CH 15 prepu Flashcards
Which type of health problem requires both health care provider- and nurse-prescribed actions to address?
Independent health problem
Health care provider-developed problem
Interdisciplinary health problem
Collaborative health problem
Collaborative health problem
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: Fear related to new diagnosis of myocardial infarction
PC: Disturbed Body Image related to decreased activity tolerance
PC: Activity Intolerance related to decreased oxygenation capacity
PC: Decreased Cardiac Output related to cardiac tissue damage
The nurse is aware that nursing diagnoses are:
dictated by the medical diagnoses and change day by day.
based on assessment data and the primary care provider’s input.
collaborative and depend on the medical diagnosis.
within the nursing scope of practice to develop and client-focused.
within the nursing scope of practice to develop and client-focused.
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?
Readiness for Enhanced Knowledge: Childhood Immunizations Ineffective
Health Maintenance related to lack of knowledge of childhood immunizations
Risk for Complications related to childhood illnesses
Risk for Infection Transmission related to lack of immunizations
Readiness for Enhanced Knowledge: Childhood Immunizations
A client with HIV has been admitted to a health care facility. Which nursing diagnosis should be the priority, keeping in mind the client’s condition?
Risk for Activity Intolerance
Risk for Infection
Risk for Ineffective Coping
Risk for Imbalanced Nutrition
Risk for Infection
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?
PC: Infection related to disrupted skin integrity secondary to abdominal surgery
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?
Knowledge Deficit: Medications related to new medical diagnosis
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 Community Contamination related to possible environmental pollution
Which best describes the purpose of nursing diagnoses?
Identification of client problems that nurses can treat independently
When developing nursing diagnoses, the nurse should focus on which area?
Human responses to actual or potential health problems
When developing a nursing diagnosis for a client, which should the nurse do first?
Identify the significant data
A nurse documents the following nursing diagnosis on a client’s plan of care: “Fluid Volume Deficit related to gastrointestinal upset from food poisoning as evidenced by vomiting and diarrhea for the past three days, slow skin turgor, and weight loss.” The nurse identifies which part of the statement as the etiology?
Gastrointestinal upset from food poisoning
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
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
