Which of the following is an example of a nursing diagnosis?
Skin breakdown
Elevated blood pressure
Anxiety
Ineffective breathing pattern
The Correct Answer is D
A. Skin breakdown: This is a medical problem or symptom, but it is not a structured nursing diagnosis.
B. Elevated blood pressure: This is a clinical finding rather than a nursing diagnosis.
C. Anxiety: While anxiety is a medical condition, a complete nursing diagnosis should describe the specific effects on the patient, such as "Anxiety related to hospitalization as evidenced by restlessness and increased heart rate."
D. Ineffective breathing pattern: This is a standardized nursing diagnosis as defined by NANDA (North American Nursing Diagnosis Association). It refers to altered respiratory function that nurses can assess and manage.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Financial stability: Financial stability is a protective factor against suicide.
B. Engaging in extracurricular activities: Social involvement and participation in activities generally reduce suicide risk.
C. Loss of a job: Job loss is a significant psychosocial stressor that can contribute to feelings of hopelessness, depression, and suicidal ideation.
D. Exercising caution in behavior: Individuals at risk for suicide often engage in impulsive or risky behavior, not cautious behavior.
Correct Answer is C
Explanation
A. Ibuprofen (NSAID): Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) that does not affect serotonin levels.
B. Acetaminophen (Antipyretic): Acetaminophen is used for fever and pain and does not impact serotonin metabolism.
C. Venlafaxine (SNRI): Serotonin-norepinephrine reuptake inhibitors (SNRIs) like venlafaxine increase serotonin levels and can contribute to serotonin syndrome, especially when combined with other serotonergic drugs.
D. Lisinopril (ACE inhibitor): Lisinopril is an angiotensin-converting enzyme (ACE) inhibitor used for hypertension and does not affect serotonin.
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