The patient with a nursing diagnosis of airway clearance, ineffective, might have a desired patient outcome of:

oxygen will be continued

the patient's coughing frequency will increase

cyanosis may be present

within 24 hours, the patient will demonstrate no signs or symptoms of dyspnea

Answer and Explanation

The Correct Answer is D

A. Oxygen will be continued: Continuing oxygen therapy is an intervention, not a measurable outcome.

B. The patient's coughing frequency will increase: While coughing can help clear secretions, increased coughing does not necessarily indicate improved airway clearance.

C. Cyanosis may be present: Cyanosis is a sign of worsening oxygenation, not an improved outcome.

D. Within 24 hours, the patient will demonstrate no signs or symptoms of dyspnea: A desired outcome should be specific, measurable, and indicate improvement. The resolution of dyspnea demonstrates effective airway clearance.

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Correct Answer is A

Explanation

A. Confidentiality: The biggest concern is maintaining patient confidentiality due to risks of unauthorized access, hacking, and breaches of protected health information (PHI).

B. Adequate forms for documentation: Computerized charting typically has structured templates, ensuring that all necessary fields are included.

C. Incorrect information: While errors can occur, computerized charting often includes safeguards like drop-down menus, alerts, and validation checks to reduce mistakes.

D. None of the answers are correct: Confidentiality is a significant concern, making option A the best answer.

A. validated data B. data clustering C. subjective data D. objective data

Correct Answer is B

Explanation

A. Validated data: While accurate data is crucial, validated data alone does not form a nursing diagnosis.

B. Data clustering: Data clustering involves grouping related signs, symptoms, and risk factors to determine patterns that lead to a nursing diagnosis.

C. Subjective data: Subjective data (e.g., pain, nausea) is part of assessment but must be combined with objective data to establish a diagnosis.

D. Objective data: Objective data (e.g., lab results, physical exam findings) is important, but a nursing diagnosis requires a comprehensive approach, including data clustering.

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The patient with a nursing diagnosis of airway clearance, ineffective, might have a desired patient outcome of:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What is the major concern when using a computer for documentation?

Correct Answer is A

Explanation

Which of the following assists the nurse in the identification of nursing diagnoses?

Correct Answer is B

Explanation

A patient with edema has a problem of fluid overload. The nurse is developing a care plan and selecting interventions that will assist the patient in reducing the fluid. An important consideration when developing the care plan is to:

The patient with a nursing diagnosis of airway clearance, ineffective, might have a desired patient outcome of:

Patient health care records are:

Your patient is admitted with a serious injury of the left hip after a fall at home. She is crying with severe pain in her left hip and leg. Which nursing diagnosis would apply to this patient's immediate needs?

To what does objective data refer when assessing a patient?

Select the type of assessment which is performed continuously throughout nurse-patient contact:

During a physical examination, the nurse discovers that the patient demonstrates signs of flushed, dry, hot skin, dry mucous membranes and temperature elevation. The nurse realizes grouping this data represents:

A focused assessment should be done by the nurse in all of the following situations EXCEPT: