in a reward in heaven after death.
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The client has been accompanied by family members to every appointment. The client states a belief in a reward in heaven after death. The client has demonstrated effective coping skills in the past.
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A nursing diagnosis of "Ineffective Coping" has been chosen for a client after receiving a diagnosis of prostate cancer. What assessments would the nurse consider as evidence for this diagnosis? Select all that apply. The client asks for information relating to the cancer diagnosis. The client has difficulty concentrating on the details of treatment options. The client requests the minister of his church to visit. The client states, "I can't handle all of this." The client reports an inability to get adequate restful sleep.
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The client reports an inability to get adequate restful sleep. The client has difficulty concentrating on the details of treatment options. The client states, "I can't handle all of this."
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The care plan for a postoperative client includes a nursing diagnosis of "Risk for urinary retention." The nurse determines that the client has been voiding adequately. What is the nurse's most appropriate action? Initiate a collaborative problem to address the client's changing status. Continue to observe for urinary retention because of the client's postoperative status. Revise the nursing diagnosis because the client's status has changed. Consult with the physician about the revision of the nursing diagnosis.
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Revise the nursing diagnosis because the client's status has changed.
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A nurse documents the following in the client chart: Risk for Decreased Cardiac Output related to myocardial ischemia. This is an example of what aspect of client care? Nursing assessment Nursing diagnosis Collaborative problem Medical diagnosis
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Nursing diagnosis
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Which of the following are positive outcomes of the use of nursing diagnoses? Select all that apply. allows nurses to practice without accountability to other health disciplines improves communication between nurses standardizes the care provided by members of other health disciplines encourages the client's participation in care directs areas of nursing research
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improves communication between nurses directs areas of nursing research encourages the client's participation in care
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The nurse is caring for a client who has been diagnosed with a sexually transmitted infection (STI). The nurse plans to address the nursing diagnosis of Risk Prone Behavior. What assumption has the nurse made? The nurse has assumed that the client needs education to decrease the likelihood of repeated infection. The nurse has assumed that the client does not understand the complications of sexually transmitted infections. The nurse has assumed that having a sexually transmitted infection means the client is sexually promiscuous. The nurse has assumed that having a sexually transmitted infection means the client is unaware of the risks of unprotected sex.
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The nurse has assumed that having a sexually transmitted infection means the client is sexually promiscuous.
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A community group has requested the public health nurse to present a program describing the advised schedule of immunizations for children. To plan for this program, what nursing diagnosis would be most appropriate for the nurse to select? Risk for Infection Transmission related to lack of immunizations Readiness for enhanced knowledge: childhood immunizations Risk for Complications related to childhood illnesses Ineffective Health Maintenance related to lack of knowledge of childhood immunizations
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Readiness for enhanced knowledge: childhood immunizations
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A nurse is developing a plan of care for a client with a chronic respiratory problem. When developing appropriate nursing diagnoses for this client, the nurse needs to keep in mind that: the interventions planned must be within the nurse's scope of practice. the main focus is on monitoring the body's pathophysiologic response. the problem's existence requires validation by the physician. The signs and symptoms of the disease are part of the information conveyed.
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the interventions planned must be within the nurse's scope of practice.
