NUR 316 Exam 1 Question & Answers, Graded 100%

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NUR 316 Exam 1 Question & Answers, Graded 100%-After assessing a patient, a nurse develops a standard formal nursing diagnosis. What is the rationale for the nurse's actions? A) To form a language th... at can be encoded only by nurses B) To distinguish the nurse's role from the physician's role C) To develop clinical judgment based on other's intuition D) To help nurses focus on the scope of medical practice - B Which diagnosis will the nurse document in a patient's care plan that is NANDA-I approved? A) Sore throat B) Acute pain C) Sleep apnea D) Heart failure - B A nurse develops a nursing diagnostic statement for a patient with a medical diagnosis of pneumonia with chest x-ray results of lower lobe infiltrates. Which nursing diagnosis did the nurse write? A) Ineffective breathing pattern related to pneumonia B) Risk for infection related to chest x-ray procedure C) Risk for deficient fluid volume related to dehydration D) Impaired gas exchange related to alveolar-capillary membrane changes - D The nurse is reviewing a patient's plan of care, which includes the nursing diagnostic statement, Impaired physical mobility related to tibial fracture as evidenced by patient's inability to ambulate. Which part of the diagnostic statement does the nurse need to revise? A) Etiology B) Nursing diagnosis C) Collaborative problem D) Defining characteristic - A A nurse is using assessment data gathered about a patient and combining critical thinking to develop a nursing diagnosis. What is the nurse doing? A) Assigning clinical cues B) Defining characteristics C) Diagnostic reasoning D) Diagnostic labeling - C A patient presents to the emergency department following a motor vehicle crash and suffers a right femur fracture. The leg is stabilized in a full leg cast. Otherwise, the patient has no other major injuries, is in good health, and reports only moderate discomfort. Which is the most pertinent nursing diagnosis the nurse will include in the plan of care? A) Posttrauma syndrome B) Constipation C) Acute pain D) Anxiety - C The nurse is reviewing a patient's database for significant changes and discovers that the patient has not voided in over 8 hours. The patient's kidney function lab results are abnormal, and the patient's oral intake has significantly decreased since previous shifts. Which step of the nursing process should the nurse proceed to after this review? A) Diagnosis B) Planning C) Implementation D) Evaluation - A A patient with a spinal cord injury is seeking to enhance urinary elimination abilities by learning self-catheterization versus assisted catheterization by home health nurses and family members. The nurse adds Readiness for enhanced urinary elimination in the care plan. Which type of diagnosis did the nurse write? A) Risk B) Problem focused C) Health promotion D) Collaborative problem - C [Show More]

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